TIPS (transjugular intrahepatic portosystemic shunt)

CCI Picklist
Procedure:	TIPS (transjugular intrahepatic portosystemic shunt)
CCI Picklist code:	1.KQ.76.GP-NR
CCI Collection Mode:	CCI collect each
Start Date:
Stop Date:

This procedure is a part of CCI Collection via CCI Picklist.

Additional Info

Collecting "CCI collect each" items

• "CCI collect each" items are entered each time they happen
• Px Date
  • if an Acquired Procedure, enter the Px Date for each day that they happen
  • if an Admit Procedure leave the date blank
• Px Count
  • if they happen more than once on a day, enter the number of times for that day, otherwise enter a Px Count of 1

Px Date for patients who move

See Px Date#Moves

Code only if done by Radiology or Cardiology

• Code diagnostic imaging procedures only if performed by Radiology or Cardiology for which there is an order.
  • Examples: a bedside echo done by a cardiology tech should be coded, but a bedside echo done by the ICU fellow should not be coded. An echo done informally by the cardiology team (i.e. informal in that no actual order was put in for it) should not be coded.

Multiple Views or Sequences at one sitting

• When a single imaging modality is used to look at a single body segment, then this is counted as ONE imaging study, even if during that study there are multiple views, or sequences, etc.
  • e.g. if a AXR (abdominal plain X-ray) or CXR (plain film) film comprises multiple views/films done at one sitting, only count it as ONE.
  • e.g. if an MRI is done and several different sequences are done of the same body part, that counts as ONE.
  • e.g. if a cardiac echo is done and they do both 2-D, M-mode, Doppler, and contrast-enhanced, this counts as ONE.
  • these examples hold for all types of imaging procedures, as long as they're of the same body part.

Guideline about Coding CCI vs ICD10 imaging codes

• There are a set of "imaging codes" in ICD10, but these are not to code that an imaging test was performed, but to code that a result was abnormal --- and like all the ICD10 codes for abnormal symptoms or signs or test results, they are mainly to be used when the actual diagnosis CAUSING the abnormal findings is not known.

ICD10 Imaging diagnoses and other diagnoses that require imaging should be coded together with corresponding Imaging Pxs, where we have a code for them. Coding both is not redundant because the ICD10 will only be coded for abnormal results, and we don't have CCI coding options for every kind of imaging. Coding both as appropriate will cover all the ways we are interested in this data.

Alternate CCIs to consider coding instead or in addition

Other procedure in angiogram:

Has CCI Picklist Code Has CCI 1 Code Has CCI 2 Code Angiogram, aortic (any part of aorta) 3.ID.10.V^ Angiogram, artery NOS (except specifically coded) 3.KV.10.VX Angiogram, cerebral (including vertebral arteries) 3.JM.10.V^ Angiogram, coronary (diagnostic cardiac catheterization) 3.IP.10.V^ Angiogram, pulmonary artery (pulmonary arteriogram) 3.IM.10.V^ Angiogram, vein 3.KX.10.VC CT of chest with PE protocol (CT angiogram of pulmonary vessels) 3.JY.20 Cardiac CT or Cardiac CT angiogram (with or without coronary arteries) 3.IP.20

Other procedure in Therapeutic Px:

Has CCI Picklist Code Has CCI 1 Code Has CCI 2 Code (D) Pericardium 2.HA (T) Abdominal Aorta 1.KA (T) Abdominal Arteries, NOS 1.KE (T) Abdominal, Pelvic or Peritoneal Cavity, NOS 1.OT (T) Adrenal Gland 1.PB (T) Ankle Joint 1.WA (T) Anus, Rectum 1.NQ (T) Aorta, NOS 1.ID (T) Aortic Valve, Related Structures 1.HV (T) Appendix 1.NV (T) Arm, NOS 1.TZ (T) Arteries of Leg, NOS 1.KG (T) Artery with Vein, NOS 1.KY (T) Artery, NOS 1.KV (T) Axillary Lymph Nodes 1.MD (T) Back, NOS 1.SJ (T) Blood Vessels, NOS 1.KZ (T) Bone Marrow 1.WY (T) Bone, NOS 1.WX (T) Brain 1.AN (T) Brain's Meninges, Dura, Subarachnoid, Ventricles 1.AA (T) Breast 1.YM (T) Bronchi 1.GM (T) Cardiac Atrium 1.HM (T) Cardiac Conduction System 1.HH (T) Cardiac ventricle 1.HP (T) Carotid Artery 1.JE (T) Central Nervous System, NOS 1.AZ (T) Cervix 1.RN (T) Circulatory System, NOS 1.LZ (T) Cochlea 1.DM (T) Cornea 1.CC (T) Coronary Arteries 1.IJ (T) Coronary Vessels, NOS 1.IL (T) Cranial Bones 1.EA (T) Cranial Nerves 1.BA (T) Diaphragm 1.GX (T) Digestive System, NOS 1.OZ (T) Ear, NOS 1.DZ (T) Elbow Joint 1.TM (T) Esophagus 1.NA (T) External Ear 1.DA (T) Eye, NOS 1.CZ (T) Facial Bones 1.EG (T) Female Genital Tract, NOS 1.RZ (T) Femur 1.VC (T) Finger 1.UJ (T) Gallbladder, Bile Ducts 1.OD (T) Glottis, Larynx, Related Structures 1.GE (T) Heart, NOS 1.HZ (T) Hip Joint 1.VA (T) Humerus, Radius, Ulna 1.TK (T) Interatrial Septum 1.HN (T) Interventricular Septum 1.HR (T) Intervertebral Disc 1.SE (T) Intraabdominal, Pelvic, Inguinal Lymph Nodes 1.MG (T) Intracranial Vessels 1.JW (T) Intrathoracic Lymph Nodes 1.MF (T) Joints of Fingers, Hand, NOS 1.UL (T) Jugular, Subclavian, Arm veins 1.JU (T) Kidney 1.PC (T) Knee Joint 1.VG (T) Large Intestine 1.NM (T) Leg, NOS 1.VZ (T) Lens 1.CL (T) Lip 1.YE (T) Liver 1.OA (T) Lung 1.GT (T) Lymph Nodes of Extremity 1.MK (T) Lymphatic System, NOS 1.MZ (T) Male Genital Tract, NOS 1.QZ (T) Mediastinum 1.GW (T) Mitral Valve, Related Structures 1.HU (T) Muscles of Chest, Abdomen, NOS 1.SY (T) Muscles or Soft Tissues of Head, Neck 1.EQ (T) Musculoskeletal System, NOS 1.WZ (T) NOS 94 (T) Nasopharynx, Mouth, Oropharynx 1.FK (T) Nerves of Arm 1.BM (T) Nerves of Ear 1.BD (T) Nerves of Lower Trunk, Leg 1.BT (T) Nervous System, NOS 1.BZ (T) Nose 1.ET (T) Other Vessels of Head, Neck, Spine, NOS 1.JX (T) Other or Unknown Part of Body 1.^^ (T) Ovary, Fallopian Tube 1.RB (T) Pancreas 1.OJ (T) Paranasal Sinuses 1.EY (T) Parathyroid Glands 1.FV (T) Pelvic Bones 1.SQ (T) Penis, Scrotum 1.QE (T) Pericardium 1.HA (T) Peripheral Nerves, NOS 1.BX (T) Pituitary Region 1.AF (T) Pleura 1.GV (T) Prostate 1.QT (T) Pulmonary Artery 1.IM (T) Pulmonary Vein 1.IN (T) Pulmonic Valve, Related Structures 1.HT (T) Respiratory System, NOS 1.GZ (T) Retina 1.CN (T) Rotator Cuff 1.TC (T) Scalp 1.YA (T) Shoulder Joint 1.TA (T) Skin, NOS 1.YZ (T) Small Intestine 1.NK (T) Soft Tissue and Muscle of the Hip and Thigh 1.VD (T) Soft Tissue of Arm, NOS 1.TX (T) Soft Tissue of Chest, Abdomen, NOS 1.SZ (T) Soft Tissue of Foot or Ankle 1.WV (T) Soft Tissue of Leg, NOS 1.VX (T) Soft Tissue of Orbit, Eyeball 1.CP (T) Soft Tissue of Wrist, Hand 1.UY (T) Spinal Cord, Spinal Canal, Meninges 1.AW (T) Spleen 1.OB (T) Sternum, Ribs, Clavicle, Scapula 1.SL (T) Stomach, Pylorus 1.NF (T) Subclavian, Brachiocephalic, Brachial, Arm Arteries 1.JM (T) Surgically Constructed Sites in Digestive and Biliary Tract 1.OW (T) Surgically Created Sites in Urinary Tract 1.PV (T) Temporomandibular Joint (TMJ) 1.EL (T) Testis, Related Structures 1.QM (T) Thoracic Aorta 1.IC (T) Thoracic Cavity, anything inside, NOS 1.GY (T) Thoracic Duct 1.MM (T) Thoracic Vessels, NOS 1.JY (T) Thymus 1.GK (T) Thyroid Gland 1.FU (T) Tibia, Fibula 1.VQ (T) Toe 1.WL (T) Tonsils, Adenoids 1.FR (T) Tooth, Gingiva 1.FD (T) Total Body 1.ZZ (T) Trachea 1.GJ (T) Tricuspid Valve, Related Structures 1.HS (T) Tympanic Membrane 1.DF (T) Ureter, Bladder or Urethra 1.PM (T) Urinary System, NOS 1.PZ (T) Uterus and Surrounding Structures 1.RM (T) Vagina 1.RS (T) Vein, NOS 1.KX (T) Veins of Abdomen, Legs 1.KR (T) Vena Cava 1.IS (T) Vertebral Bones 1.SC (T) Vessels of Pelvis, Perineum, Gluteal Region 1.KT (T) Vulva or Perineum 1.RW (T) Wrist Joint 1.UB Amputation 93 Angioplasty, coronary (with stenting) 1.IJ.50.GQ-OA Angioplasty, coronary (without stenting) 1.IJ.50.GQ-BD Arterial catheterization, any location 1.KV.53.HA-FT Arthrocentesis, diagnostic 2.WZ.71 BMT (Bone marrow transplant or transfusion) 1.WY.19 BiPAP, CPAP, NIV, own ventilator (Mechanical ventilation, noninvasive) 1.GZ.31.CB-ND Bypass 76 CAR-T (Chimeric Antigen Receptor T-cell Immunotherapy) XW043C3 CPR, cardiac resuscitation 1.HZ.30r CRRT (incl volume removal via PRISMA device) 1.PZ.21.HQ-BS CVC placement, any location 1.IS.53.^^-LF Capsule Endoscopy 2.0Z.29 Cardioversion (EXCLUDE defibrillation-we are not tracking) 1.HZ.09 Chest tube, left in place 1GV.52.HA-TK Closure of fistula 86 Construction, Reconstruction 84 Control of Bleeding 13 Debridement 87d Destruction 59 Dilation 50 Drainage, Evacuation 52 ECMO, VA 1.LZ.37.GP-QM.va ECMO, VV 1.LZ.37.GP-QM.vv ECT (Electroconvulsive shock therapy to brain) 1.AN.09 Excision with Reconstruction, Replacement 90 Excision, Resection 87 Extraction 57 Fixation 74 Fusion 75 HD (Hemodialysis) 1.PZ.21.HQ-BR IABP 1.IC.53.GQ-QL Implantation of Internal Device 53 Nephrostomy placement 1.PE.52 Occlusion 51 PD (Peritoneal dialysis) 1.PZ.21.HP-D4 Pacemaker insertion, permanent 1.HZ.53.GR-NK Pacemaker insertion, temporary 1.HZ.53.GR-NN Pharmacotherapy, thrombolytic agent 35.HA-1C Plasmapheresis 1.LZ.20 Procure, Harvest, Obtain for Further Use 58 Radiation Therapy 27 Reattachment 82 Release, Decompression 72 Removal of Foreign Body 56 Repair 80 TPN (Total parenteral nutrition) 1.LZ.35.HH-C6 Targeted Temperature Management (TTM) 1.ZX.06 Tracheostomy creation 1.GJ.77 Transfusion of PRBC 1.LZ.19.HH-U1-J Transfusion of albumin 1.LZ.35.HH-C5 Transfusion of plasma products 1.LZ.19.HH-U2-J Transfusion of platelets 1.LZ.19.HH-U4-J Transplant 85

Related ICD10 Codes

Data Integrity Checks (automatic list)

none found

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