Rescinded DNR
Good morning,
May I solicit your feedback on a question that came up in a CDI/Coding mortality discussion at our facility?
May I solicit your feedback on a question that came up in a CDI/Coding mortality discussion at our facility?
A patient with DNR on admission (noted in H&P, Order, notes), rescinds their DNR status to “Full code” and passes away. QUESTION: Is the DNR coded since it was rescinded? Thus negating the Mortality factor the DNR would have had on the case?
Per ICD-10-CM Official Coding Guidelines, page 24, the code Z66 (do not resuscitate) may be used when it is documented by the provider that a patient is on do not resuscitate status at any time during the stay.
Thank you,
Kathy Kinser, RHIT, CCDS, CCS| HC System Manager
Health Information Management - Coding & CDI Quality and Training
UNC Health Care
Chapel Hill, NC 27514
Kathryn.Kinser@unchealth.unc.edu