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]].


{{Discussion}}
{{PreICD10 dx | NewDxArticle = Palliative care}}
Collectors, what would be the most intuitive renaming of this code (thanks for the feedback):
*Palliative Involvment
*Palliative Care Service
*Palliative Service


{{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.   
Definition: Palliative Care Service for Medicine and ICU database program: means the patient is either under the care of Palliative Care Service team or the Palliative Care Service Team has been consulted.    It will no longer mean comfort care, ACP C, palliation.  Go to: [[Comfort Care | ACP C, or Comfort Care]] for collection instructions on that care goal.   


== Coding Instruction for Palliative Care Service==
== Coding Instruction for Palliative Care Service==
Palliative Care Service code should only be used as follows:
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 Team.
**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''
 
== 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]]


==NOTE: change in collection process==
== Legacy info ==
*If patient care goal at the start of a Med or ICU unit admission as per physicians admitting note is palliation, comfort care, ACP-C and the patient is not under Palliative Care Service, then go to: [[Comfort Care | ACP C, or Comfort Care]] for further collection instructions.
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.  
*If patient becomes ACP C, or Comfort Care  '''AFTER ward admission''' by the attending physician or resident, you '''cannot code''' Palliative Care in complications anymore, unless the Palliative Care Service is consulted.  




== DC Treatment vs. Palliative Care Service ==
[[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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