GI Scopes: Difference between revisions

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~~{{Discuss| This contradicts~~ the ~~information on~~ [[CCI Collection#Related Imaging, Diagnostic and Therapeutic procedures performed at the same time]] ~~- can we clarify? The other page instructs to code ALL~~ diagnostic and therapeutic ~~procedures performed at~~ the ~~same time, but this is worded like we code differently~~. ~~For example, if~~ a ~~colonoscopy was done and an inspection to the jejenum was done and then a biopsy was taken in the colon~~, ~~this makes it sound like we should could Biopsy~~ (endoscopic) ~~+ Small intestine~~ (D)~~, which is inaccurate. If we all agree that we code the way it is written on~~ [[~~CCI Collection#Related Imaging~~, ~~Diagnostic and Therapeutic procedures performed at the same time~~]]~~, I can update this page.}}~~

According to the gospel of [[CCI Collection#Related Imaging, Diagnostic and Therapeutic procedures performed at the same time]], all diagnostic and therapeutic actions completed during the scope will be coded.

*~~Upper GI scopes should be coded as~~

*There are generally four CCI Collections that can occur in a GI Scope:

** [[Inspection, Exploration (endoscopic)]]

** [[Biopsy (endoscopic)]]

** [[Excision, Resection]] (for polyp removal)

** [[Control of Bleeding]] (for treating actively bleeding vessels)

Combine one of the above codes with the deepest area that was reached:

* the deepest that was reached of the following

** [[(T) Esophagus]]/[[ (D) Esophagus]]

** [[(T) Stomach, Pylorus]]/[[ (D) Stomach or Pylorus]]

** [[(T) Small Intestine]]/[[ (D) Small Intestine]]

* plus the most invasive of the following that happened

** [[Inspection, Exploration (endoscopic)]]/[[Inspection, Exploration (non-endoscopic)]]

** [[Biopsy (endoscopic)]]/[[Biopsy (non-endoscopic)]]

** [[Excision, Resection]] (for polyp removal)

** [[Control of Bleeding]] or other more invasive therapeutic intervention

~~This~~ is ~~according to~~ the ~~gospel~~ of [[~~CCI Collection#Related Imaging~~, ~~Diagnostic and Therapeutic procedures performed at the same time~~]]

Exceptions:

*If a repair of a vessel that is '''not''' currently bleeding use [[Occlusion]] + the occluded vessel

**For an upper esophageal vessel, code [[Occlusion]] + [[(T) Other Vessels of Head, Neck, Spine, NOS]]

**For a lower esophageal vessel, code [[Occlusion]] + [[(T) Thoracic Vessels, NOS]]

**For all other GI tract vessel repairs, use [[Occlusion]] + [[(T) Blood Vessels, NOS]]

For EUS (endoscopic ultrasound), use:

** [[(D) Small Intestine]] + [[Inspection, Exploration (endoscopic)]]

[[Category:CCI Procedure]]

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-{{Discuss| This contradicts the information on [[CCI Collection#Related Imaging, Diagnostic and Therapeutic procedures performed at the same time]] - can we clarify? The other page instructs to code ALL diagnostic and therapeutic procedures performed at the same time, but this is worded like we code differently. For example, if a colonoscopy was done and an inspection to the jejenum was done and then a biopsy was taken in the colon, this makes it sound like we should could Biopsy (endoscopic) + Small intestine (D), which is inaccurate. If we all agree that we code the way it is written on [[CCI Collection#Related Imaging, Diagnostic and Therapeutic procedures performed at the same time]], I can update this page.}}
+According to the gospel of [[CCI Collection#Related Imaging, Diagnostic and Therapeutic procedures performed at the same time]], all diagnostic and therapeutic actions completed during the scope will be coded.
-*Upper GI scopes should be coded as
+*There are generally four CCI Collections that can occur in a GI Scope:
+** [[Inspection, Exploration (endoscopic)]]
+** [[Biopsy (endoscopic)]]
+** [[Excision, Resection]] (for polyp removal)
+** [[Control of Bleeding]] (for treating actively bleeding vessels)
+Combine one of the above codes with the deepest area that was reached:
 * the deepest that was reached of the following
 ** [[(T) Esophagus]]/[[ (D) Esophagus]]
 ** [[(T) Stomach, Pylorus]]/[[ (D) Stomach or Pylorus]]
 ** [[(T) Small Intestine]]/[[ (D) Small Intestine]]
-* plus the most invasive of the following that happened
-** [[Inspection, Exploration (endoscopic)]]/[[Inspection, Exploration (non-endoscopic)]]
-** [[Biopsy (endoscopic)]]/[[Biopsy (non-endoscopic)]]
-** [[Excision, Resection]] (for polyp removal)
-** [[Control of Bleeding]] or other more invasive therapeutic intervention
-This is according to the gospel of [[CCI Collection#Related Imaging, Diagnostic and Therapeutic procedures performed at the same time]]
+Exceptions:
+*If a repair of a vessel that is '''not''' currently bleeding use [[Occlusion]] + the occluded vessel
+**For an upper esophageal vessel, code  [[Occlusion]] + [[(T) Other Vessels of Head, Neck, Spine, NOS]]
+**For a lower esophageal vessel, code [[Occlusion]] + [[(T) Thoracic Vessels, NOS]]
+**For all other GI tract vessel repairs, use [[Occlusion]] + [[(T) Blood Vessels, NOS]]
+For EUS (endoscopic ultrasound), use:
+** [[(D) Small Intestine]] + [[Inspection, Exploration (endoscopic)]]
+{{CCI Guideline Capsule Endoscopy}}
 [[Category:CCI Procedure]]