Excision, Resection: Difference between revisions

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{{CCI_2_Procedure_component

| CCI_2_Code = 87

| CCI_Category = Therapeutic Procedure

| ~~StartDate =~~

| CCI_Collection_Mode = CCI collect each

~~| StopDate~~ =

}}

== Additional Info ==

*This is ~~a type~~ of "~~what was done" to the body part in question~~ --- ~~it applies to Therapeutic Procedures only.~~

*This code is "sort of" made up by us --- in CCI itself there are separate codes for Excision/resection by whether it was: partial, total or radical. We decided we don't need that level of detail and this code combines ALL of those

*Excision ~~and~~ resection ~~refer to work done on an INTERNAL body part~~. ~~If it~~'~~s an external body part consider instead use~~ of '''[[~~Amputation~~]]'''.

**What it does NOT include is '''[[Excision with Reconstruction, Replacement]]'''

*~~The tricky distinction here is whether the excision was partial~~, ~~total~~, ~~or radical~~. ~~This is usually indicated in the operative note written~~ by ~~the surgeon~~.

'''Includes'''

**~~Partial indicates that only part of the~~ body part ~~was removed -- e.g. partial thyroidectomy~~

*Lung decortication, VAT, thoracotomy - use [[(T) Pleura]] + [[Excision, Resection]]

**~~Total indicates ALL of the body part was removed -- e~~.g. ~~total gastrectomy~~

*Arthrectomy - code joints by site.

**~~Radical indicates that not only was all of the body part removed~~, ~~but adjacent structures were removed also -- e.g. radical neck dissection~~, ~~radical mastectomy.~~

*Synovectomy - code joints by site.

***~~The adjacent structures typically include lymph nodes~~, ~~adjacent soft tissue structures.~~

*Colectomy, hemicolectomy, ileocolectomy - [[(T) Large Intestine]] + [[Excision, Resection]] see also [[Bypass]] if colostomy created

*Whipple procedure - [[(T) Pancreas]] + [[Excision, Resection]]

*tumor removal - '''(T) <body part>''' + [[Excision, Resection]]

* mastectomy

* Cardiac Myectomy [[(T) Cardiac ventricle ]] + [[Excision, Resection]]

*intestinal polyp removal

*[https://en.wikipedia.org/wiki/Hartmann%27s_operation Hartmann's procedure/operation] - [[(T) Anus, Rectum]] + [[Excision, Resection]]

* discectomy, code [[(T) Intervertebral Disc]] with this code

* nephrectomy combine with [[(T) Kidney]]

*choleycystectomy, combine with [[(T) Gallbladder, Bile Ducts]]

* strokectomy - combine [[(T) Brain]] with this code

* abdominal hysterectomy combine with [[(T) Uterus and Surrounding Structures]]

* BSO combine with [[(T) Ovary, Fallopian Tube]]

* cerebral AVM resection

== Alternate CCIs to consider coding instead or in addition ==

*[[Excision, Resection, partial]]

*[[Excision, Resection, total]]

*[[Excision, Resection, radical]]

*[[Excision with Reconstruction, Replacement]]

*[[Amputation]]

*[[Debridement]]

*[[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 ==

@@ Line 1: / Line 1: @@
 {{CCI_2_Procedure_component
 | CCI_2_Code = 87
 | CCI_Category = Therapeutic Procedure
-| StartDate =
+| CCI_Collection_Mode = CCI collect each
-| StopDate =
 }}
 == Additional Info ==
-*This is a type of "what was done" to the body part in question --- it applies to Therapeutic Procedures only.
+*This code is "sort of" made up by us --- in CCI itself there are separate codes for Excision/resection by whether it was:  partial, total or radical.  We decided we don't need that level of detail and this code combines ALL of those
-*Excision and resection refer to work done on an INTERNAL body part.  If it's an external body part consider instead use of '''[[Amputation]]'''.
+**What it does NOT include is '''[[Excision with Reconstruction, Replacement]]'''
-*The tricky distinction here is whether the excision was partial, total, or radical.  This is usually indicated in the operative note written by the surgeon.
+'''Includes'''
-**Partial indicates that only part of the body part was removed -- e.g. partial thyroidectomy
+*Lung decortication, VAT, thoracotomy - use [[(T) Pleura]] + [[Excision, Resection]]
-**Total indicates ALL of the body part was removed -- e.g. total gastrectomy
+*Arthrectomy - code joints by site.
-**Radical indicates that not only was all of the body part removed, but adjacent structures were removed also -- e.g. radical neck dissection, radical mastectomy.
+*Synovectomy - code joints by site.
-***The adjacent structures typically include lymph nodes, adjacent soft tissue structures.
+*Colectomy, hemicolectomy, ileocolectomy - [[(T) Large Intestine]] + [[Excision, Resection]] see also [[Bypass]] if colostomy created
+*Whipple procedure - [[(T) Pancreas]] + [[Excision, Resection]]
+*tumor removal - '''(T) <body part>''' + [[Excision, Resection]]
+* mastectomy
+* Cardiac Myectomy [[(T) Cardiac ventricle ]] + [[Excision, Resection]]
+*intestinal polyp removal
+*[https://en.wikipedia.org/wiki/Hartmann%27s_operation Hartmann's procedure/operation] - [[(T) Anus, Rectum]] + [[Excision, Resection]]
+* discectomy, code [[(T) Intervertebral Disc]] with this code
+* nephrectomy combine with [[(T) Kidney]]
+*choleycystectomy, combine with  [[(T) Gallbladder, Bile Ducts]]
+* strokectomy - combine [[(T) Brain]] with this code
+* abdominal hysterectomy combine with [[(T) Uterus and Surrounding Structures]]
+* BSO combine with [[(T) Ovary, Fallopian Tube]]
+* cerebral AVM resection
+{{CCI Guideline Excisions}}
+{{CCI Collection Mode}}
 {{CCI_Therapeutic}}
 == Alternate CCIs to consider coding instead or in addition ==
-*[[Excision, Resection, partial]]
-*[[Excision, Resection, total]]
-*[[Excision, Resection, radical]]
 *[[Excision with Reconstruction, Replacement]]
 *[[Amputation]]
+*[[Debridement]]
 *[[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 ==