Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg
Jump to navigation
Jump to search
| ICD10 Diagnosis | |
| Dx: | Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg |
| ICD10 code: | Z75.4 |
| Pre-ICD10 counterpart: | Panelling or Discharge Planning |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | 2018-01-08 |
| Stop Date: | |
| Data Dependencies(Reports/Indicators/Data Elements): | No results |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
- This code includes:
- Those who are newly panelled and are waiting to go to a Personal Care Home, Chronic Health Facility or other long-term care medical facility.
- This includes those that have a Pre-admit Inpatient Institution of PCH but are not discharged back to their original PCH (eg require higher care level), but to a new PCH. This is rare but it has happened
- Those living in Community Facility with support.
|
|
- Use this code regardless of whether the facility they're waiting for is in or out of Winnipeg.
- Some facilities such as a Chronic Health Facility offer different programs that correspond to different levels of care and this changes over time. See Chronic Health Facility.
Guidelines for the use of "awaiting" code
How much of a delay is required before we code "awaiting"?
- Code awaiting if Dispo DtTm is not on the same calendar day as the Transfer Ready date and time.
We realize this is different from Transfer Delay. For example, if patient was transfer ready on Tuesday, but left on Wednesday or thereafter, use one of the codes in Category:Awaiting/delayed transfer.
- There will be documentation in the notes that a panel meeting has taken place and that the pt is officially on the panel waitlist.
Status changes and is no longer awaiting
If the transfer is cancelled do NOT remove the "awaiting" code.
Status changes and is awaiting different destination
If during the wait to leave, the location to which the planned transfer changes, leave the first awaiting code, thus can have >1 Awaiting code in this situation. If/when the patient becomes stable again and is waiting for a long-term bed/PCH inside or outside Winnipeg then enter a second Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg.
If the destination is not to a long-term bed/PCH then follow the Transfer Ready DtTm criteria
Patient arrives on unit already awaiting care
- For patients who arrive "transfer ready" (usually to a low acuity ward), use the "awaiting" code as primary if there are no active medical problems. If the patient is still actively being treated for something, make that diagnosis primary and the "awaiting" code a lower priority.
- For patients that have been paneled for a PCH in the community, use this code as a Comorbid Diagnosis. This process will often be put on hold or re-evaluated once admitted, so it can also be used again as an Acquired Diagnoses
Possible reasons for delay that we can actually code
- Palliative care
- Respite care
- Problem related to unspecified psychosocial circumstances
- Medical Assistance In Dying
Alternate ICD10s to consider coding instead or in addition
| Awaiting/delayed transfer codes: |
Candidate Combined ICD10 codes
Related CCI Codes
Data Integrity Checks (automatic list)
| App | Status | |
|---|---|---|
| Check if awaiting code is primary dx then Transfer Ready DtTm must be equal to Arrive DtTm | CCMDB.accdb | declined |
| Query check ICD10 needs awaiting if TR Dt and Dispo Dt on diff days | CCMDB.accdb | declined |
| Query check TISS each day | CCMDB.accdb | declined |
| Query check ICD10 awaiting has Transfer Ready DtTm | CCMDB.accdb | implemented |
Related Articles
Lecagy info
This code was changed in CCMDB.accdb Change Log 2020#2020-05-26 as per Task Team Meeting - Rolling Agenda and Minutes 2020#ICU Database Task Group Meeting – May 18, 2020.
Show all ICD10 Subcategories