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

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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?
 
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.
 
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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