Palliative Service

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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 Service
Sub Diagnosis: PALLIATIVE SERVICE
Diagnosis Code: 90400 - Palliative Service
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

Purpose and Use

Currently using project Comfort Care in the ALERT scale & Overstay Project. This code now only tells us if patient was under Palliative Service.

Related data

  • A patient under the care of Palliative Service should always be coded in tmp as receiving Comfort Care.
    • Hi Julie, is this something new? because previous instructions, as per "comfort care", were that we were only to enter comfort care in the tmp if on admission the patient was deemed comfort care right from the onset. The patient may or may not be under the palliative service. These new instructions are quite different than the old instructions, as patients can be under the palliative service but NOT necessarily be comfort care. Also do the new instructions apply to anytime during or after admission? or just at the time of admission? Thanks! Lisa Kaita 09:18, 2017 February 16 (CST)
    • This is to be discussed in Task meeting. Continue the old instructions. JMojica 12:12, 2017 February 16 (CST)
  • A patient can have Comfort Care and/or be ACP C but may or may not be under the care of Palliative Service.


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.