GI Scopes: Difference between revisions

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{{DiscussTask |
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.
* 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.
 
** Flagged for task meeting because it will need input from Allan and possibly Julie as well. Could you take it to the next Task meeting if you will be there, Brynn? If you won't be there, please let me know and I will try to present it. 11:09, 2021 April 1 (CDT)
There are generally five CCI Collections that can occur in a GI Scope:
}}
 
Upper GI scopes should be coded as
** [[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
* the deepest that was reached of the following
** [[(T) Esophagus]]/[[ (D) Esophagus]]
** [[(T) Esophagus]]/[[ (D) Esophagus]]
** [[(T) Stomach, Pylorus]]/[[ (D) Stomach or Pylorus]]
** [[(T) Stomach, Pylorus]]/[[ (D) Stomach or Pylorus]]
** [[(T) Small Intestine]]/[[ (D) Small Intestine]]
** [[(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]] + [[Blood Vessels, NOS (T)]]


[[Category:CCI Procedure]]
[[Category:CCI Procedure]]

Revision as of 07:00, 17 May 2021

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.

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

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

Exceptions: If a repair of a vessel that is not currently bleeding use: