Death code

Anyone hear of a "death code" that is supposed to help mortality rates?




Sheila Schultz

Director of Medical Records

Wheeling Hospital

One Medical Park

Wheeling WV 26003

304-243-3695

ssschultz@wheelinghospital.org

Comments

  • edited May 2016
    It is likely the use of the palliative care code V667

    Thanks,
    Jenise Hogsett, CCS
    Texas Health Plano HIM Coding Manager
  • edited May 2016
    For those facilities utilizing the V667 code for palliative care, what
    specific documentation do coding staff utilize in the medical record for
    the accurate assignment of this code?



    Cindy Linke, MBA, RHIA

    Health Information Director

    Saint Francis Medical Center

    2620 West Faidley Avenue - PO Box 9804

    Grand Island, NE 68802-9804

    * Phone: 308-398-5657

    7 Fax: 308-398-5699

    * E-Mail: clinke@sfmc-gi.org

    * Visit us on the web at http://www.saintfrancisgi.org


  • edited May 2016
    The physician documents palliative care. Normally this is a patient with Hospice at end of life care.



    Sheila Schultz

    Director of Medical Records

    Wheeling Hospital

    One Medical Park

    Wheeling WV 26003

    304-243-3695

    ssschultz@wheelinghospital.org



  • edited May 2016
    We amended our coding guidelines to include:
    Use V66.7 when finding documentation of "comfort care", "end of life care", or "palliative care" in accordance with Coding Clinic 3rd qtr 2010, pg 18-19.

    Maureen E Connor, MA, RHIA
    Director, HIM
    Frederick Regional Health System
    Frederick, Maryland 21701
    ph 240-566-3446
    fax 240-566-3683


  • edited May 2016
    Hi Sheila,
    I am thinking that perhaps you may be referring to the SOI and ROM level
    codes that rate the severity of illness or risk of mortality when get
    when using 3M as our encoder.

    A sample might be something like: (and I just picked numbers and
    diagnosis code)

    Principle Diagnosis: Gastritis with hemorrhage

    Secondary dx: Calculus of ureter
    SOI = 2 moderate
    ROM = 1 minor
    Diaphragmatic Hernia
    SOI = 1 Minor
    ROM = 1 Minor

    The purpose of this is so that the Risk of Mortality can actually be
    measured based on the primary and secondary codes assigned. If this
    isn't it, then I don't know either.




    Catherine S. Kadry, RHIT, CCS, CHA
    Director, Health Information Management
    Pioneers Memorial Healthcare District
    207 W. Legion Road
    Brawley, CA 92227
    Phone (760) 351-3148 Fax (760) 351-3463



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