Palliative Service: Difference between revisions

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{{DX tag | Other Medical | | Palliative Care Service | PALLIATIVE CARE SERVICE| 90400 - Palliative Care Service | | |'''Critical Care and/or Medicine''' | Currently Collected | |}}
{{DX tag | Other Medical | | Palliative Care Service | PALLIATIVE CARE SERVICE| 90400 - Palliative Care Service | | |'''Critical Care and/or Medicine''' | Currently Collected | |}}


Change Date: November 7, 2013: [[User:TOstryzniuk|Trish Ostryzniuk]] 13:20, 2013 November 7 (CST)
Change Date: November 7, 2013: [[User:TOstryzniuk|Trish Ostryzniuk]] 13:20, 2013 November 7 (CST).  I have asked Laura to review this and do assist with final wording changes.  Thank you.[[User:TOstryzniuk|Trish Ostryzniuk]] 16:54, 2013 November 7 (CST)


== Coding Instruction==
Definition: Palliative Care Service for Medicine and ICU database program: means the patient is either under the care of Palliative Care Service team or the Palliative Care Service Team has been consulted.    It will no longer mean comfort care, ACP C, palliation.  Go to: [[Comfort Care | ACP C, or Comfort Care]] for collection instructions on that care goal. 
Palliative Care Service should only used as follows:
 
== Coding Instruction for Palliative Care Service==
Palliative Care Service code should only be used as follows:


*ADMIT slots:  
*ADMIT slots:  
**only if the patient has been previously enrolled in and is currently being cared for by the Palliative Care Service.
**only if the patient has been previously enrolled in and is currently being cared for by the Palliative Care Service Team.
*COMPLICATION slots:   
*COMPLICATION slots:   
**only if there is an actual "consultation" for Palliative Care Services AFTER ward admission.
**only if there is an actual "consultation" for Palliative Care Services AFTER ward admission.
***Reminder:  (change in collection process): if patient becomes [[Comfort Care | ACP C, or Comfort Care]]  AFTER ward admission by the attending physician, you '''cannot code''' Palliative Care anymore, unless the service is consulted. This is confirmed by both ICU and Medicine database program.[[User:TOstryzniuk|Trish Ostryzniuk]] 13:20, 2013 November 7 (CST)
   
== When NOT to code ==
It has been clarified that Palliative Care Service does not mean the same thing as palliation, comfort care or ACP C.  It is the actual Palliative Service involvement in care.


==NOTE: change in collection process==
*If patient care goal at the start of a Med or ICU unit admission as per physicians admitting note is palliation, comfort care, ACP-C and the patient is not under Palliative Care Service, then go to: [[Comfort Care | ACP C, or Comfort Care]] for further collection instructions.
*If patient becomes ACP C, or Comfort Care  '''AFTER ward admission''' by the attending physician or resident, you '''cannot code''' Palliative Care in complications anymore, unless the Palliative Care Service is consulted.




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

Revision as of 17:54, 7 November 2013

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:

Medical Problem

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


Change Date: November 7, 2013: Trish Ostryzniuk 13:20, 2013 November 7 (CST). I have asked Laura to review this and do assist with final wording changes. Thank you.Trish Ostryzniuk 16:54, 2013 November 7 (CST)

Definition: Palliative Care Service for Medicine and ICU database program: means the patient is either under the care of Palliative Care Service team or the Palliative Care Service Team has been consulted. It will no longer mean comfort care, ACP C, palliation. Go to: ACP C, or Comfort Care for collection instructions on that care goal.

Coding Instruction for Palliative Care Service

Palliative Care Service code should only be used as follows:

  • ADMIT slots:
    • only if the patient has been previously enrolled in and is currently being cared for by the Palliative Care Service Team.
  • COMPLICATION slots:
    • only if there is an actual "consultation" for Palliative Care Services AFTER ward admission.

NOTE: change in collection process

  • If patient care goal at the start of a Med or ICU unit admission as per physicians admitting note is palliation, comfort care, ACP-C and the patient is not under Palliative Care Service, then go to: ACP C, or Comfort Care for further collection instructions.
  • If patient becomes ACP C, or Comfort Care AFTER ward admission by the attending physician or resident, you cannot code Palliative Care in complications anymore, unless the Palliative Care Service is consulted.


DC Treatment vs. Palliative Care Service

see DC_Treatment#DC_Treatment_vs._Palliative_Care Service