List of CCI procedures we don't code: Difference between revisions

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*Care of ostomies (we used to collect these)
*Care of ostomies (we used to collect these)
*Chemotherapy - but see [[Past history of chemotherapy for neoplastic disease]], [[Antineoplastic/chemotherapy or immunosuppressive drugs, adverse effect]], [[Antineoplastic/chemotherapy or immunosuppressive drugs, overdose/toxicity]]
*Chemotherapy - but see [[Past history of chemotherapy for neoplastic disease]], [[Antineoplastic/chemotherapy or immunosuppressive drugs, adverse effect]], [[Antineoplastic/chemotherapy or immunosuppressive drugs, overdose/toxicity]]
*Continuous bladder irrigation / CBI / Kelly irrigation
*Cryoprecipitate
*Cryoprecipitate
*Dressings -- including VAC dressings  - but see {{TISS w Nr | Dressings 2 or less (TISS Item)}}, {{TISS w Nr | Dressings 3 or more (TISS Item)}}
*Dressings -- including VAC dressings   
*EKG  
*EKG  
*EMG
*Epidural insertion (epidural catheter insertion) - for any purpose including anesthesia, chemotherapy, analgesia and any others
*Epidural insertion (epidural catheter insertion) - for any purpose including anesthesia, chemotherapy, analgesia and any others
*Fecal management system (FMS)
*Fecal management system (FMS)
*Fluoroscopy
*Fluoroscopy
*[[Foley]]
*[[Foley]]
* holter monitoring
*Intubation - it is already coded as {{TISS w Nr | Insertion of ETT (TISS Item)}} for ICU and not done on the ward (without patient leaving to ICU), so it was decided not to code this.  
*Intubation - it is already coded as {{TISS w Nr | Insertion of ETT (TISS Item)}} for ICU and not done on the ward (without patient leaving to ICU), so it was decided not to code this.  
*Lavage, therapeutic - if done for diagnostic reasons, code as [[Biopsy (non-endoscopic)]]/[[Biopsy (endoscopic)]]
*Lavage, therapeutic (abdominal washout) - if done for diagnostic reasons, code as [[Biopsy (non-endoscopic)]]/[[Biopsy (endoscopic)]]
*mammogram
*Nasogastric tube (NG)/orogastric tube (OG) - but see {{TISS w Nr | IV hyperalimentation (TISS Item)}}
*Nasogastric tube (NG)/orogastric tube (OG) - but see {{TISS w Nr | IV hyperalimentation (TISS Item)}}
*open chest cardiac massage <!-- confirmed with Allan 2020-07-30; decided to not include this with [[Cardioversion (EXCLUDE defibrillation-we are not tracking)]] -->
*open chest cardiac massage <!-- confirmed with Allan 2020-07-30; decided to not include this with [[Cardioversion (EXCLUDE defibrillation-we are not tracking)]] -->
*Oxygenation - but see {{TISS w Nr | Supp O2 No ETT No Trach (TISS Item)}}
*Oxygenation - but see {{TISS w Nr | Supp O2 through any device, delivered via nose, mouth, ETT or trach (TISS Item)}}
*Phlebotomy, blood draws for lab testing
*Phlebotomy, blood draws for lab testing
*Plain X-rays other than [[AXR (abdominal plain X-ray)]] and [[CXR (plain film)]]
*Plain X-rays other than [[AXR (abdominal plain X-ray)]] and [[CXR (plain film)]]
*Removal of sutures or other devices
*Removal of sutures or other devices, see [[(T) NOS]] for devices we DO include
*Whole body cooling (except [[Targeted Temperature Management (TTM)]])
*Whole body cooling (except [[Targeted Temperature Management (TTM)]])
*Whole body warming (except [[Targeted Temperature Management (TTM)]])
*Whole body warming (except [[Targeted Temperature Management (TTM)]])
*fistulogram


== Background ==
== Background ==

Latest revision as of 09:44, 2024 May 30

See also: List of ICD10 Diagnoses we don't code

Procedures collectors don't know if/how to code

Procedures we have specifically considered, and decided not to code

Background

We don't code all procedures. If a procedure is not either: (a) on the picklist, or (b) able to be constructed from it's components (e.g. a body part, and what was done to that body part) then we're not looking to code it.

The main issue here is that among the CCI component 2 codes - what was done, we haven't included EVERY possibility.

Examples:

  • In the Procedures, besides some plain X-rays contained in the CCI Picklist, the CCI component 2 codes - what was done does NOT include plain x-rays. Thus we're not enabling creation of a plain X-ray of body parts other than those contained in the picklist.
  • For the Therapeutic Procedures, there is a list of approximately 30 CCI component 2 codes - what was done to the chosen body part. So some items of "what was done" are not available and you won't be able to code such procedures.

BUT, before you decide this is the case, you will need to become very familiar with the descriptions of EACH of the CCI component 2 codes - what was done that ARE available. Some will include items you would not expect. Example: The item Bypass includes creating a ostomy (which includes a colostomy and even a tracheostomy).

See Reasoning around moving to CCI and our subset of it#Why do we not include the entire set of CCI codes.

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