Implantation of Internal Device: Difference between revisions

(12 intermediate revisions by 2 users not shown)

Line 5:

== Additional Info ==

*~~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~~.

* use this code for devices for which '''any part''' is inside the body, it does NOT have to be entirely in the body.

**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 there are exceptions to this~~, ~~for example DO code a temporary pacemaker (which has its own code, as below).~~

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

*'''Excludes~~: '''~~

* 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

**[[Pacemaker insertion, permanent]]

**[[Pacemaker insertion, temporary]]

**[[CVC placement, any location]] (central line, Porta-cath)

**For nephrostomy tube placement use [[Nephrostomy placement]] from CCI Picklist.

* stents use [[Dilation]]

'''Includes'''

* ~~use this code~~ for ~~devices for which~~ '''~~any part~~''' ~~in the body. Contrary to what Allan said before, it does NOT have to be entirely in the body.~~

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

* ~~code this~~ for ~~such devices for which there is not a picklist option.~~

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

** use for total hip/knee replacement

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

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

* for '''Jejunostomy tube''' combine with [[(T) Small Intestine]]

* for '''Jejunostomy''' ~~tube you~~ combine ~~this "what was done" code~~ with ~~the "body part" code:~~ [[(T) Small Intestine]]

* for '''suprapubic catheter''' combine with [[(T) Ureter, Bladder or Urethra]]

* for '''suprapubic ~~cathether~~''' ~~you~~ combine ~~this "what was done" code~~ with ~~the body part code~~ [[(T) Ureter, Bladder or Urethra]]

* for '''[[Ventricular Assist Device]] (VAD)''' combine with '''[[(T) Cardiac ventricle]]'''

* 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 [[Heart assist device, has one]] in ICD 10 diagnosis.

* scleral buckle

* 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]]

* there are exceptions to this, please see

** [[(T) NOS]]

** baclofen pump management, see above

Line 40:

Line 51:

== 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

== Related Articles ==

@@ Line 5: / Line 5: @@
 == Additional Info ==
-*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.
+* use this code for devices for which '''any part''' is inside the body, it does NOT have to be entirely in the body.
-**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 there are exceptions to this, for example DO code a temporary pacemaker (which has its own code, as below).
+* code this for such devices for which there is not a [[CCI Picklist]] option.
-*'''Excludes: '''
+* 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
-**[[Pacemaker insertion, permanent]]
-**[[Pacemaker insertion, temporary]]
-**[[CVC placement, any location]] (central line, Porta-cath)
-**For nephrostomy tube placement use [[Nephrostomy placement]] from CCI  Picklist.
-* stents use [[Dilation]]
 '''Includes'''
-* use this code for devices for which '''any part''' in the body.  Contrary to what Allan said before, it does NOT have to be entirely in the body.
+* for '''hip replacement''' combine with [[(T) Hip Joint]]
-* code this for such devices for which there is not a picklist option.
+* for '''knee replacement''' combine with [[(T) Knee Joint]]
-** use for total hip/knee replacement
+* for '''PEG tube''' combine with '''[[(T) Stomach, Pylorus]]'''
-* for '''PEG tube''' you combine this "what was done" code with the "body part" code:  '''[[(T) Stomach, Pylorus]]'''
+* for '''Jejunostomy tube''' combine with [[(T) Small Intestine]]
-* for '''Jejunostomy''' tube you combine this "what was done" code with the "body part" code: [[(T) Small Intestine]]
+* for '''suprapubic catheter''' combine with [[(T) Ureter, Bladder or Urethra]]
-* for '''suprapubic cathether''' you combine this "what was done" code with the body part code [[(T) Ureter, Bladder or Urethra]]
+* for '''[[Ventricular Assist Device]] (VAD)''' combine with '''[[(T) Cardiac ventricle]]'''
-* 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 [[Heart assist device, has one]] in ICD 10 diagnosis.
-* scleral buckle
+* 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]]
+* there are exceptions to this, please see
+** [[(T) NOS]]
+** baclofen pump management, see above
 {{CCI Collection Mode}}
@@ Line 40: / Line 51: @@
 == 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
 == Related Articles ==