Tracheostomy creation

CCI Picklist
Procedure:	Tracheostomy creation
CCI Picklist code:	1.GJ.77
CCI Collection Mode:	CCI collect first
Start Date:	2018-09-17
Stop Date:

This procedure is a part of CCI Collection via CCI Picklist.

Additional Info

Includes

• cricothyrotomy
• This code is for new creation of a tracheostomy -- it may be done in the OR or at the bedside using a bedside trach kit, or a true open procedure
• It can be coded more than once only if the tube falls out and the hole closes up, and as a result the procedure needs to be done again, but do NOT code this if all that happened was the tube fell out and somebody came back and put a new one into the existing stoma.

See also: Trach Tube Present (TISS Item)

Collecting "CCI collect first" items

• "CCI collect first" items are entered the first time they happen
• Px Date
  • if an Acquired Procedure, enter them with the Px Date of the first time they happen
  • if an Admit Procedure leave the date blank and just enter the procedure
• Px Count is always 1 for this collection mode

Px Date for patients who move

See Px Date#Moves

Alternate CCIs to consider coding instead or in addition

• a different code in Category:Therapeutic Px

Other procedure in Therapeutic Px:

Has CCI Picklist Code Has CCI 1 Code Has CCI 2 Code (D) Pericardium 2.HA (T) Abdominal Aorta 1.KA (T) Abdominal Arteries, NOS 1.KE (T) Abdominal, Pelvic or Peritoneal Cavity, NOS 1.OT (T) Adrenal Gland 1.PB (T) Ankle Joint 1.WA (T) Anus, Rectum 1.NQ (T) Aorta, NOS 1.ID (T) Aortic Valve, Related Structures 1.HV (T) Appendix 1.NV (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) Back, NOS 1.SJ (T) Blood Vessels, NOS 1.KZ (T) Bone Marrow 1.WY (T) Bone, NOS 1.WX (T) Brain 1.AN (T) Brain's Meninges, Dura, Subarachnoid, Ventricles 1.AA (T) Breast 1.YM (T) Bronchi 1.GM (T) Cardiac Atrium 1.HM (T) Cardiac Conduction System 1.HH (T) Cardiac ventricle 1.HP (T) Carotid Artery 1.JE (T) Central Nervous System, NOS 1.AZ (T) Cervix 1.RN (T) Circulatory System, NOS 1.LZ (T) Cochlea 1.DM (T) Cornea 1.CC (T) Coronary Arteries 1.IJ (T) Coronary Vessels, NOS 1.IL (T) Cranial Bones 1.EA (T) Cranial Nerves 1.BA (T) Diaphragm 1.GX (T) Digestive System, NOS 1.OZ (T) Ear, NOS 1.DZ (T) Elbow Joint 1.TM (T) Esophagus 1.NA (T) External Ear 1.DA (T) Eye, NOS 1.CZ (T) Facial Bones 1.EG (T) Female Genital Tract, NOS 1.RZ (T) Femur 1.VC (T) Finger 1.UJ (T) Gallbladder, Bile Ducts 1.OD (T) Glottis, Larynx, Related Structures 1.GE (T) Heart, NOS 1.HZ (T) Hip Joint 1.VA (T) Humerus, Radius, Ulna 1.TK (T) Interatrial Septum 1.HN (T) Interventricular Septum 1.HR (T) Intervertebral Disc 1.SE (T) Intraabdominal, Pelvic, Inguinal Lymph Nodes 1.MG (T) Intracranial Vessels 1.JW (T) Intrathoracic Lymph Nodes 1.MF (T) Joints of Fingers, Hand, NOS 1.UL (T) Jugular, Subclavian, Arm veins 1.JU (T) Kidney 1.PC (T) Knee Joint 1.VG (T) Large Intestine 1.NM (T) Leg, NOS 1.VZ (T) Lens 1.CL (T) Lip 1.YE (T) Liver 1.OA (T) Lung 1.GT (T) Lymph Nodes of Extremity 1.MK (T) Lymphatic System, NOS 1.MZ (T) Male Genital Tract, NOS 1.QZ (T) Mediastinum 1.GW (T) Mitral Valve, Related Structures 1.HU (T) Muscles of Chest, Abdomen, NOS 1.SY (T) Muscles or Soft Tissues of Head, Neck 1.EQ (T) Musculoskeletal System, NOS 1.WZ (T) NOS 94 (T) Nasopharynx, Mouth, Oropharynx 1.FK (T) Nerves of Arm 1.BM (T) Nerves of Ear 1.BD (T) Nerves of Lower Trunk, Leg 1.BT (T) Nervous System, NOS 1.BZ (T) Nose 1.ET (T) Other Vessels of Head, Neck, Spine, NOS 1.JX (T) Other or Unknown Part of Body 1.^^ (T) Ovary, Fallopian Tube 1.RB (T) Pancreas 1.OJ (T) Paranasal Sinuses 1.EY (T) Parathyroid Glands 1.FV (T) Pelvic Bones 1.SQ (T) Penis, Scrotum 1.QE (T) Pericardium 1.HA (T) Peripheral Nerves, NOS 1.BX (T) Pituitary Region 1.AF (T) Pleura 1.GV (T) Prostate 1.QT (T) Pulmonary Artery 1.IM (T) Pulmonary Vein 1.IN (T) Pulmonic Valve, Related Structures 1.HT (T) Respiratory System, NOS 1.GZ (T) Retina 1.CN (T) Rotator Cuff 1.TC (T) Scalp 1.YA (T) Shoulder Joint 1.TA (T) Skin, NOS 1.YZ (T) Small Intestine 1.NK (T) Soft Tissue and Muscle of the Hip and Thigh 1.VD (T) Soft Tissue of Arm, NOS 1.TX (T) Soft Tissue of Chest, Abdomen, NOS 1.SZ (T) Soft Tissue of Foot or Ankle 1.WV (T) Soft Tissue of Leg, NOS 1.VX (T) Soft Tissue of Orbit, Eyeball 1.CP (T) Soft Tissue of Wrist, Hand 1.UY (T) Spinal Cord, Spinal Canal, Meninges 1.AW (T) Spleen 1.OB (T) Sternum, Ribs, Clavicle, Scapula 1.SL (T) Stomach, Pylorus 1.NF (T) Subclavian, Brachiocephalic, Brachial, Arm Arteries 1.JM (T) Surgically Constructed Sites in Digestive and Biliary Tract 1.OW (T) Surgically Created Sites in Urinary Tract 1.PV (T) Temporomandibular Joint (TMJ) 1.EL (T) Testis, Related Structures 1.QM (T) Thoracic Aorta 1.IC (T) Thoracic Cavity, anything inside, NOS 1.GY (T) Thoracic Duct 1.MM (T) Thoracic Vessels, NOS 1.JY (T) Thymus 1.GK (T) Thyroid Gland 1.FU (T) Tibia, Fibula 1.VQ (T) Toe 1.WL (T) Tonsils, Adenoids 1.FR (T) Tooth, Gingiva 1.FD (T) Total Body 1.ZZ (T) Trachea 1.GJ (T) Tricuspid Valve, Related Structures 1.HS (T) Tympanic Membrane 1.DF (T) Ureter, Bladder or Urethra 1.PM (T) Urinary System, NOS 1.PZ (T) Uterus and Surrounding Structures 1.RM (T) Vagina 1.RS (T) Vein, NOS 1.KX (T) Veins of Abdomen, Legs 1.KR (T) Vena Cava 1.IS (T) Vertebral Bones 1.SC (T) Vessels of Pelvis, Perineum, Gluteal Region 1.KT (T) Vulva or Perineum 1.RW (T) Wrist Joint 1.UB Amputation 93 Angioplasty, coronary (with stenting) 1.IJ.50.GQ-OA Angioplasty, coronary (without stenting) 1.IJ.50.GQ-BD Arterial catheterization, any location 1.KV.53.HA-FT Arthrocentesis, diagnostic 2.WZ.71 BMT (Bone marrow transplant or transfusion) 1.WY.19 BiPAP, CPAP, NIV, own ventilator (Mechanical ventilation, noninvasive) 1.GZ.31.CB-ND Bypass 76 CAR-T (Chimeric Antigen Receptor T-cell Immunotherapy) XW043C3 CPR, cardiac resuscitation 1.HZ.30r CRRT (incl volume removal via PRISMA device) 1.PZ.21.HQ-BS CVC placement, any location 1.IS.53.^^-LF Capsule Endoscopy 2.0Z.29 Cardioversion (EXCLUDE defibrillation-we are not tracking) 1.HZ.09 Chest tube, left in place 1GV.52.HA-TK Closure of fistula 86 Construction, Reconstruction 84 Control of Bleeding 13 Debridement 87d Destruction 59 Dilation 50 Drainage, Evacuation 52 ECMO, VA 1.LZ.37.GP-QM.va ECMO, VV 1.LZ.37.GP-QM.vv ECT (Electroconvulsive shock therapy to brain) 1.AN.09 Excision with Reconstruction, Replacement 90 Excision, Resection 87 Extraction 57 Fixation 74 Fusion 75 HD (Hemodialysis) 1.PZ.21.HQ-BR IABP 1.IC.53.GQ-QL Implantation of Internal Device 53 Nephrostomy placement 1.PE.52 Occlusion 51 PD (Peritoneal dialysis) 1.PZ.21.HP-D4 Pacemaker insertion, permanent 1.HZ.53.GR-NK Pacemaker insertion, temporary 1.HZ.53.GR-NN Pharmacotherapy, thrombolytic agent 35.HA-1C Plasmapheresis 1.LZ.20 Procure, Harvest, Obtain for Further Use 58 Radiation Therapy 27 Reattachment 82 Release, Decompression 72 Removal of Foreign Body 56 Repair 80 TIPS (transjugular intrahepatic portosystemic shunt) 1.KQ.76.GP-NR TPN (Total parenteral nutrition) 1.LZ.35.HH-C6 Targeted Temperature Management (TTM) 1.ZX.06 Transfusion of PRBC 1.LZ.19.HH-U1-J Transfusion of albumin 1.LZ.35.HH-C5 Transfusion of plasma products 1.LZ.19.HH-U2-J Transfusion of platelets 1.LZ.19.HH-U4-J Transplant 85

Related ICD10 Codes

Data Integrity Checks (automatic list)

	App	Status
Query check ICD10 trach create but no TISS	CCMDB.accdb	implemented
Query NDC Trach Dx TISS	Centralized data front end.accdb	retired

Log

• 2021-04-08 restored old definition
• 2021-04-07 name and definition changed from "Tracheostomy, placement" to "Tracheostomy, presence"

Imaging Px	Diagnostic Px	Therapeutic Px	Reproductive Px Obstetric Px	Musculoskeletal/soft tissue Px Abdomen Arm Back Bone/joint Ear Leg Organ Soft tissue Thorax
Neuro Px	Respiratory Px Thorax	Cardiovascular Px Angiogram Cardiac Lymphatic system Vessel	Gastrointestinal Px	Genitourinary Px	‎Misc Px Administrative Px Ear Organ Pharmacotherapy Transfusion
CCI_Picklist		CCI component 1 codes - what organ was something done to		CCI component 2 codes - what was done