Palliative Service: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
No edit summary
No edit summary
Line 1: Line 1:
{{DX tag | Other Medical | | Palliative Service | PALLIATIVE SERVICE| 90400 - Palliative Service | | |'''Critical Care and/or Medicine''' | Currently Collected | |}}
{{DX tag | Other Medical | | Palliative Service | PALLIATIVE SERVICE| 90400 - Palliative Service | | |'''Critical Care and/or Medicine''' | Currently Collected | |}}
Definition: Palliative Service for Medicine and ICU database program: means the patient is either under the care of Palliative Service Team or that this Service 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. 
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.  


== Coding Instruction for Palliative Care Service==
== Coding Instruction for Palliative Care Service==
Line 6: Line 6:


*ADMIT slots:  
*ADMIT slots:  
**only if the patient has been previously enrolled in palliative care service and they are involved in their care.
**only if the patient has been '''previously enrolled''' in palliative care service and they are involved in their care.
***{{discussion}} what if consult at admission? Ttenbergen 14:08, 2013 November 11 (CST)
*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.


==NOTE: change in collection process==
== Do not code for [[ACP C]]!==
*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 the care of Palliative Service, then go to: [[Comfort Care | ACP C, or Comfort Care]] for further collection instructions.
If ACP C or Comfort Care is ordered for the patient you '''cannot code''' Palliative Service in complications. You can code it only if the Palliative Care Service is consulted. You might be able to code [[Comfort Care]] for that care goal.
*If patient becomes ACP C, or Comfort Care '''AFTER ward admission''' by the attending physician or resident, you '''cannot code''' Palliative Service in complications anymore, unless the Palliative Care Service is consulted.  


== Related data ==
See [[:Category:End-of-life related data]]
== Legacy info ==
The predecessor to this dx "Palliative Care", under the same code, used to be collected if there was comfort care, [[ACP C]], palliation. As of 2013-11-11, the definition changed. 


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


[[Category: End-of-life related data]]
[[Category: End-of-life related data]]

Revision as of 15:08, 11 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 Service
Sub Diagnosis: PALLIATIVE SERVICE
Diagnosis Code: 90400 - Palliative Service
Comorbid Diagnosis:
Charlson Comorbid coding (pre ICD10):
Program: Critical Care and/or Medicine
Status: Currently Collected


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.

Coding Instruction for Palliative Care Service

Palliative Service code should only be used as follows:

  • ADMIT slots:
    • only if the patient has been previously enrolled in palliative care service and they are involved in their care.
  • COMPLICATION slots:
    • only if there is an actual consultation for Palliative Services after ward admission.

Do not code for ACP C!

If ACP C or Comfort Care is ordered for the patient you cannot code Palliative Service in complications. You can code it only if the Palliative Care Service is consulted. You might be able to code Comfort Care for that care goal.

Related data

See Category:End-of-life related data

Legacy info

The predecessor to this dx "Palliative Care", under the same code, used to be collected if there was comfort care, ACP C, palliation. As of 2013-11-11, the definition changed.