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ICD-10 Coding for Do Not Resuscitate(Z66, Z71.89)

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Learn about the ICD-10 coding and documentation requirements for Do Not Resuscitate (DNR) orders, including code Z66, documentation tips, and common pitfalls.

Also known as:
DNRNo Code
Related ICD-10 Code Ranges

Complete code families applicable to Do Not Resuscitate

Z00-Z99Primary Range

Factors influencing health status and contact with health services

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Primary ICD-10-CM Codes
Do not resuscitate
Z66Billable
Differential Codes

Alternative codes to consider when ruling out similar conditions

Counseling for advance directivesZ71.89

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.

Frequently Asked Questions