[Verified Answer]: I had a lengthy conversation with the…

I had a lengthy conversation with the three children of Ruth Fillmore, along with an interdisciplinary team of 4. Their mother is on dialysis for her end stage renal disease. We explained to them that the patient is having dementia and is very loud in the dialysis unit. She is very forgetful. Her blood pressure has dropped to the 60 systolic range and she is hypoxic. The patient’s children decided to make her code level III and not take her to the hospital, which we all agreed with. We discussed stopping dialysis and it was the team’s impression that she would be off dialysis. However, one of her sons called me Monday night indicating that there was some misunderstanding on his part and that he wants his mother to continue on dialysis. During the team conference, we had discussed with the patient’s children the quality of life of the patient in that dialysis is not really doing anything and it is probably inadequate anyway. They wanted to continue with dialysis; therefore, the patient had a dialysis treatment on Wednesday. In general, her blood pressure was better and she was not hypoxic. I left it to them to decide when to stop dialysis, but at this time we will continue current dialysis prescription. Total amount of time spent was 1hour and 15 minutes. ICD-10-CM codes: ICD-10-PCS codes: CPT codes: Rationale: