(D) Arm Vessels

CCI component 1 codes - what organ was something done to
Procedure:	(D) Arm Vessels
CCI 1 code:	2.JZ
Start Date:	2019-01-01

This procedure is a part of CCI Collection. This is one of the CCI component 1 codes - what organ was something done to.

Additional Info

Collecting "CCI collect each" items

• "CCI collect each" items are entered each time they happen
• Px Date
  • if an Acquired Procedure, enter the Px Date for each day that they happen
  • if an Admit Procedure leave the date blank
• Px Count
  • if they happen more than once on a day, enter the number of times for that day, otherwise enter a Px Count of 1

Px Date for patients who move

See Px Date#Moves

Vascular graft guideline

Keywords for different kinds of bypasses so this can be found when searching: Axillofemoral bypass grafting / ax-fem bypass / axillobifemoral bypass, fem-tib bypass, fem-pop bypass, aorto-bi-iliac bypass, aorto-biiliac bypass, aorto-fem bypass

Harvesting for the graft

If they take a vessel from elsewhere (often a vein) to do the bypass, then you can also code the harvest by combining the appropriate Therapeutic Px from Category:Vessel with Procure, Harvest, Obtain for Further Use. Obviously if they use a dacron graft, then there'll be no harvesting.

Placing the graft

Code:

• the CCI1 code for the target (bypassed) vessel at which the bypass ends, not the origin vessel from which the bypass (and blood flow) begins.
• the CCI2 code Bypass / Repair as appropriate

Procedures done to a graft at a later time

Procedures performed on vascular grafts (either synthetic grafts or vessels harvested from elsewhere for use) are coded just as you would if the same thing was done to the native vessel.

When something is being done to a graft that's already in place, the "body part" of the CCI component code isn't the graft but rather is the native vessel that was there before grafting.

Example:

Femoral artery dacron graft gets infected and is replaced. The ICD10 diagnosis code would be Iatrogenic, infection, internal prosthetic device or implant or graft NOS, and the CCI code components would be (T) Arteries of Leg, NOS with Repair

Alternate CCIs to consider coding instead or in addition

Other procedure in Diagnostic Procedure:

Other procedure in arm:

Has CCI Picklist Code Has CCI 1 Code Has CCI 2 Code (D) Arm, NOS 2.TZ (D) Axillary Lymph Nodes 2.MD (D) Elbow Joint 2.TM (D) Humerus, Radius, Ulna 2.TK (D) Joints of Fingers, Hand, NOS 2.UL (D) Musculoskeletal System, NOS 2.WZ (D) Peripheral Nerves, NOS 2.BX (D) Rotator Cuff 2.TC (D) Shoulder Joint 2.TA (D) Skin, NOS 2.YZ (D) Soft Tissue of Arm, NOS 2.TX (D) Soft Tissue of Wrist, Hand 2.UY (D) Wrist Joint 2.UB (I) Arm 3.TZ (I) Total Body 3.ZZ (T) Arm, NOS 1.TZ (T) Axillary Lymph Nodes 1.MD (T) Elbow Joint 1.TM (T) Finger 1.UJ (T) Joints of Fingers, Hand, NOS 1.UL (T) Jugular, Subclavian, Arm veins 1.JU (T) Lymph Nodes of Extremity 1.MK (T) Nerves of Arm 1.BM (T) Other or Unknown Part of Body 1.^^ (T) Peripheral Nerves, NOS 1.BX (T) Rotator Cuff 1.TC (T) Shoulder Joint 1.TA (T) Skin, NOS 1.YZ (T) Soft Tissue of Arm, NOS 1.TX (T) Soft Tissue of Wrist, Hand 1.UY (T) Subclavian, Brachiocephalic, Brachial, Arm Arteries 1.JM (T) Total Body 1.ZZ (T) Wrist Joint 1.UB

Other procedure in vessel:

Has CCI Picklist Code Has CCI 1 Code Has CCI 2 Code (D) Anything Inside Thoracic Cavity, NOS 2.GY (D) Arm, NOS 2.TZ (D) Axillary Lymph Nodes 2.MD (D) Bronchi 2.GM (D) Cervical Lymph Node, Neck Region NOS 2.MC (D) Ear, NOS 2.DZ (D) Esophagus 2.NA (D) Gallbladder or bile ducts 2.OD (D) Heart, NOS 2.HZ (D) Intraabdominal, Pelvic, Inguinal Lymph Nodes 2.MG (D) Intrathoracic Lymph Nodes, NOS 2.MF (D) Leg, NOS 2.VZ (D) Lymphatic System, NOS 2.MZ (D) Vessels of Pelvis, Perineum and Gluteal Region 2.KT (D) other Vessels of Head, Neck, Spine 2.JX (I) Total Body 3.ZZ (T) Abdominal Aorta 1.KA (T) Abdominal Arteries, NOS 1.KE (T) Aorta, NOS 1.ID (T) Aortic Valve, Related Structures 1.HV (T) Arm, NOS 1.TZ (T) Arteries of Leg, NOS 1.KG (T) Artery with Vein, NOS 1.KY (T) Artery, NOS 1.KV (T) Axillary Lymph Nodes 1.MD (T) Blood Vessels, NOS 1.KZ (T) Bronchi 1.GM (T) Cardiac Atrium 1.HM (T) Carotid Artery 1.JE (T) Circulatory System, NOS 1.LZ (T) Coronary Arteries 1.IJ (T) Coronary Vessels, NOS 1.IL (T) Gallbladder, Bile Ducts 1.OD (T) Heart, NOS 1.HZ (T) Humerus, Radius, Ulna 1.TK (T) Interatrial Septum 1.HN (T) Interventricular Septum 1.HR (T) Intracranial Vessels 1.JW (T) Jugular, Subclavian, Arm veins 1.JU (T) Lymph Nodes of Extremity 1.MK (T) Lymphatic System, NOS 1.MZ (T) Other Vessels of Head, Neck, Spine, NOS 1.JX (T) Other or Unknown Part of Body 1.^^ (T) Pulmonary Artery 1.IM (T) Pulmonary Vein 1.IN (T) Pulmonic Valve, Related Structures 1.HT (T) Subclavian, Brachiocephalic, Brachial, Arm Arteries 1.JM (T) Thoracic Aorta 1.IC (T) Thoracic Vessels, NOS 1.JY (T) Total Body 1.ZZ (T) Vein, NOS 1.KX (T) Veins of Abdomen, Legs 1.KR (T) Vena Cava 1.IS (T) Vessels of Pelvis, Perineum, Gluteal Region 1.KT Angiogram, aortic (any part of aorta) 3.ID.10.V^ Angiogram, artery NOS (except specifically coded) 3.KV.10.VX Angiogram, cerebral (including vertebral arteries) 3.JM.10.V^ Angiogram, coronary (diagnostic cardiac catheterization) 3.IP.10.V^ Angiogram, pulmonary artery (pulmonary arteriogram) 3.IM.10.V^ Angiogram, vein 3.KX.10.VC Angioplasty, coronary (with stenting) 1.IJ.50.GQ-OA Angioplasty, coronary (without stenting) 1.IJ.50.GQ-BD TIPS (transjugular intrahepatic portosystemic shunt) 1.KQ.76.GP-NR

Related ICD10 Codes

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CCI_Picklist		CCI component 1 codes - what organ was something done to		CCI component 2 codes - what was done