Implantation of Internal Device

CCI component 2 codes - what was done
Procedure:	Implantation of Internal Device
CCI 2 code:	53
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

• use this code for devices for which any part is inside the body, it does NOT have to be entirely in the body.
• code this for such devices for which there is not a CCI Picklist option.
• more generally, use this code for devices that are entirely internal, or have both an internal and external part but are meant to be permanent, but see exceptions under "Excludes" below

Includes

• for hip replacement combine with (T) Hip Joint
• for knee replacement combine with (T) Knee Joint
• for PEG tube combine with (T) Stomach, Pylorus
• for Jejunostomy tube combine with (T) Small Intestine
• for suprapubic catheter combine with (T) Ureter, Bladder or Urethra
• for Ventricular Assist Device (VAD) combine with (T) Cardiac ventricle
  • if the patient already has a VAD from a previous admission you can use Heart assist device, has one in ICD 10 diagnosis.
• for scleral buckle combine with (T) Eye, NOS
• for Deep brain stimulator (DBS) of STN (subthalamic nucleus) for Parkinson's disease combine with (T) Brain
• for IUD combine with (T) Uterus and Surrounding Structures
• for first baclofen pump insertion combine with (T) Spinal Cord, Spinal Canal, Meninges
  • for replacement of just the pump combine with (T) Soft Tissue of Chest, Abdomen, NOS
• for Cerebral shunt (eg VP shunt) combine with (T) Brain's Meninges, Dura, Subarachnoid, Ventricles
• PD catheter, combine with (T) Abdominal, Pelvic or Peritoneal Cavity, NOS

• Excludes:
  • Pacemaker insertion, permanent
  • Pacemaker insertion, temporary
  • CVC placement, any location (central line, Porta-cath)
  • Nephrostomy placement
  • stents use Dilation
  • When a drainage (e.g. abscess) procedure is done and a temporary drain is left in place, only code the drainage procedure, i.e. do not use this code for that.

Removals are not coded

• We do not code the removal or subsequent management of devices, only their insertion/implantation.
• there are exceptions to this, please see
  • (T) NOS
  • baclofen pump management, see above

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

• Heart assist device, has one if applicable

Log

• ?? date - instructions changed to also use this for devices where any part is inside the body
• ?? date - we only used this for devices that are entirely inside the body

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CCI_Picklist		CCI component 1 codes - what organ was something done to		CCI component 2 codes - what was done