Palliative Care Z515

I am reaching out in hope someone can provide information about the use of this code in inpatient situations.  We were visited by Health Grades this week and told we are the only facility they see exclusively using this code for "end of life care", "comfort care", "home w/ hospice", "terminal wean from vent", and "terminally ill patients". Our inpatient coders have based this decision on Coding Clinic 3rd quarter 2010 Comfort Care.

Our Health Grades representative says that all other systems they see are using code Z515 when palliative care is being used in chronic condition management regardless of code status.

Any information would be greatly appreciated.


Amy Fenton, R.N.

Clinical Documentation Specialist

Bronson Healthcare Group

Patient Safety and Quality



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