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| {{DX tag | Other Medical | | Palliative Service | PALLIATIVE SERVICE| 90400 - Palliative Service | | |'''Critical Care and/or Medicine''' | Currently Collected | |}} | | See [[Palliative care]]. |
| Code '''Palliative Service''' for Medicine and ICU database program only if the patient is either under the care of Palliative Service Team or that this Service has been consulted.
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| {{discussion}}
| | {{PreICD10 dx | NewDxArticle = Palliative care}} |
| *Question Do you code Palliative service if the CTUS4 team consults them ,they answer the consult and makes an assessment and then tells the team the patient does not meet the criteria to be placed on the palliative service. Or do you have to be accepted on the palliative service to enter this code?Just to clarify Thanks !! Or can it be both? Are you wanting data who is accepted into the program or just being consulted with suggestions.????
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| **I include this code for consults whether they actually accepted or not. A consult requires use of the palliative service and often they give recommendations even if they do not actually enter the program. It is easy to see when they are consulted but if we have to read the consults to see what the outcome is then this is additional work for us. --[[User:LKolesar|LKolesar]] 08:39, 2014 March 6 (CST)
| | {{DX tag | Other Medical | Medical Problem | Palliative Service | | 90400 | | |'''Critical Care and/or Medicine''' | Currently Collected | |}} |
| ** Since Trish is away I have emailed this on to Dr Garland, who was part of setting up this definition. Ttenbergen 09:39, 2013 December 16 (CST)
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| | 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. |
| Go to: [[Comfort Care]] for collection instructions on that care goal.
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| | See [[Comfort Care]] for collection instructions on that care goal. |
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| == Coding Instruction for Palliative Care Service== | | == Coding Instruction for Palliative Care Service== |
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| *ADMIT slots: | | *ADMIT slots: |
| **only if the patient has been '''previously enrolled''' in palliative care service and they are involved in the patients care. | | **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'' |
| **when a patient is accepted to medicine or ICU service by attending physician while in ER and also, during this time, the attending physician also writes a request to consult palliative services, then this code can be used in admit DX slot.
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| *COMPLICATION slots: | | *COMPLICATION slots: |
| **only if there is an actual '''consultation''' for Palliative Services '''''after''''' ward admission. | | **only if there is an actual '''consultation''' for Palliative Services '''''after''''' ward admission ''even if the patient was not accepted to that service'' |
| {{Discussion}}
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| *Does above instruction mean that it doesn’t matter if accepted to service or not, just consulted? What is the purpose of coding Palliative Service consult after admission without knowing if accepted under care or not?
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| ==Purpose and Use==
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| == Related data == | | == Related data == |
| The diagnosis code Palliative Service is unrelated to a patient having [[ACP C]] or [[Comfort Care]] orders, but you might be able to code [[Comfort Care]] in that circumstance. | | 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. |
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| See also: [[:Category:End-of-life related data]] | | ==See also== |
| | [[:Category:End-of-life related data]] |
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| == Legacy info == | | == Legacy info == |
| Before '''Nov 11, 2013''' "90400 - "Palliative Care" used to be applied as a code if a patient was either: comfort care, [[ACP C]], palliation, end of life care or consulted to palliative care service.
| | see [[palliative patient]] |
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| [[Category: End-of-life related data]] | | [[Category:End-of-life related data]] |