07-25-2025
ET-Essential Thrombocythemia
Palliative Care Codes
0 No palliative care provided.
1 Surgery (which may involve a bypass procedure) to alleviate symptoms, but no attempt to diagnose, stage, or treat the primary tumor is made.
2 Radiation therapy to alleviate symptoms, but no attempt to diagnose, stage, or treat the primary tumor is made.
3 Chemotherapy, hormone therapy, or other systemic drugs to alleviate symptoms, but no attempt to diagnose, stage, or treat the primary tumor is made.
4 Patient received or was referred for pain management therapy with no other palliative care.
5 Any combination of codes 1, 2, and/or 3 without code 4.
6 Any combination of codes 1, 2, and/or 3 with code 4.
7 Palliative care was performed or referred, but no information on the type of procedure is available in the patient record. Palliative care was provided that does not fit the descriptions for codes 1–6
| Scenario | Palliative Care | Rationale |
| 07-18-2025 75-year-old man presents to your facility found to have Stage IV prostate Adenocarcinoma 07-25-2025 Consult: Various treatment options were presented to the patient, including hospice. The decision was made to proceed with hospice, as he did not wish to receive any treatment | 7 | Refer to the STORE Manual 2025 Patient referred to hospice, but unknown if patient received any palliative care that could be described as codes 1-6, so assign code7. Note: If later you find out patient was receiving pain meds in hospice, you could update the code to 4. Date of first course treatment: 07-25-2025 Date the patient/family declines all treatment. |
| 07-18-2025 75-year-old man presents to your facility found to have Stage IV prostate Adenocarcinoma with painful bony mets, started pain meds in ER. 07-25-2025 Consult: Various treatment options were presented to the patient. The decision was made to proceed with hospice, as he did not wish to receive any treatment, receiving oxycodone for the painful bony mets | 4 | Refer to the STORE Manual 2025 Code 7 is used when codes 1-6 do not fit. This patient is receiving pain meds for the painful bony mets. Stop at code 4. Date of first course treatment: 07-25-2025 Do not record the date pain meds started, record the Date the patient/family declines all treatment. |
| 07-18-2025 75-year-old man presents to your facility found to have Stage IV prostate Adenocarcinoma with painful bony mets, started pain meds in ER. 7-25-2025 Started Palliative XRT for painful bony mets | 6 | Refer to the STORE Manual 2025 Code combination code 6 patient received both palliative XRT and pain meds. Date of first course treatment: 07-25-2025 Do not record the date pain meds started, record the Date the patient started radiation therapy. Refer to the STORE Manual for instructions on how to code the Date of First Course Treatment. |
