Awaiting/delayed transfer to lower acuity site in Winnipeg other than home or LTC/PCH

 

 

 

 

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ICD10 Diagnosis
Dx:	Awaiting/delayed transfer to lower acuity site in Winnipeg other than home or LTC/PCH
ICD10 code:	Z75.8
Pre-ICD10 counterpart:	none assigned
Charlson/ALERT Scale:	none
APACHE Como Component:	none
APACHE Acute Component:	none
Start Date:	2018-01-08
Stop Date:	2021-09-23
Data Dependencies(Reports/Indicators/Data Elements):	No results
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

• SMW
  • 2018-01-08
  • 2021-09-23
  • Z75.8

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• Categories

Additional Info

• This code is for those waiting to transfer to anyplace in Winnipeg EXCEPT:
  • a long-term care facility/PCH
  • home
  • one of the other acute care hospitals (as of 2020 these are limited to HSC, St. B and Grace).
• Thus it includes awaiting transfer to any of:
  • any transitional care facility -- Transitional Care
  • any part of the VGH, 7 Oaks Hospital or Concordia Hospital -- whether it's the strictly transitional care part or not
  • the parts of Riverview, Deer Lodge (DLC) and Misericordia OTHER than their PCH portions -- their chronic ventilator portions are included in this code

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:

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

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (automatic list)

none found

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.

Skin	Trauma Abdominal trauma Burn Chemical burn Fracture Head trauma Head trauma (old) Joint/ligament trauma Lower limb trauma Muscles/tendon trauma Neck trauma Potential trauma Thoracic trauma Traumatic Amputation Traumatic fracture Upper limb trauma Vascular trauma	Renal/urinary Chronic kidney disease Nephritic syndrome Renal failure Renal/Urinary neoplasm Urinary tract infection	Infectious disease Antibiotic resistance Bacteria COVID Double duty pathogen Encephalitis Fungus Iatrogenic infection Infection requiring pathogen Infection with implied pathogen Influenza Intra-abdominal infection Lower respiratory tract infection Meningitis Non-specific pathogens Osteomyelitis Pathogens Pneumonia Potential infection Tuberculosis Upper respiratory tract infection Virus
ENT	Testing Imaging	Cardiovascular Aneurysm Aortic Aneurysm Arrhythmia Arterial thromboembolism Atherosclerosis Cardiac septum problem Cerebral Hemorrhage/Stroke Heart valve disease Hemorrhage Hypertension Hypotension Ischemia Ischemic gut Ischemic heart disease Myocardial Infarction Pulmonary embolism Pulmonary hypertension Vasculitis Venous thromboembolism	Hereditary/congenital
Eye	Mechanism Transportation mechanism	Neoplastic Benign neoplasm Endocrine neoplasm Female genital neoplasm Gastrointestinal neoplasm Heme/immunology neoplasm Leukemia Lymphoma Male genital neoplasm Metastasis Musculoskeletal/soft tissue neoplasm Neuro neoplasm Primary malignancy Renal/Urinary neoplasm Respiratory neoplasm Skin neoplasm	Heme/immunology Allergy Anemia Heme/immunology neoplasm Hemophilia Leukemia Thrombocytopenia
Misc Adverse effect Alcohol related Allergy Anesthetic related Antidepressant related Awaiting/delayed transfer COVID Cannabis related Cocaine related Decubitus ulcer Diagnosis implying death Electrolyte disturbance Exposure Fistula Hallucinogen related Has one Healthcare contact Hemorrhage Iatrogenic Metabolic/nutrition Non-traumatic fracture Observation Organ removal Ostomy Overdose Paralysis Past medical history Poisoning Psychoactive substance NOS related Radiation related Retired Code Rheumatic disease Sedative related Shock Solvent related Spine Stimulant related Transplant	Reproductive Abortion Breast disease Female genital neoplasm Male genital neoplasm Peripartum	Gastrointestinal Cirrhosis GI ulcer Gastroenteritis Gastrointestinal neoplasm Hepatitis Hernia Inflammatory Bowel Disease Intra-abdominal infection Ischemic gut Liver disease Liver failure Pancreas disease Pancreatitis Peptic ulcer	Musculoskeletal/soft tissue Hernia Joint/ligament trauma Muscle problem Muscles/tendon trauma Musculoskeletal/soft tissue neoplasm Osteomyelitis
Psych Addiction Antidepressant related Delirium Dementia Hallucinogen related Opioid related Psychoactive substance NOS related Sedative related Solvent related Stimulant related Withdrawal	Respiratory Asthma Influenza Inhalation Lower respiratory tract infection Pleural abnormalities Pneumoconiosis Pneumonia Pneumothorax Pulmonary embolism Respiratory neoplasm Sleep disorder Tracheostomy Upper respiratory tract infection	Poisoning Acute intoxication Addiction Opioid related Overdose Poisoning by non-pharmaceuticals Stimulant related Withdrawal
Neuro Cerebral Hemorrhage/Stroke Encephalitis Encephalopathy Meningitis Neuro neoplasm Paralysis	Symptom/Sign Pain	Endocrine disorder Adrenal Insufficiency Diabetes Endocrine neoplasm Metabolic/nutrition

Show all ICD10 Subcategories

ICD10 Categories: ANCA-associated Vasculitis (AAV), Abdominal trauma, Abortion, Acute intoxication, Addiction, Adrenal Insufficiency, Adverse effect, Alcohol related, Allergy, Anemia, Anesthetic related, Aneurysm, Antibiotic resistance, Antidepressant related, Aortic Aneurysm, Arrhythmia, Arterial thromboembolism, Asthma, Atherosclerosis, Awaiting/delayed transfer, Bacteria, Benign neoplasm, Breast disease, Burn, COVID, Cannabis related, Cardiac septum problem, Cardiovascular, Cerebral Hemorrhage/Stroke, Chemical burn, Chronic kidney disease, Cirrhosis, Cocaine related, Decubitus Deep Tissue Damage, Decubitus Stage 1, Decubitus Stage 2, Decubitus Stage 3, Decubitus Stage 4, Decubitus Stage Not Indicated, Decubitus Stage not indicated, Decubitus heel, Decubitus other area, Decubitus sacral area, Decubitus ulcer, Delirium, Dementia, Diabetes, Diagnosis implying death, Double duty pathogen, ENT, Electrolyte disturbance, Encephalitis, Encephalopathy, Endocrine disorder, Endocrine neoplasm, Exposure, Eye, Female genital neoplasm, Fistula, Fracture, Fungus, GI ulcer, Gastroenteritis, Gastrointestinal, Gastrointestinal neoplasm, Hallucinogen related, Has one, Head trauma, Head trauma (old), Healthcare contact, Heart valve disease, Heme/immunology, Heme/immunology neoplasm, Hemophilia, Hemorrhage, Hepatitis, Hereditary/congenital, Hernia, Hypertension, Hypotension, Iatrogenic, Iatrogenic infection, Iatrogenic mechanism, Imaging, Infection requiring pathogen, Infection with implied pathogen, Infectious disease, Inflammatory Bowel Disease, Influenza, Inhalation, Intra-abdominal infection, Ischemia, Ischemic gut, Ischemic heart disease, Joint/ligament trauma, Leukemia, Liver disease, Liver failure, Lower limb trauma, Lower respiratory tract infection... further results