CCI Collection: Difference between revisions

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=== Which therapeutic procedures to collect/include ===

*Here are the rules for what we will code and what we won't code:

*1. Include ''all codable therapeutic procedures'' done '''outside the patient’s unit'''.

*1. Include ''all [[CCI procedures we don't code|codable]] therapeutic procedures'' done '''outside the patient’s unit'''.

*2. Include ''all codable therapeutic procedures'' done '''using an endoscope''' (in or out of the patient's unit) - whether inserted through an orifice, incision or wound.

*2. Include ''all [[CCI procedures we don't code|codable]] therapeutic procedures'' done '''using an endoscope''' (in or out of the patient's unit) - whether inserted through an orifice, incision or wound.

**'''Important note regarding the meaning of "ALL CODABLE therapeutic procedures" as used above. As we're not including all 18,000 CCI procedures, there are many procedures we are not seeking to capture. The way this limitation shows itself is that the 2nd level of coding of therapeutic procedures (2nd level identifies "what was done" to the body part chosen in the 1st level) does not include all available options -- some that are not included in our CCI subset are dressings, oxygenation, and many others.'''

**'''Important note regarding the meaning of "ALL CODABLE therapeutic procedures" as used above. '''

*3. In addition to (1) and (2) code the following (and '''only''' the following) therapeutic procedures done in the patient’s unit - but '''only the FIRST DAY it was done''' during the patient’s stay on that unit:

**arterial catheter placement

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**[[Plasmapheresis]]

**non-invasive mechanical ventilation - includes CPAP, BiPAP, and classic NIV (where a mask is connected to a regular ventilator)

**debridement

**debridement (which in [[CCI component 2 codes - what was done]]?)

**tracheostomy placement (i.e. done bedside)

**tracheostomy placement (i.e. done bedside) (ie [[Therapeutic Intervention on Trachea]] and then what, [[Installation of External Appliance]]?)

*{{discussAllan|How would I code the items above that are not linked? Could not find procedures for these... Ttenbergen 15:10, 2018 April 5 (CDT)}}

**AG REPLY: I'm confused about what is meant here. These procedures would be coded as usual for CCI chapter 1. If we want, we could make a picklist for them instead.

*** don't know if we need a picklist, just could not figure out how to code that. I want to make sure that searching for the term brings up the wiki page. Ttenbergen 15:10, 2018 April 5 (CDT)

*{{discussAllan|that code includes lists I can't find pages/links for, so what codes would we enter? }}

**AG REPLY: I'm confused about what is meant here. These procedures would be coded as usual for CCI chapter 1. If we want, we could make a picklist for them instead.

*{{discussion}}what are the rules for CPAP Bipap do we code the pt own machines or just new starts?

** we will need to discuss that in the related article, for now we have no code for this at all. Ttenbergen 14:01, 2018 March 20 (CDT)

**AG REPLY --- of course this can be coded in Chap 1 of CCI. Again could include in a picklist. And it'd be coded the 1st time it's used in the patient's unit regardless of who owns the machine.

*** ''How'' can it be coded? It would need to be a combination of a [[CCI component 1 codes - what organ was something done to]] and a [[CCI component 2 codes - what was done]]. Ttenbergen 15:10, 2018 April 5 (CDT)

* {{Discussion}} I suggest that VAC dressing changes be put in this category because they are usually done in the OR and done numerous times in a patient's stay. --[[User:LKolesar|LKolesar]] 14:02, 2018 March 15 (CDT)

**AG reply: Two things here. First, VAC dressings are just a special type of dressing. So we're not particularly interested in it. But you might then notice that would give us a problem with rule#1, to code all procedures done outside of the patient's unit. In this regard, see the "Important note" above that's in '''ALL BOLD'''.

=== Collecting a procedure ===

@@ Line 25: / Line 25: @@
 === Which therapeutic procedures to collect/include ===
 *Here are the rules for what we will code and what we won't code:
-*1. Include ''all codable therapeutic procedures'' done '''outside the patient’s unit'''.
+*1. Include ''all [[CCI procedures we don't code|codable]] therapeutic procedures'' done '''outside the patient’s unit'''.
-*2. Include ''all codable therapeutic procedures'' done '''using an endoscope''' (in or out of the patient's unit) - whether inserted through an orifice, incision or wound.
+*2. Include ''all [[CCI procedures we don't code|codable]] therapeutic procedures'' done '''using an endoscope''' (in or out of the patient's unit) - whether inserted through an orifice, incision or wound.
-**'''Important note regarding the meaning of "ALL CODABLE therapeutic procedures" as used above.  As we're not including all 18,000 CCI procedures, there are many procedures we are not seeking to capture.  The way this limitation shows itself is that the 2nd level of coding of therapeutic procedures (2nd level identifies "what was done" to the body part chosen in the 1st level) does not include all available options -- some that are not included in our CCI subset are dressings, oxygenation, and many others.'''
+**'''Important note regarding the meaning of "ALL CODABLE therapeutic procedures" as used above.  '''
 *3. In addition to (1) and (2) code the following (and '''only''' the following) therapeutic procedures done in the patient’s unit - but '''only the FIRST DAY it was done''' during the patient’s stay on that unit:
 **arterial catheter placement
@@ Line 35: / Line 35: @@
 **[[Plasmapheresis]]
 **non-invasive mechanical ventilation - includes CPAP, BiPAP, and classic NIV (where a mask is connected to a regular ventilator)
-**debridement
+**debridement (which in [[CCI component 2 codes - what was done]]?)
-**tracheostomy placement (i.e. done bedside)
+**tracheostomy placement (i.e. done bedside) (ie [[Therapeutic Intervention on Trachea]] and then what, [[Installation of External Appliance]]?)
+*{{discussAllan|How would I code the items above that are not linked? Could not find procedures for these... Ttenbergen 15:10, 2018 April 5 (CDT)}}
+**AG REPLY:  I'm confused about what is meant here.  These procedures would be coded as usual for CCI chapter 1.  If we want, we could make a picklist for them instead.
+*** don't know if we need a picklist, just could not figure out how to code that. I want to make sure that searching for the term brings up the wiki page. Ttenbergen 15:10, 2018 April 5 (CDT)
-*{{discussAllan|that code includes lists I can't find pages/links for, so what codes would we enter? }}
-**AG REPLY:  I'm confused about what is meant here.  These procedures would be coded as usual for CCI chapter 1.  If we want, we could make a picklist for them instead.
 *{{discussion}}what are the rules for CPAP Bipap do we code the pt own machines or just new starts?
 ** we will need to discuss that in the related article, for now we have no code for this at all. Ttenbergen 14:01, 2018 March 20 (CDT)
 **AG REPLY --- of course this can be coded in Chap 1 of CCI.  Again could include in a picklist.  And it'd be coded the 1st time it's used in the patient's unit regardless of who owns the machine.
+*** ''How'' can it be coded? It would need to be a combination of a [[CCI component 1 codes - what organ was something done to]] and a [[CCI component 2 codes - what was done]].  Ttenbergen 15:10, 2018 April 5 (CDT)
 * {{Discussion}} I suggest that VAC dressing changes be put in this category because they are usually done in the OR and done numerous times in a patient's stay. --[[User:LKolesar|LKolesar]] 14:02, 2018 March 15 (CDT)
 **AG reply:  Two things here.  First, VAC dressings are just a special type of dressing.  So we're not particularly interested in it.  But you might then notice that would give us a problem with rule#1, to code all procedures done outside of the patient's unit.  In this regard, see the "Important note" above that's in '''ALL BOLD'''.
 === Collecting a procedure ===