Drainage, Evacuation: Difference between revisions
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{{CCI_2_Procedure_component | {{CCI_2_Procedure_component | ||
| CCI_2_Code = 52 | | CCI_2_Code = 52 | ||
| CCI_Category = Therapeutic Procedure | | CCI_Category = Therapeutic Procedure | ||
}} | }} | ||
== Additional Info == | == Additional Info == | ||
*Refers to efforts to drain or evacuate either fluid, clot, pus, etc. | *Refers to efforts to drain or evacuate either abnormal fluid, clot, pus, etc. and eliminates the fluid from the body | ||
** forming a colostomy is not drainage because stool is not an abnormal fluid, code as [[Bypass]]) | |||
*The method of drainage can be anything: open surgical, percutaneous, etc. | *The method of drainage can be anything: open surgical, percutaneous, etc. | ||
* | '''Includes''' | ||
**Pericardiocentesis and/or creation of a pericardial window | **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) | **Abscess drainage -- or incision & drainage (I&D) | ||
**Drainage of a collection of blood or evacuation of a blood clot (e.g. in the head) | **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 | **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) | |||
'''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. | |||
{{CCI Collection Mode}} | |||
== Alternate CCIs to consider coding instead or in addition == | {{CCI_Therapeutic}}== Alternate CCIs to consider coding instead or in addition == | ||
* | *[[CCI component 2 codes - what was done]] | ||
== Related ICD10 Codes == | == Related ICD10 Codes == | ||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == |