Patient was not admitted to hospice
HCPCS code
Name of the Procedure:
Patient Not Admitted to Hospice (HCPCS G9856)
Summary
This procedure code represents a situation where a patient assessed for hospice care is ultimately not admitted to hospice services.
Purpose
The purpose of this documentation is to capture the decision-making and condition of patients evaluated for hospice care who are determined to not qualify for or need hospice at that time.
Indications
- Terminal illness evaluation
- Need for palliative care
- Patient or family inquiry about hospice services
Preparation
- Review of patient's medical history.
- Consultation with patient and family members.
- Comprehensive health assessment by a healthcare provider.
Procedure Description
- Initial consultation with the patient and family members.
- Detailed health assessment and review of medical records.
- Discussion of hospice eligibility criteria, patient’s condition, and goals of care.
- Decision-making meeting with the healthcare team and patient's family.
- Completion of necessary paperwork to document decision.
Duration
Typically, this process may take several hours to a few days, depending on the complexity of the case and the time needed for consultations.
Setting
The assessment can be conducted in various settings, including hospitals, outpatient clinics, nursing homes, or the patient’s home.
Personnel
- Physicians specializing in palliative care or oncology.
- Hospice care social workers.
- Nurses with hospice or palliative care training.
- Counselors or chaplains for emotional and spiritual support.
Risks and Complications
There are no direct medical risks or complications associated with the decision-making process. However, misunderstandings about the patient’s condition or future care needs may occur, necessitating clear and compassionate communication.
Benefits
- Provides a thorough understanding of the patient's current health status.
- Ensures appropriate care planning and resource utilization.
- Aligns patient care with their goals and wishes.
Recovery
No physical recovery is needed, though psychological support may be beneficial for the patient and family as they continue with their current care plan.
Alternatives
If not admitted to hospice, the patient may continue receiving standard medical care or be referred to other palliative care services that can manage symptoms and improve quality of life.
Patient Experience
During the assessment, patients and families can expect in-depth conversations and evaluations. The process is designed to ensure that the patient’s preferences and needs are fully understood and addressed. Emotional support will be provided throughout the decision-making process.