Drainage, Evacuation: Difference between revisions

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*The method of drainage can be anything: open surgical, percutaneous, etc.

'''Includes'''

**VP shunt (ventriculoperitoneal shunt) - combine [[(T) Brain's Meninges, Dura, Subarachnoid, Ventricles]] and [[Drainage, Evacuation]]

**VP shunt (ventriculoperitoneal shunt) - combine [[(T) Brain's Meninges, Dura, Subarachnoid, Ventricles]] and [[Drainage, Evacuation]] and [[Implantation of Internal Device]]

**Pericardiocentesis and/or creation of a pericardial window combine with [[(T) Pericardium]] or [[(D) Pericardium]], pericardium as in the case of tamponade

**Abscess drainage -- or incision & drainage (I&D)

**Drainage of a collection of blood or evacuation of a blood clot (e.g. in the head) ~~---~~ '~~''but it does NOT include endarterectomy or thrombectomy''' -- see~~ [[~~Extraction~~]]

**Drainage of a collection of blood or evacuation of a blood clot (e.g. in the head) combine with [[(T) Brain's Meninges, Dura, Subarachnoid, Ventricles]] If the evacuation is done to decompress the Brain, also code [[(T) Brain]] with [[Release, Decompression]]

**Drainage of fluid -- e.g. from a joint

***This applies to a therapeutic joint tap -- '''Diagnostic''' joint taps are listed as [[Arthrocentesis, diagnostic]] in the quick pick list

**Paracentesis when done for therapeutic reasons, combine with [[(T) Abdominal, Pelvic or Peritoneal Cavity, NOS]], (use [[Paracentesis (diagnostic)]] for diagnostic ones)

***we are aware that this will not distinguish surgical from nonsurgical drainage procedures; this is one of the consequences of NOT including the next layer to CCI coding (i.e. "how" the thing was done)

{{DiscussTask| this CCI_2 code is currently a collect each code, what should we do with drains, tubes etc that are left in and emptied. for example peritoneal drain (for ascites) pericardial drain, pleurex, EVD. We do not code drainage from surgical drains, chest tubes, foley, neph tubes etc, thoughts? [[User:Lkaita|Lisa Kaita]] 09:22, 2024 March 1 (CST)}}

'''Excludes'''

* Drains that are left in (The first insertion and drainage should be captured) and emptied periodically:

**Peritoneal drain for ascites

**pericardial drain

**EVD

**Pleurex

**Nephrostomy tubes

* therapeutic lavage (abdominal washout) see [[List of CCI procedures we don't code]]

* does NOT include endarterectomy or thrombectomy see [[Extraction]]

***we are aware that this will not distinguish surgical from nonsurgical drainage procedures; this is one of the consequences of NOT including the next layer to CCI coding (i.e. "how" the thing was done)

See also [[Bypass]] for some similar things.

@@ Line 9: / Line 9: @@
 *The method of drainage can be anything:  open surgical, percutaneous, etc.
 '''Includes'''
-**VP shunt (ventriculoperitoneal shunt) - combine [[(T) Brain's Meninges, Dura, Subarachnoid, Ventricles]] and [[Drainage, Evacuation]]
+**VP shunt (ventriculoperitoneal shunt) - combine [[(T) Brain's Meninges, Dura, Subarachnoid, Ventricles]] and [[Drainage, Evacuation]] and [[Implantation of Internal Device]]
 **Pericardiocentesis and/or creation of a pericardial window combine with [[(T) Pericardium]] or [[(D) Pericardium]], pericardium as in the case of tamponade
 **Abscess drainage -- or incision & drainage (I&D)
-**Drainage of a collection of blood or evacuation of a blood clot (e.g. in the head) --- '''but it does NOT include endarterectomy or thrombectomy''' -- see [[Extraction]]
+**Drainage of a collection of blood or evacuation of a blood clot (e.g. in the head) combine with [[(T) Brain's Meninges, Dura, Subarachnoid, Ventricles]]   If the evacuation is done to decompress the Brain, also code [[(T) Brain]] with [[Release, Decompression]]
 **Drainage of fluid -- e.g. from a joint
 ***This applies to a therapeutic joint tap -- '''Diagnostic''' joint taps are listed as [[Arthrocentesis, diagnostic]] in the quick pick list
 **Paracentesis when done for therapeutic reasons, combine with [[(T) Abdominal, Pelvic or Peritoneal Cavity, NOS]], (use [[Paracentesis (diagnostic)]] for diagnostic ones)
-***we are aware that this will not distinguish surgical from nonsurgical drainage procedures;  this is one of the consequences of NOT including the next layer to CCI coding (i.e. "how" the thing was done)
- {{DiscussTask| this CCI_2 code is currently a collect each code, what should we do with drains, tubes etc that are left in and emptied.  for example peritoneal drain (for ascites) pericardial drain, pleurex, EVD.  We do not code drainage from surgical drains, chest tubes, foley, neph tubes etc,  thoughts? [[User:Lkaita|Lisa Kaita]] 09:22, 2024 March 1 (CST)}}
 '''Excludes'''
+* Drains that are left in (The first insertion and drainage should be captured) and emptied periodically:
+**Peritoneal drain for ascites
+**pericardial drain
+**EVD
+**Pleurex
+**Nephrostomy tubes
 * therapeutic lavage (abdominal washout) see [[List of CCI procedures we don't code]]
+*  does NOT include endarterectomy or thrombectomy see [[Extraction]]
+***we are aware that this will not distinguish surgical from nonsurgical drainage procedures;  this is one of the consequences of NOT including the next layer to CCI coding (i.e. "how" the thing was done)
 See also [[Bypass]] for some similar things.