Wiki Sequencing ICD 10 Code Z51.5 Encounter for Palliative Care

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Code: Z51.5
Encounter for palliative care
Parent Code Notes: Z51
Code also: condition requiring care
Excludes1: follow-up examination after treatment (Z08-Z09)

Category Notes
Encounters for other specific health care (Z40-Z53)
Categories Z40-Z53 are intended for use to indicate a reason for care. They may be used for patients who have already been treated for a disease or injury, but who are receiving aftercare or prophylactic care, or care to consolidate the treatment, or to deal with a residual state
Excludes 2: follow-up examination for medical surveillance after treatment (Z08-Z09)

Coding Guidelines
Factors influencing health status and contact with health services (Z00-Z99)
Note: Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
(a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
(b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.


Best answers
The ICD 10 code Encounter for Palliative Care Z51.5- does this need to be the primary code for the visit? Does this differ for Inpatient and Outpatient Visits?


True Blue
Columbia, MO
Best answers
Z51.8 is not a first listed only code, it can be first listed or secondary. I do not believe it will be an allowable principle for acute care inpatient.


Local Chapter Officer
Idaho Falls, ID
Best answers
We used Z51.5 on several of our palliative care claims as the primary and most payors denied them as "Incomplete/Invalid primary dx". We corrected the claims to change the filing order of the dx codes and they were reprocessed and paid.

I hope this helps.