Palliative Service: Difference between revisions

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{{DX tag | Other Medical | | Palliative Care | PALLIATIVE CARE | 904-00 | | |'''Critical Care and/or Medicine''' | Currently Collected | |}}
{{DX tag | Other Medical | | Palliative Care | PALLIATIVE CARE | 904-00 | | |'''Critical Care and/or Medicine''' | Currently Collected | |}}
I am hoping that this article won't grow as big as a zit like it was before. 
==When to code as an Admit or Complication DX==
==When to code as an Admit or Complication DX==
Palliative Care DX should be coded as follows:
Palliative Care DX should be coded as follows:


*admit diagnosis: Palliative care:  should only be coded for patients that have been previously enrolled in and are currently being cared for by the Palliative Care Service
*ADMIT diagnosis: only coded in admit DX if the patient has been previously enrolled in and is currently being cared for by the Palliative Care Service.
*complication diagnosis:  Palliative care: should only be coded if there is an actual consultation by the Palliative Care Service
*COMPLICATION DX diagnosis:  only code as a complication if there is an actual consultation for Palliative Care Services after ward admission.
*** Trish I have a question for you I have a pt who has pneumonia CAP gets worse Docs says ACP C stop meds leave a bit of O2 on no blood work. I put complication Palliative care (med ward) pt dies in 3 days. Are you saying we should only use the word palliative if a consult to that service was done or if the pt had it prior to coming to the unit?Was DC treatment only at one time used in ICU and that was for when the ventilator was stopped and inotropes were d/c and the pt died very quickly with in hours. Is not palliative care =comfort care=ACP C care not the same?  
*** Trish I have a question for you I have a pt who has pneumonia CAP gets worse Docs says ACP C stop meds leave a bit of O2 on no blood work. I put complication Palliative care (med ward) pt dies in 3 days. Are you saying we should only use the word palliative if a consult to that service was done or if the pt had it prior to coming to the unit?Was DC treatment only at one time used in ICU and that was for when the ventilator was stopped and inotropes were d/c and the pt died very quickly with in hours. Is not palliative care =comfort care=ACP C care not the same?  
 
****Can’t use palliative care in complication DX slot because palliative care service was not consulted as per this new definition above.  I don't know what ACP C is.  See [[Comfort/End of life care]] for information when to collect this info. [[User:TOstryzniuk|Trish Ostryzniuk]] 19:12, 2013 October 24 (CDT)





Revision as of 19:12, 2013 October 24

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:

Medical Problem

Main Diagnosis: Palliative Care
Sub Diagnosis: PALLIATIVE CARE
Diagnosis Code: 904-00
Comorbid Diagnosis:
Charlson Comorbid coding (pre ICD10):
Program: Critical Care and/or Medicine
Status: Currently Collected


I am hoping that this article won't grow as big as a zit like it was before.

When to code as an Admit or Complication DX

Palliative Care DX should be coded as follows:

  • ADMIT diagnosis: only coded in admit DX if the patient has been previously enrolled in and is currently being cared for by the Palliative Care Service.
  • COMPLICATION DX diagnosis: only code as a complication if there is an actual consultation for Palliative Care Services after ward admission.
      • Trish I have a question for you I have a pt who has pneumonia CAP gets worse Docs says ACP C stop meds leave a bit of O2 on no blood work. I put complication Palliative care (med ward) pt dies in 3 days. Are you saying we should only use the word palliative if a consult to that service was done or if the pt had it prior to coming to the unit?Was DC treatment only at one time used in ICU and that was for when the ventilator was stopped and inotropes were d/c and the pt died very quickly with in hours. Is not palliative care =comfort care=ACP C care not the same?
        • Can’t use palliative care in complication DX slot because palliative care service was not consulted as per this new definition above. I don't know what ACP C is. See Comfort/End of life care for information when to collect this info. Trish Ostryzniuk 19:12, 2013 October 24 (CDT)

DC Treatment vs. Palliative Care

see DC_Treatment#DC_Treatment_vs._Palliative_Care