CXR (plain film)

CCI Picklist
Procedure:	CXR (plain film)
CCI Picklist code:	3.GY.10.VA
CCI Collection Mode:	CCI collect count each
Start Date:
Stop Date:

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

Additional Info

• Along with AXR (abdominal plain X-ray), these are the only plain x-ray tests we're tracking in CCI.

Collecting "CCI collect count each" items

Blood gas, arterial, and Blood gas, venous are only collected manually at the Grace, at HSC or STB they are automatically uploaded from DSM Lab Extract.

• "CCI collect count each" items are entered as counts of how often they occurred
• Px Date
  • if an Acquired Procedure, enter the Px Date of the first time they happen
  • if an Admit Procedure leave the date blank
• enter the total number of times the procedure was done as Px Count. If it happened as an Admit Procedure and as an Acquired Procedure, enter separately.

Px Date for patients who move

See Px Date#Moves

Code only if done by Radiology or Cardiology

• Code diagnostic imaging procedures only if performed by Radiology or Cardiology for which there is an order.
  • Examples: a bedside echo done by a cardiology tech should be coded, but a bedside echo done by the ICU fellow should not be coded. An echo done informally by the cardiology team (i.e. informal in that no actual order was put in for it) should not be coded.

Multiple Views or Sequences at one sitting

• When a single imaging modality is used to look at a single body segment, then this is counted as ONE imaging study, even if during that study there are multiple views, or sequences, etc.
  • e.g. if a AXR (abdominal plain X-ray) or CXR (plain film) film comprises multiple views/films done at one sitting, only count it as ONE.
  • e.g. if an MRI is done and several different sequences are done of the same body part, that counts as ONE.
  • e.g. if a cardiac echo is done and they do both 2-D, M-mode, Doppler, and contrast-enhanced, this counts as ONE.
  • these examples hold for all types of imaging procedures, as long as they're of the same body part.

Guideline about Coding CCI vs ICD10 imaging codes

• There are a set of "imaging codes" in ICD10, but these are not to code that an imaging test was performed, but to code that a result was abnormal --- and like all the ICD10 codes for abnormal symptoms or signs or test results, they are mainly to be used when the actual diagnosis CAUSING the abnormal findings is not known.

ICD10 Imaging diagnoses and other diagnoses that require imaging should be coded together with corresponding Imaging Pxs, where we have a code for them. Coding both is not redundant because the ICD10 will only be coded for abnormal results, and we don't have CCI coding options for every kind of imaging. Coding both as appropriate will cover all the ways we are interested in this data.

Data Integrity Checks (automatic list)

	App	Status
Query check CCI each count vs LOS	CCMDB.accdb	needs review

Legacy

• See CXR for the previous corresponding Labs entry.

Alternate CCIs to consider coding instead or in addition

• AXR (abdominal plain X-ray)
• a different code in Category:Imaging Px

Other procedure in Imaging Px:

Has CCI Picklist Code Has CCI 1 Code Has CCI 2 Code (I) Abdomen, Pelvis 3.OT (I) Arm 3.TZ (I) Digestive System, NOS 3.OZ (I) Head 3.ER (I) Leg 3.VZ (I) Neck 3.FY (I) Spinal Cord and/or Vertebrae (any segments) 3.AW (I) Thorax 3.GY (I) Total Body 3.ZZ AXR (abdominal plain X-ray) 3.OT.10.VA 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 CT of chest with PE protocol (CT angiogram of pulmonary vessels) 3.JY.20 Cardiac CT or Cardiac CT angiogram (with or without coronary arteries) 3.IP.20 Cardiac MRI 3.IP.40 Cardiac nuclear scan (e.g. MUGA) 3.IP.70 Computerized Tomography (CT) 20 ECHO (echocardiogram of heart) 3.IP.30 MRI 40 Nuclear Imaging 70i Ultrasound 30

Related ICD10 Codes

Data Integrity Checks (automatic list)

	App	Status
Query check CCI each count vs LOS	CCMDB.accdb	needs review

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