Drainage, Evacuation

CCI component 2 codes - what was done
Procedure:	Drainage, Evacuation
CCI 2 code:	52
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

• Refers to efforts to drain or evacuate either abnormal fluid, clot, pus, etc. and eliminates the fluid from the body
  • forming a colostomy is not drainage because stool is not an abnormal fluid, code as Bypass)
• The method of drainage can be anything: open surgical, percutaneous, etc.

Includes

• • VP shunt (ventriculoperitoneal shunt) - combine (T) Brain's Meninges, Dura, Subarachnoid, Ventricles and Drainage, Evacuation
  • Pericardiocentesis and/or creation of a pericardial window combine with (T) Pericardium or (D) Pericardium, pericardium as in the case of tamponade
  • Abscess drainage -- or incision & drainage (I&D)
  • Drainage of a collection of blood or evacuation of a blood clot (e.g. in the head) --- but it does NOT include endarterectomy or thrombectomy -- see Extraction
  • Drainage of fluid -- e.g. from a joint
    • This applies to a therapeutic joint tap -- Diagnostic joint taps are listed as Arthrocentesis, diagnostic in the quick pick list
  • Paracentesis when done for therapeutic reasons, combine with (T) Abdominal, Pelvic or Peritoneal Cavity, NOS, (use Paracentesis (diagnostic) for diagnostic ones)
    • we are aware that this will not distinguish surgical from nonsurgical drainage procedures; this is one of the consequences of NOT including the next layer to CCI coding (i.e. "how" the thing was done)

this CCI_2 code is currently a collect each code, what should we do with drains, tubes etc that are left in and emptied. for example peritoneal drain (for ascites) pericardial drain, pleurex, EVD. We do not code drainage from surgical drains, chest tubes, foley, neph tubes etc, thoughts? Lisa Kaita 09:22, 2024 March 1 (CST)

• SMW

• Cargo

• Categories

Excludes

• therapeutic lavage (abdominal washout) see List of CCI procedures we don't code

See also Bypass for some similar things.

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 ==

• CCI component 2 codes - what was done

Related ICD10 Codes

Data Integrity Checks (automatic list)

none found

Related Articles

Imaging Px	Diagnostic Px	Therapeutic Px	Reproductive Px Obstetric Px	Musculoskeletal/soft tissue Px Abdomen Arm Back Bone/joint Ear Leg Organ Soft tissue Thorax
Neuro Px	Respiratory Px Thorax	Cardiovascular Px Angiogram Cardiac Lymphatic system Vessel	Gastrointestinal Px	Genitourinary Px	‎Misc Px Administrative Px Ear Organ Pharmacotherapy Transfusion
CCI_Picklist		CCI component 1 codes - what organ was something done to		CCI component 2 codes - what was done