Bypass
CCI component 2 codes - what was done | |
Procedure: | Bypass |
CCI 2 code: | 76 |
CCI Collection Mode: | CCI collect each |
This procedure is a part of CCI Collection. This is one of the CCI component 2 codes - what was done.
Additional Info
Includes
- This is a much broader item than it seems as it includes:
- Forming an ostomy anywhere -- e.g. colostomy combine with (T) Large Intestine
- Exception: Nephrostomy placement
- Vascular bypass or A-V connection -- so for example it includes:
- CABG
- aorto-femoral or femoral-popliteal bypass
- TIPS (Transjugular Intraheptatic Porto systemic Stent)
- portocaval shunt
- splenorenal shunt
- making an A-V fistula for hemodialysis
- Thoracic endovascular aneurysm repair (TEVAR)
- etc.
- Forming an ostomy anywhere -- e.g. colostomy combine with (T) Large Intestine
- Hepatojejunostomy - code (T) Gallbladder, Bile Ducts + Bypass
Excludes
- See Drainage, Evacuation for a closely related procedure code .
Vascular graft guideline
Keywords for different kinds of bypasses so this can be found when searching: Axillofemoral bypass grafting / ax-fem bypass / axillobifemoral bypass, fem-tib bypass, fem-pop bypass, aorto-bi-iliac bypass, aorto-biiliac bypass, aorto-fem bypass
Harvesting for the graft
If they take a vessel from elsewhere (often a vein) to do the bypass, then you can also code the harvest by combining the appropriate Therapeutic Px from Category:Vessel with Procure, Harvest, Obtain for Further Use. Obviously if they use a dacron graft, then there'll be no harvesting.
Placing the graft
Code:
- the CCI1 code for the target (bypassed) vessel at which the bypass ends, not the origin vessel from which the bypass (and blood flow) begins.
- the CCI2 code Bypass / Repair as appropriate
Procedures done to a graft at a later time
Procedures performed on vascular grafts (either synthetic grafts or vessels harvested from elsewhere for use) are coded just as you would if the same thing was done to the native vessel.
When something is being done to a graft that's already in place, the "body part" of the CCI component code isn't the graft but rather is the native vessel that was there before grafting.
Example: |
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== Alternate CCIs to consider coding instead or in addition ==
Related ICD10 Codes
Possibly any one in Category:Myocardial Infarction
Related Articles
Related articles: |
CCI_Picklist | CCI component 1 codes - what organ was something done to | CCI component 2 codes - what was done |