Hospice ICD-10-CM Codes | 2023

What ICD-10 Codes are Used for Hospice Care?

Hospice care focuses on enhancing the quality of life for individuals with terminal illnesses. Accurate ICD-10-CM codes are essential for medical billing and documentation. Below are commonly used codes for Hospice Care:

Z51.5 - Encounter for palliative care: This code is used when a patient receives medical care primarily focused on providing comfort, pain management, and improving the quality of life for individuals with serious illnesses, especially those with terminal conditions.

Z51.5 - Encounter for hospice services: This code is specific to encounters related to hospice services, including symptom management and end-of-life care.

Z85.23 - Personal history of malignant neoplasm of the digestive organs: This code is used when a patient has a documented history of a previous malignant (cancerous) tumor or neoplasm in the digestive organs, such as the esophagus, stomach, small intestine, large intestine (colon), rectum, liver, pancreas, gallbladder, or other related structures.

R55 - Syncope and collapse: This code is used to classify cases where a patient experiences a sudden, temporary loss of consciousness, falls to the ground, or experiences a failure. Syncope is commonly known as fainting.

R57.0 - Cardiogenic shock: This code is used to classify cases where a patient is experiencing cardiogenic shock, a critical medical condition characterized by the heart's inability to pump enough blood to meet the body's needs.

Which Hospice ICD codes are Billable?

The following ICD-10-CM codes for Hospice Care are billable:

Z51.5 - Yes, billable: This code is used when patients receive hospice services, including palliative and end-of-life care.

Z85.23 - Yes, billable: Personal history of malignant neoplasm of the digestive organs is eligible for reimbursement when relevant to hospice care.

R55 - Yes, billable: Syncope and collapse can be billed when accurately coded for hospice patients.

R57.0 - Yes, billable: Cardiogenic shock is eligible for reimbursement in hospice care when documented accurately.

Clinical Information

• Hospice care is specialized end-of-life care provided to individuals with terminal illnesses.
• The primary goal of hospice is to enhance the quality of life and provide comfort and support for patients and their families.
• Patients eligible for hospice have a life expectancy of six months or less, as determined by a physician.
• Hospice services can be provided at home, in a hospice facility, or in a hospital, depending on patient and family preferences.
• A team approach to care involves working with physicians, nurses, social workers, chaplains, and volunteers.
• Pain and symptom management is a central focus of hospice care, aiming to alleviate suffering and improve comfort.
• Hospice also provides emotional, psychological, and spiritual support for patients and their families.
• Care plans are individualized to meet the specific needs and goals of each patient and their family.
• After a patient's passing, bereavement support is offered to families to help them cope with grief and loss.
• Hospice care respects patients' wishes and values, promoting a dignified and peaceful end of life.
• Open and compassionate communication with patients and their families is essential in hospice care.

Synonyms Include

• End-of-Life Care
• Palliative Care
• Terminal Illness Care
• Comfort Care