Repair

CCI component 2 codes - what was done
Procedure:	Repair
CCI 2 code:	80
CCI Collection Mode:	CCI collect each

This procedure is a part of CCI Collection. This is one of the CCI component 2 codes - what was done.

Additional Info

• to code this, combine this "action" with one of the following CCI component 1 codes - what organ was something done to

Includes

• • blood patch for CSF leak, combine with (T) Spinal Cord, Spinal Canal, Meninges
  • skin grafting, combine with (T) Skin, NOS
  • close simple perforation
  • aneurysm repair (AAA, TAA)
  • cardiac septal defect repair
    • (except when it was done by stopping up the defect with a "cork", which would then be Occlusion)
  • repair of a body part with sutures or tissue glue
  • pyloroplasty
  • herniorraphy / hernia repair
  • oversewing of an ulcer
  • rhinoplasty
  • retinal repair
  • closure of a surgical incision through the skin that had been left open
  • arthroplasty - code joints by site
  • chondroplasty - code joints by site
  • osteotomy (a procedure in which a surgeon removes, or sometimes adds, a wedge of bone near a damaged joint. This shifts weight from an area where there is damaged cartilage to an area where there is more or healthier cartilage.) - code joint/body area by site

• • hernia repair (femoral, incisional, inguinal, pudendal, umbilical, ventral) - code (T) Muscles of Chest, Abdomen, NOS and Repair
• for cerebral aneurysms/pseudoaneurysm that are repaired using a non-endovascular procedure use this code, for endovascular procedures (coiling, clipping, gluing, trapping, stenting) see Occlusion if actively bleeding use Control of Bleeding

• EXCLUDES repair of a cleft palate (etc), which is covered under Closure of fistula

(T) Soft Tissue of Arm, NOS
(T) Soft Tissue of Chest, Abdomen, NOS
(T) Soft Tissue of Foot or Ankle
(T) Soft Tissue of Leg, NOS
(T) Soft Tissue of Orbit, Eyeball
(T) Soft Tissue of Wrist, Hand

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

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== Alternate CCIs to consider coding instead or in addition == CCI component 2 codes - what was done

Related ICD10 Codes

(enter links to ICD10 codes that would likely go with this CCI procedure, but only in case of close relation, ie not every dx that might require this procedure)

Related Articles

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