Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg

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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.

  • SMW
    • 2018-01-08
    • 2999-12-31
    • Z75.4
  • Cargo

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Additional Info

  • This code includes:
  • Use THIS code regardless of whether the chronic facility or PCH they're waiting for is in or out of Winnipeg.

Guidelines for the use of "awaiting" codes

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, then add the additional Awaiting code, thus can have >1 Awaiting code in this situation.

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.

awaiting ambiguous locations

See Care levels in the community.

Possible reasons for delay that we can actually code

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)

Check if awaiting code is primary dx then Transfer Ready DtTm must be equal to Arrive DtTmCCMDB.accdbdeclined
Query check ICD10 needs awaiting if TR Dt and Dispo Dt on diff daysCCMDB.accdbdeclined
Query check TISS each dayCCMDB.accdbdeclined
Query check ICD10 awaiting has Transfer Ready DtTmCCMDB.accdbimplemented

Related Articles

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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