Palliative Service: Difference between revisions

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{{DX tag | Palliative Care | PALLIATIVE CARE | 904-00 | '''Critical Care and/or Medicine''' | Currently Collected }}
See [[Palliative care]].
'''[[Palliative care]]''' is care including pain and symptom management, social, psychological, cultural, emotional and spiritual support as well as caregiver and bereavement support that is given to a person with progressive, advanced, or chronic disease with little or no prospect of cure whose death is apparent however is not immediately imminent. ([http://www.hc-sc.gc.ca/hcs-sss/palliat/index_e.html Health Canada website])
Palliative care might be provided even if [[DC Treatment|disease treatment has been discontinued]] in an ICU patient.  


== When to code Palliative Care ==
{{PreICD10 dx | NewDxArticle = Palliative care}}
The diagnosis '''Palliative care''' should be coded for patients where all of the following are true:
* Patient either on Medicine ward or in ICU
* care is given to a person with progressive, advanced underlying disease with little or no prospect of cure
* death is apparent however is not immediately imminent


== When [[NOT]] to code Palliative Care ==
{{DX tag | Other Medical | Medical Problem | Palliative Service | | 90400 | | |'''Critical Care and/or Medicine''' | Currently Collected | |}}
For our purposes and the way we analyze the data, a patient whose death is '''immediately imminent''' should '''not''' be coded as Palliative care, but might be coded as [[DC Treatment]] if appropriate.


== Further info required to un-stub ==
A [[palliative patient]] will have a "diagnosis" of Palliative Service if the patient is either under the care of Palliative Service Team or that this Service has been consulted. We code '''Palliative Service''' as a diagnosis because we did not have a reasonable alternative way to code it when we started to collect it.
* Incorporated Laura's definition from Health Canada. However, will we code if only some of the aspects of palliative care (e.g. pain mgmt, but not emotional support) are provided? In the end, this is a coding guide, and the above makes is less clear when to code. The "when to code..." section should be updated to clarify which parts of definition are mandatory, or how to gather from chart. I suppose the main information is that the focus of care is for comfort rather than active treatment. LKolesar


{{Discussion}}
See [[Comfort Care]] for collection instructions on that care goal.  
== Discussion ==
* I have a ? about pall care vs dc treatment
Pts are transfered to D5 from the icus to die  I put in my 1st admit pall care and I add d/c treatment, does icu put pall care in acquired as well as d/c treatment or do I put in my 1st admit the cause of their demise with d/c treatment. How do you wish these cases to be coded. (Pat Stein)


{{stub}}
== Coding Instruction for Palliative Care Service==
[[Category:Diagnosis Coding]]
Palliative Service code should only be used as follows:
 
*ADMIT slots:
**only if the patient is either under the care of Palliative Service Team or that this Service has been consulted, ''even if the patient was not accepted to that service''
 
*COMPLICATION slots: 
**only if there is an actual '''consultation''' for Palliative Services '''''after''''' ward admission ''even if the patient was not accepted to that service''
 
== Related data ==
The diagnosis code Palliative Service is related to, '''but not the same as''' a patient having [[ACP-C]] or [[Comfort Care]] orders, but you might be able to code [[Comfort Care]] in that circumstance.
 
==See also==
[[:Category:End-of-life related data]]
 
== Legacy info ==
see [[palliative patient]]
 
 
[[Category:End-of-life related data]]

Latest revision as of 17:27, 11 June 2025

See Palliative care.



Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Palliative care

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System: 		Category: Other Medical (old)

Type:

Category: Medical Problem (old)

Main Diagnosis: Palliative Service
Sub Diagnosis:
Diagnosis Code: 90400
Comorbid Diagnosis:
Charlson Comorbid coding (pre ICD10):
Program: Critical Care and/or Medicine
Status: Currently Collected


A palliative patient will have a "diagnosis" of Palliative Service if the patient is either under the care of Palliative Service Team or that this Service has been consulted. We code Palliative Service as a diagnosis because we did not have a reasonable alternative way to code it when we started to collect it.

See Comfort Care for collection instructions on that care goal.

Coding Instruction for Palliative Care Service

Palliative Service code should only be used as follows:

  • ADMIT slots:
    • only if the patient is either under the care of Palliative Service Team or that this Service has been consulted, even if the patient was not accepted to that service
  • COMPLICATION slots:
    • only if there is an actual consultation for Palliative Services after ward admission even if the patient was not accepted to that service

Related data

The diagnosis code Palliative Service is related to, but not the same as a patient having ACP-C or Comfort Care orders, but you might be able to code Comfort Care in that circumstance.

See also

Category:End-of-life related data

Legacy info

see palliative patient

Retrieved from "https://ccmdb.kuality.ca/index.php?title=Palliative_Service&oldid=163990"