Palliative Service

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

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Category/Organ System:	Category: Other Medical (old)
Type:	Medical Problem
Main Diagnosis:	Palliative Service
Sub Diagnosis:	PALLIATIVECARE SERVICE
Diagnosis Code:	90400 - Palliative Service
Comorbid Diagnosis:
Charlson Comorbid coding (pre ICD10):
Program:	Critical Care and/or Medicine
Status:	Currently Collected

Definition: Palliative Service for Medicine and ICU database program: means the patient is either under the care of Palliative Service team or the Palliative Service Team has been consulted. It will no longer mean comfort care, ACP C, palliation. Go to: ACP C, or 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 has been previously enrolled in palliative care service and they are involved in their care.
• COMPLICATION slots:
  • only if there is an actual "consultation" for Palliative Services AFTER ward admission.

NOTE: change in collection process

• 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 Service Care, then go to: ACP C, or Comfort Care for further collection instructions.
• 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 Service

see DC_Treatment#DC_Treatment_vs._Palliative_Service