Implantation of Internal Device: Difference between revisions

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== Additional Info ==

*~~These are things~~ for which ~~ANY PART OF IT IS in~~ the body~~. Contrary to what Allan said before~~, it does NOT have to be entirely in the body.

* 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 ~~picklist~~ option.

* code this for such devices for which there is not a [[CCI Picklist]] option.

**~~Example:~~ for PEG tube ~~you~~ combine ~~this "what was done" code~~ with ~~the "body part" code:~~ '''[[(T) Stomach, Pylorus]]'''

* 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

**~~Example:~~ for VAD ~~you~~ combine ~~this "what was done" code~~ with ~~the "body part" code:~~ '''[[(T) Cardiac ventricle]]'''

** If the patient already has a VAD from a previous admission you can use [[~~Cardiac~~ device, has one]]

'''Includes'''

*~~While technically~~, ~~internal pacemaker or temporary pacemaker are internal devices~~, ~~both are picklist items.~~

* for '''hip replacement''' combine with [[(T) Hip Joint]]

*~~Technically a Porta-cath is an internal device~~, ~~but it is coded as a central line~~, ~~which is also a picklist item~~

* for '''knee replacement''' combine with [[(T) Knee Joint]]

*~~And while it seems correct that a nephrostomy tube placement is an internal device, it~~'s ~~actually coded as [[Drainage~~, ~~Evacuation~~]] of [[(T) ~~Kidney~~]]

* for '''PEG tube''' combine with '''[[(T) Stomach, Pylorus]]'''

*'''~~NOTE~~: ~~We are~~ only ~~coding insertion/implantation of these devices~~, ~~NOT their~~ removal or subsequent management.'''

* 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 [https://en.wikipedia.org/wiki/Cerebral_shunt 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

{{CCI_Therapeutic}}~~=== Removals are not coded ===~~

~~We are only coding insertion/implantation of these devices, NOT their removal or subsequent management.'''~~

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

*[[Installation of External Appliance]]

*[[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)~~

* [[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

== Related Articles ==

@@ Line 5: / Line 5: @@
 == Additional Info ==
-*These are things for which ANY PART OF IT IS in the body.  Contrary to what Allan said before, it does NOT have to be entirely in the body.
+* 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 picklist option.
+* code this for such devices for which there is not a [[CCI Picklist]] option.
-**Example:  for PEG tube you combine this "what was done" code with the "body part" code:  '''[[(T) Stomach, Pylorus]]'''
+* 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
-**Example:  for VAD you combine this "what was done" code with the "body part" code:  '''[[(T) Cardiac ventricle]]'''
-** If the patient already has a VAD from a previous admission you can use [[Cardiac device, has one]]
+'''Includes'''
-*While technically, internal pacemaker or temporary pacemaker are internal devices, both are picklist items.
+* for '''hip replacement''' combine with [[(T) Hip Joint]]
-*Technically a Porta-cath is an internal device, but it is coded as a central line, which is also a picklist item
+* for '''knee replacement''' combine with [[(T) Knee Joint]]
-*And while it seems correct that a nephrostomy tube placement is an internal device, it's actually coded as [[Drainage, Evacuation]] of [[(T) Kidney]]
+* for '''PEG tube''' combine with '''[[(T) Stomach, Pylorus]]'''
-*'''NOTE: We are only coding insertion/implantation of these devices, NOT their removal or subsequent management.'''
+* 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 [https://en.wikipedia.org/wiki/Cerebral_shunt 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
 {{CCI Collection Mode}}
-{{CCI_Therapeutic}}=== Removals are not coded ===
+{{CCI_Therapeutic}}
-We are only coding insertion/implantation of these devices, NOT their removal or subsequent management.'''
 == Alternate CCIs to consider coding instead or in addition ==
-*[[Installation of External Appliance]]
 *[[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)
+* [[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
 == Related Articles ==