ICD-10 Coding for Do Not Resuscitate(Z66)
Complete ICD-10-CM coding and documentation guide for Do Not Resuscitate. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Do Not Resuscitate
Z66Primary Range
Do not resuscitate
This code is used to indicate a patient's DNR status, which is a directive to withhold CPR or advanced cardiac life support in the event of cardiac or respiratory arrest.
Key Information: ICD-10 code for Do Not Resuscitate
Essential facts and insights about Do Not Resuscitate
Primary ICD-10-CM Code for do not resuscitate
Decision Criteria
documentation Criteria
- DNR status must be explicitly documented in the provider's note.
clinical Criteria
- Patient or surrogate consent must be documented.
Applicable To
- DNR order in place
Excludes
- Living will without DNR order
Clinical Validation Requirements
- Provider documentation of active DNR order
- Patient or surrogate consent documented
- Progress note confirming DNR status
Code-Specific Risks
- Coding without provider documentation in progress notes
- Confusing DNR with living will without formal order
Coding Notes
- Ensure DNR status is documented in the provider's progress notes, not just in the EMR orders.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Counseling for advance directives
Z71.89Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Do Not Resuscitate to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z66.
Impact
Clinical: May lead to inappropriate resuscitation efforts., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to improper coding.
Mitigation Strategy
Ensure provider documents DNR in progress notes, Verify DNR status in EMR orders and provider notes
Impact
Reimbursement: Incorrect coding may lead to denial of claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of patient's care preferences.
Mitigation Strategy
Ensure there is an active DNR order documented by a provider.
Impact
Lack of provider documentation for DNR status can lead to audit findings.
Mitigation Strategy
Ensure DNR status is documented in the provider's progress notes and linked to patient consent.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Do Not Resuscitate, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Do Not Resuscitate
Use these documentation templates to ensure complete and accurate documentation for Do Not Resuscitate. These templates include all required elements for proper coding and billing.
Documenting DNR Status
Specialty: Internal MedicineRequired Elements
- Patient's name
- Date of documentation
- Explicit DNR statement
- Provider's attestation
- Patient or surrogate consent
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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