ICD-10 Coding for Do Not Resuscitate(Z71.89U)
Learn about the ICD-10 coding and documentation requirements for Do Not Resuscitate (DNR) orders, including code Z66, documentation tips, and common pitfalls.
Complete code families applicable to Do Not Resuscitate
Key Information
Essential facts and insights aboutDo Not Resuscitate
Alternative codes to consider when ruling out similar conditions
Use for discussions about advance directives without a formal DNR order.
Documentation & Coding Risks
Avoid these common issues when documenting Do Not Resuscitate.
DNR status only documented in nursing notes
Impact
Clinical: May lead to inappropriate resuscitation efforts., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to improper coding.
Mitigation
Ensure provider documents DNR in progress notes, Verify DNR status in EMR orders and provider notes
Coding Z66 based solely on a living will
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
Ensure there is an active DNR order documented by a provider.
DNR Documentation
Impact
Lack of provider documentation for DNR status can lead to audit findings.
Mitigation
Ensure DNR status is documented in the provider's progress notes and linked to patient consent.