Do not resuscitate status. ICD-9-CM V49.86 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, V49.86 should only be used for claims with a date of service on or before September 30, 2015.
Do not resuscitate status. Short description: Do not resusctate status. ICD-9-CM V49.86 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, V49.86 should only be used for claims with a date of service on or before September …
ICD-9 code V49.86 for Do not resuscitate status is a medical classification as listed by WHO under the range - PERSONS WITH A CONDITION INFLUEN Select Code Sets
Oct 01, 2005 · Version 30 Full and Abbreviated Code Titles - Effective October 1, 2012 (05/16/2012: Corrections have been made to the full code descriptions for diagnosis codes …
A DNR order is documentation by the physician. Orders can be used for coding. Coding Clinic 3rt Qtr 2005 pp 19-20 reiterates this.
Facility Related Coding This code 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. Source: ICD-10-CM Official Coding Guidelines
Although our MD's order/enter a patients DNR status coding states they cannot code it unless the provider additionally notes it in a progress note somewhere. This is the smart tip they site:
I am not clear on this at all. When I entered a sample case in 3M to see the SOI/ROM impact of DNR (which I am not in the habit of including) it had no impact on the overall SOI/ROM, and as an independent diagnosis registers as a 1/1.
CPR will not be used if you have a DNR order because you agreed in advance that you do not wish to receive it. Discussions about whether to use CPR are important. It is important to understanding the circumstances and the doctor’s estimate of how likely it is to be effective.
State of Ohio. A Do Not Resuscitate (DNR) order means that CPR is not to be conducted in case of cardiac or respiratory arrest. In the state of Ohio there are two DNR orders: DNR-CCA (Comfort Care Arrest) and DNR-CC (Comfort Care). Only a physician or Licensed Independent Practitioner can write a DNR order.
DNR–CC orders require that only comfort measures be administered before, during, or after the time your heart or breathing stops (as soon as the order is written). This type of order is generally regarded as proper for you if you have a terminal illness, short life expectancy, or little chance of surviving CPR. All treatments are directed towards keeping you comfortable and with the best quality of life possible.
Only a physician or Licensed Independent Practitioner can write a DNR order. DNR-CCA orders permit the use of life-saving treatments before your heart or breathing stops. However, only comfort care is provided after your heart or breathing stops.
You are not required to carry the ID card or to wear an identification item. However, if a provider cannot find a DNR identification, all efforts to resuscitate you and to sustain life will be applied as this is an appropriate legal response in the absence of DNR identification.
In the state of Florida, there is only one DNR order. This order means that CPR will not be conducted in case of cardiac or respiratory arrest. If you want to forgo treatments before the heart or breathing stops, the doctor or a Licensed Independent Practitioner will write your specific wishes in the electronic medical record.