Transfer for bed management

ICD10 Diagnosis
Dx:	Transfer for bed management
ICD10 code:	Z75.3
Pre-ICD10 counterpart:	none assigned
Charlson/ALERT Scale:	none
APACHE Como Component:	none
APACHE Acute Component:	none
Start Date:	2025-11-28
Stop Date:
Data Dependencies(Reports/Indicators/Data Elements):	No results
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

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  • 2025-11-28
  • 2999-12-31
  • Z75.3

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Excludes:

• not for repatriation - We will not use this code for repatriations of patients back to their local hospitals as that is standard practice

Additional Info

• This is to distinguish transfers for bed management reasons (e.g. to clear a bed from the sending unit so it can admit a patient), as opposed to transfers for medical reasons (e.g. patient transferred from Grace ICU to MICU because she needs dialysis)
• With just one exception, this code should only be used if the patient is transferred from one service on which we collect, to another service on which we collect, both at the same level (e.g. ICU-ICU, or ward-ward)
  • The exception is that transfers from ward to Low Acuity Units (LAU) and similar location types, should have this code included from the sending unit (Note: this is being done in relation to a bed management project being done by Dan and Tina).
  • So, it should not be used when a patient goes: ICU to ward; ward to ICU; ED on ED service to anywhere
• It should be coded as:
  • An Acquired Diagnosis from a collection unit that is transferring a patient out
    • Dx Date - if available, use the date the decision to transfer for medical reasons was documented, otherwise use the Dispo DtTm

• • An Admit Diagnosis from a collection unit that is accepting the patient in transfer
    • The Admit Diagnosis should not be linked with primary Admit Diagnosis but prioritized lowest.
  • For any transfer, it is possible that only the sending or only the receiving unit is one where we collect, so a counterpart may or may not exist

• This code will often mean that a patient would have a Transfer Ready DtTm tmp entry before this code's Dx Date for Medicine records, but not necessarily for Critical Care records since the GRA ICU has the same Level of care as the HSC and STB ICUs, only with fewer attached services.

Alternate ICD10s to consider coding instead or in addition

Candidate Combined ICD10 codes

In Medicine records this will sometimes be related to Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg in the context of Paneling and Alternate Level of Care (ALC). Do we want to combine these as relevant? Do we anticipate wanting to report this data, and what do we need to consider to collect it to be able to do that? Ttenbergen 17:37, 27 November 2025 (CST)

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Data use

• The absence of this code will mean that a transfer was "for medical reasons".
• We decided that instead of doing a consistency check to ensure that the sending and receiving units both have this diagnosis coded, that in doing reporting Julie will consider the transfer to be for bed management if it was coded in either the sending or receiving unit

which of the reports/indicators is affected by this? You were working with Bojan to get a metric.... Ttenbergen 17:37, 27 November 2025 (CST) likely ICU Interfacility Report / ICU Interfacility Transfer

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Data Integrity Checks (automatic list)

none found

• review #Data use before considering cross checks

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