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.

C04162

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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?
 

mitchellde

True Blue
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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.
 

bdcoyne8

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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.
 
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