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 | |
This diagnosis is a part of ICD10 collection.
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 service 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).
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If a patient is on the list for LAU transfer, but ends up going home before transfer occurs, should we still be adding this code as an acquired on the day that the patient was placed on the waitlist, or should we not include it at all, as the patient was never actually transferred?Mlagadi 09:06, 15 January 2026 (CST)
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- So, it should NOT be used when a patient goes: ICU service to ward service; Ward service to ICU service; 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 Acquired Diagnosis from a collection unit that is transferring a patient out
- 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
- An Admit Diagnosis from a collection unit that is accepting the patient in transfer
- 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
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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
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Data Integrity Checks (automatic list)
none found
- review #Data use before considering cross checks
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