AHA Coding Clinic® for ICD-9 - 2010 Issue 3; Ask the Editor

Comfort Care

The patient, an 88-year-old male, was admitted to the intensive care unit (ICU) following a massive intracerebral hemorrhage. Because of patient age, the size of the hemorrhage, and poor prognosis, a conference was held with the family and they agreed to discontinue life support and declined placement of a feeding tube. The provider documented comfort care and pain control. What clinical protocol is required in order to assign code V66.7, Encounter for palliative care? Is it appropriate to assign code V66.7 as a secondary diagnosis? ...

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