CCI Collection: Difference between revisions

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*Do not code a procedure that is part of a "Bigger" procedure already coded.

'''Example:''' In the course of many or most CABG surgeries, there is placement (or replacement) of chest tubes, pacer wires, arterial lines, central lines, and vein harvest, but do NOT code those procedures separately, since they are "included" in the CABG code.

*On the other hand, things done in OR that are NOT part of the standard procedure (e.g. for someone coming out from OR after CABG who now has ECMO, Swan-Ganz, IABP), you SHOULD code these as ~~admit~~).

*On the other hand, things done in OR that are NOT part of the standard procedure (e.g. for someone coming out from OR after CABG who now has ECMO, Swan-Ganz, IABP), you SHOULD code these as [[Admit Procedure]]). IF they continue to be done once on the ward/unit, then also code them as [[Acquired Procedure]].

*{{discussion}} For clarification, as part of CABG surgeries all patients come with a central line and art line, CT, Pacer but I will not include as they ~~are part of~~ the ~~larger surgery~~, ~~if they change the lines or insert new CT I will~~ code as acquired. For those that come from the OR with ECMO, Swan Ganz or IABP (not part of a standard CABG procedure), for which we count days, should I enter as admit? and also enter as acquired to count the days? (implies inserted in ICU even though it wasn't) or can I enter multiple days for admit? (this doesn't seem quite correct either) [[~~User:Lkaita|Lisa Kaita~~]] ~~09:39, 2019 January 4 (CST)~~

*AG REPLY -- as I've now written just above, "Yes" non-standard things done as part of a large procedure should be coded -- IF they meet the usual criterion inclusion. As far as needing to code, e.g. for someone who comes out of OR with ECMO or something else we count days for, as admit AND acquired, I am not aware that there's a necessity to code something as acquired to count days --- TINA???

=== Related Imaging, Diagnostic and Therapeutic procedures performed at the same time ===

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 *Do not code a procedure that is part of a "Bigger" procedure already coded.
 '''Example:''' In the course of many or most CABG surgeries, there is placement (or replacement) of chest tubes, pacer wires, arterial lines, central lines, and vein harvest, but do NOT code those procedures separately, since they are "included" in the CABG code.
-*On the other hand, things done in OR that are NOT part of the standard procedure (e.g. for someone coming out from OR after CABG who now has ECMO, Swan-Ganz, IABP), you SHOULD code these as admit).
+*On the other hand, things done in OR that are NOT part of the standard procedure (e.g. for someone coming out from OR after CABG who now has ECMO, Swan-Ganz, IABP), you SHOULD code these as [[Admit Procedure]]). IF they continue to be done once on the ward/unit, then also code them as [[Acquired Procedure]].
-*{{discussion}} For clarification, as part of CABG surgeries all patients come with a central line and art line, CT, Pacer but I will not include as they are part of the larger surgery, if they change the lines or insert new CT I will code as acquired.  For those that come from the OR with ECMO, Swan Ganz or IABP (not part of a standard CABG procedure), for which we count days, should I enter as admit? and also enter as acquired to count the days? (implies inserted in ICU even though it wasn't)  or can I enter multiple days for admit? (this doesn't seem quite correct either) [[User:Lkaita|Lisa Kaita]] 09:39, 2019 January 4 (CST)
-*AG REPLY -- as I've now written just above, "Yes" non-standard things done as part of a large procedure should be coded -- IF they meet the usual criterion inclusion.  As far as needing to code, e.g. for someone who comes out of OR with ECMO or something else we count days for, as admit AND acquired, I am not aware that there's a necessity to code something as acquired to count days --- TINA???
 === Related Imaging, Diagnostic and Therapeutic procedures performed at the same time ===