Palliative Service: Difference between revisions

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{{DX tag | Other Medical | | Palliative Care | PALLIATIVE CARE | 904-00 | | |'''Critical Care and/or Medicine''' | Currently Collected | |}}
See [[Palliative care]].


'''''Category/Organ System update pending'''''
{{PreICD10 dx | NewDxArticle = Palliative care}}
==When to code as an Admit or Complication DX==
Palliative Care DX should be coded as follows:


*admit diagnosis: Palliative care:  should only be coded for patients that have been previously enrolled in and are currently being cared for by the Palliative Care Service
{{DX tag | Other Medical | Medical Problem | Palliative Service | | 90400 | | |'''Critical Care and/or Medicine''' | Currently Collected | |}}
*complication diagnosis:  Palliative care: should only be coded if there is an actual consultation by the Palliative Care Service


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.


==Coming to a laptop near you soon: TMP STUDY for primary admit DX of: comfort/end of life care==
See [[Comfort Care]] for collection instructions on that care goal.   
*needs a project & item name in Tmp. Also need a tmp study article.  Tina? {{Discussion}}
**Make a new temp study article, ask people to enter “Admit for: comfort/end of life care Palliation” if and only if:


The  initial ward admission note written by the ward resident or attending physician documents explicitly that the patient’s primary reason for admission to that ward is for the purpose of providing, comfort care or end-of-life or clearly similar concepts.
== Coding Instruction for Palliative Care Service==
Do not enter this into TMP if the decision is made by the physician later on during the ward admission.
Palliative Service code should only be used as follows:
*The purpose of adding this to TMP is allow '''medicine program''' to identify those patients whom the primary plan upon ward admission is comfort/end of life care only


*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''


Thank you [[Tina Tenbergen | Tina ]] & [[Dr. Allan Garland | Allan]] and [[:Category:Critical Care Review Group | Critical Care Review Group]] for your work on this one.[[User:TOstryzniuk|Trish Ostryzniuk]] 19:36, 2013 October 23 (CDT)
*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.


[[Category:Diagnosis Coding]]
==See also==
[[:Category:End-of-life related data]]


== DC Treatment vs. Palliative Care ==
== Legacy info ==
see [[DC_Treatment#DC_Treatment_vs._Palliative_Care]]
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

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