Palliative Service: Difference between revisions

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{{DX tag | Other Medical | | Palliative Care Service | PALLIATIVE CARE SERVICE| 90400 - Palliative Care Service | | |'''Critical Care and/or Medicine''' | Currently Collected | |}}
See [[Palliative care]].
== When to code in Admit or Complication slots==
 
Palliative Care Service should only used as follows:
{{PreICD10 dx | NewDxArticle = Palliative care}}
 
{{DX tag | Other Medical | Medical Problem | Palliative Service | | 90400 | | |'''Critical Care and/or Medicine''' | Currently Collected | |}}
 
A patient will have a "diagnosis" of palliative care if the patient is either under the care of Palliative Service Team or that this Service has been consulted. We code '''Palliative Service''' as a diagnosis because we did not have a reasonable alternative way to code it when we started to collect it.
 
See [[Comfort Care]] for collection instructions on that care goal. 
 
== Coding Instruction for Palliative Care Service==
Palliative Service code should only be used as follows:


*ADMIT slots:  
*ADMIT slots:  
**only if the patient has been previously enrolled in and is currently being cared for by the Palliative Care Service.
**only if the patient is either under the care of Palliative Service Team or that this Service has been consulted, ''even if the patient was not accepted to that service''
 
*COMPLICATION slots:   
*COMPLICATION slots:   
**only if there is an actual consultation for Palliative Care Services AFTER ward admission.
**only if there is an actual '''consultation''' for Palliative Services '''''after''''' ward admission ''even if the patient was not accepted to that service''
***Reminder:  (change in collection process): if patient becomes [[Comfort Care | ACP C, or Comfort Care]] AFTER ward admission by the attending DOC, you cannot code Palliative Care service anymore, unless the service is consulted.
 
   
== Related data ==
NOTE: We have now clarified further that Palliative Care Service does not mean the same thing as palliation, comfort care or ACP C.  It is the actual Service involvement in care.
The diagnosis code Palliative Service is unrelated to a patient having [[ACP C]] or [[Comfort Care]] orders, but you might be able to code [[Comfort Care]] in that circumstance.  
***This change in the use of the palliative diagnostic code is all the more reason that we need a code for ACP-C or comfort care.  We will code palliative only for consults to the service, but for all the pts that are ACP-C (that don't have a palliative consult) we will not have that information.  I would think that when a patient dies it would be good to know if they had been made ACP-C prior to this or if it was an unexpected event.  I would be surprised if the managers, doctors and others that use our data for statistics would not want this. Just want to make sure before we totally ignore this important information on the charts.  I personally think that instead of a tmp file change, just making an ACP-C diagnostic code would solve this problem and Dan would have what he wants also.  Any admission with an ACP-C would qualify for Dan's project needs.  Any complication with ACP-C would be used for knowing that the pt focus was changed to comfort care after admission. 
 
 
==See also==
 
[[:Category:End-of-life related data]]


== Legacy info ==
Before '''Nov 11, 2013''' "90400 - "Palliative Care" used to be applied as a code if a patient was either: comfort care, [[ACP C]], palliation, end of life care or consulted to palliative care service.


 
[[Category:Diagnosis Coding]]


== DC Treatment vs. Palliative Care ==
[[Category:End-of-life related data]]
see [[DC_Treatment#DC_Treatment_vs._Palliative_Care Service]]

Latest revision as of 17:28, 2022 February 16

See Palliative care.



Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Palliative care

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System: 		Category: Other Medical (old)

Type:

Category: Medical Problem (old)

Main Diagnosis: Palliative Service
Sub Diagnosis:
Diagnosis Code: 90400
Comorbid Diagnosis:
Charlson Comorbid coding (pre ICD10):
Program: Critical Care and/or Medicine
Status: Currently Collected


A patient will have a "diagnosis" of palliative care if the patient is either under the care of Palliative Service Team or that this Service has been consulted. We code Palliative Service as a diagnosis because we did not have a reasonable alternative way to code it when we started to collect it.

See Comfort Care for collection instructions on that care goal.

Coding Instruction for Palliative Care Service

Palliative Service code should only be used as follows:

  • ADMIT slots:
    • only if the patient is either under the care of Palliative Service Team or that this Service has been consulted, even if the patient was not accepted to that service
  • COMPLICATION slots:
    • only if there is an actual consultation for Palliative Services after ward admission even if the patient was not accepted to that service

Related data

The diagnosis code Palliative Service is unrelated to a patient having ACP C or Comfort Care orders, but you might be able to code Comfort Care in that circumstance.

See also

Category:End-of-life related data

Legacy info

Before Nov 11, 2013 "90400 - "Palliative Care" used to be applied as a code if a patient was either: comfort care, ACP C, palliation, end of life care or consulted to palliative care service.

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