Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg
| 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: | |
| 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, 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 chronic facility or PCH 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. Use your judgement and available information to decide what to code for Category:Awaiting/delayed transfer diagnoses
- Includes Riverview LTV unit
Excludes
- Those that have Pre-admit Inpatient Institution of PCH and are being discharged back to their original PCH. If there is a delay in transfer this will be captured by the Transfer Ready DtTm
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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.
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 one of the "awaiting" codes 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.
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.
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