Occlusion: Difference between revisions

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| CCI_2_Code = 51

| CCI_Category = Therapeutic Procedure

~~| StartDate =~~

~~| StopDate =~~

}}

== Additional Info ==

*~~Includes~~ occlusion ~~of vessels via: ligation~~, ~~banding~~, ~~filter insertion~~ (e.g. ~~IVC filter~~), ~~embolization~~, ~~repair~~ of ~~aneurysm or AVM~~ (~~where the abnormal connection was occluded~~).

'''Includes'''

**~~Includes filter because~~ a ~~filter works by partial occlusion.~~

*Combine this "what was done" code with the code for the body part that underwent occlusion

**~~Regarding of embolization or banding of~~ a ~~vessel that~~ is ~~currently BLEEDING~~ -- ~~it would be appropriate to~~ code ~~both~~ the ~~occlusion of the vessel, and~~ the [[~~Control of Bleeding~~]] ~~of the vessel.~~

*AN IMPORTANT EXCEPTION is that if a procedure was done to occlude a blood vessel to control bleeding, then do NOT use this "what was done" code, but instead use [[Control of Bleeding]]

*~~Also includes mechanical~~ occlusion of other structures (e.g. lacrimal gland duct)

**But use this code as part of component construction of a procedure to occlude a blood vessel that is NOT (yet) bleeding -- e.g. if they embolize a cerebral artery for a growing, but not yet bleeding, cerebral aneurysm.

~~{{CCI_Therapeutic}}~~

***For Esophageal varices not yet bleeding, code the veins draining the esophagus, which for the upper esophagus would be '''[[(T) Other Vessels of Head, Neck, Spine, NOS]]''' and for the lower esophagus would be '''[[(T) Thoracic Vessels, NOS]]

*To code placement of an IVC filter, you'd combine this component with '''[[(T) Vena Cava]]

*To code closure of a patent ductus arteriosis you combine it with '''[[(T) Pulmonary Artery]]'''

*The body part can be of a nonvascular structure

**For example, a radical approach to aspiration is to ligate the trachea and create a "spit fistula" -- you'd code that with two separate CCI codes:

***(a) for the tracheal ligation combine components '''[[(T) Trachea]]''' with '''[[Occlusion]]'''

***(b) for the spit fistula combine components '''[[(T) Trachea]]''' with '''[[Bypass]]'''

**For example, it can be used to indicate occlusion of other structures (e.g. lacrimal gland duct)

* To code TACE transarterial chemoembolization for liver cancer via femoral artery to block hepatic artery code this with [[(T) Liver]]

* use for nerve block for migraine

* embolization, for embolectomy use [[Extraction]], if actively bleeding use [[Control of Bleeding]]

*coiling if not actively bleeding, use this with [[(T) Intracranial Vessels]]

*Glue for ICH or AVM, combine with [[(T) Intracranial Vessels]]

* clipping of cerebral aneurysm, combine with [[(T) Intracranial Vessels]]

*To code vessels in stomach, small intestine etc that are NOT (yet) bleeding-- eg use of APC (argon Plasma coagulation), multipolar probes (MPEC), heater probe, epinephrine, sclerosants, or clips, use this code with the appropriate "vessel" code.

*{{~~Discussion~~}} For hiatus hernia repair, I put "therapeutic intervention on the diaphragm" and I thought I would use "occlusion" because the opening is tightened up, is this what you want or what other selection would be better? --[[User:LKolesar|LKolesar]] 12:29, 2018 June 28 (CDT)

== 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]]

@@ Line 2: / Line 2: @@
 | CCI_2_Code = 51
 | CCI_Category = Therapeutic Procedure
-| StartDate =
-| StopDate =
 }}
 == Additional Info ==
-*Includes occlusion of vessels via: ligation, banding, filter insertion (e.g. IVC filter), embolization, repair of aneurysm or AVM (where the abnormal connection was occluded).
+'''Includes'''
-**Includes filter because a filter works by partial occlusion.
+*Combine this "what was done" code with the code for the body part that underwent occlusion
-**Regarding of embolization or banding of a vessel that is currently BLEEDING -- it would be appropriate to code both the occlusion of the vessel, and the [[Control of Bleeding]] of the vessel.
+*AN IMPORTANT EXCEPTION is that if a procedure was done to occlude a blood vessel to control bleeding, then do NOT use this "what was done" code, but instead use [[Control of Bleeding]]
-*Also includes mechanical occlusion of other structures (e.g. lacrimal gland duct)
+**But use this code as part of component construction of a procedure to occlude a blood vessel that is NOT (yet) bleeding -- e.g. if they embolize a cerebral artery for a growing, but not yet bleeding, cerebral aneurysm.
-{{CCI_Therapeutic}}
+***For Esophageal varices not yet bleeding, code the veins draining the esophagus, which for the upper esophagus would be '''[[(T) Other Vessels of Head, Neck, Spine, NOS]]''' and for the lower esophagus would be '''[[(T) Thoracic Vessels, NOS]]
+*To code placement of an IVC filter, you'd combine this component with '''[[(T) Vena Cava]]
+*To code closure of a patent ductus arteriosis you combine it with '''[[(T) Pulmonary Artery]]'''
+*The body part can be of a nonvascular structure
+**For example, a radical approach to aspiration is to ligate the trachea and create a "spit fistula" -- you'd code that with two separate CCI codes:
+***(a) for the tracheal ligation combine components '''[[(T) Trachea]]''' with '''[[Occlusion]]'''
+***(b) for the spit fistula combine components '''[[(T) Trachea]]''' with '''[[Bypass]]'''
+**For example, it can be used to indicate occlusion of other structures (e.g. lacrimal gland duct)
+* To code TACE transarterial chemoembolization for liver cancer via femoral artery to block hepatic artery code this with [[(T) Liver]]
+* use for nerve block for migraine
+* embolization, for embolectomy use [[Extraction]], if actively bleeding use [[Control of Bleeding]]
+*coiling if not actively bleeding, use this with [[(T) Intracranial Vessels]]
+*Glue for ICH or AVM, combine with [[(T) Intracranial Vessels]]
+* clipping of cerebral aneurysm, combine with [[(T) Intracranial Vessels]]
+*To code vessels in stomach, small intestine etc that are NOT (yet) bleeding-- eg use of APC (argon Plasma coagulation), multipolar probes (MPEC), heater probe, epinephrine, sclerosants, or clips, use this code with the appropriate "vessel" code.
-*{{Discussion}} For hiatus hernia repair, I put "therapeutic intervention on the diaphragm" and I thought I would use "occlusion" because the opening is tightened up, is this what you want or what other selection would be better? --[[User:LKolesar|LKolesar]] 12:29, 2018 June 28 (CDT)
+{{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]]