Palliative care

ICD10 Diagnosis
Dx:	Palliative care
ICD10 code:	Z51.5
Pre-ICD10 counterpart:	Palliative Service
Charlson/ALERT Scale:	none
APACHE Como Component:	none
APACHE Acute Component:	none
Start Date:
Stop Date:
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

• SMW
  • 2019-01-01
  • 2999-12-31
  • Z51.5

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Additional Info

• This is a diagnosis code, and is different from the Palliative Care Service -- that refers to a group of physicians. This diagnosis code refers to whether the clinical plan for the patient is to predominantly provide comfort towards the end of life, not to prolong life.
• To figure out if a person should have this diagnosis of Palliative care, you must figure out the INTENT of care. If the intent is aimed at cure and prolonging life, then the person should not be assigned this diagnostic code. If the intent IS primarily control of symptoms (whether the person currently has symptoms or not), and not cure or even prolongation of life, then the person should be assigned this code.
• We will operationalize this diagnositc code as applying if ANY of the following 4 items are true:
  • 1. ACP-C status
  • 2. Had been on palliative care ‘’prior’’ to this hospital admission (i.e. at home or in the care facility)
  • 3. Is receiving active palliation. What is meant by this is (again) related to the intent of care --- so receiving aggressive symptom control measures (e.g. a morphine drip) does not consitute active palliation UNLESS the intent of the overall care at this point is control of symptoms and not cure or even prolongation of life.
  • 4. The Palliative Care Service (physician group) is seeing the patient in an ongoing fashion, which means has seen them at least twice during this admission. So, if that consult team saw the patient in an initial consult but isn’t following them longitudinally, then this item doesn’t apply.

• Note that this diagnosis code is not the same as ACP-C. A patient can qualify for this diagnosis code even if they're not ACP-C. Though if they are ACP-C, they do automatically qualify for this code.

Successor for old code "Palliative Service"?

Template:ICD10 Palliative Service is slightly different from this. Will we be able to work with this? Do any of the instructions and cross checks in that article need to be brought over? Ttenbergen 14:32, 2017 December 4 (CST)

Alternate ICD10s to consider coding instead or in addition

Candidate Combined ICD10 codes

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ICD10 Categories: ANCA-associated Vasculitis (AAV), Abdominal trauma, Abortion, Acute intoxication, Addiction, Adrenal Insufficiency, Adverse effect, Alcohol related, Allergy, Anemia, Anesthetic related, Aneurysm, Antibiotic resistance, Antidepressant related, Aortic Aneurysm, Arrhythmia, Arterial thromboembolism, Asthma, Atherosclerosis, Awaiting/delayed transfer, Bacteria, Benign neoplasm, Breast disease, Burn, COVID, Cannabis related, Cardiac septum problem, Cardiovascular, Cerebral Hemorrhage/Stroke, Chemical burn, Chronic kidney disease, Cirrhosis, Cocaine related, Decubitus ulcer, Delirium, Dementia, Diabetes, Diagnosis implying death, Double duty pathogen, ENT, Encephalitis, Encephalopathy, Endocrine disorder, Endocrine neoplasm, Exposure, Eye, Female genital neoplasm, Fistula, Fracture, Fungus, GI ulcer, Gastroenteritis, Gastrointestinal, Gastrointestinal neoplasm, Hallucinogen related, Has one, Head trauma, Head trauma (old), Healthcare contact, Heart valve disease, Heme/immunology, Heme/immunology neoplasm, Hemophilia, Hemorrhage, Hepatitis, Hereditary/congenital, Hernia, Hypertension, Hypotension, Iatrogenic, Iatrogenic infection, Iatrogenic mechanism, Imaging, Infection requiring pathogen, Infection with implied pathogen, Infectious disease, Inflammatory Bowel Disease, Influenza, Inhalation, Intra-abdominal infection, Ischemia, Ischemic gut, Ischemic heart disease, Joint/ligament trauma, Leukemia, Liver disease, Liver failure, Lower limb trauma, Lower respiratory tract infection, Lymphoma, Male genital neoplasm, Mechanism, Meningitis, Metabolic/nutrition, Metastasis, Misc, Muscle problem, Muscles/tendon trauma, Musculoskeletal/soft tissue, Musculoskeletal/soft tissue neoplasm... further results