Implantation of Internal Device

CCI component 2 codes - what was done
Procedure:	Implantation of Internal Device
CCI 2 code:	53
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

• use this code for devices for which any part in the body. Contrary to what Allan said before, it does NOT have to be entirely in the body.
• code this for such devices for which there is not a picklist option.
• use for total hip/knee replacement combine with (T) Hip Joint or (T) Knee Joint
• for PEG tube you combine this "what was done" code with the "body part" code: (T) Stomach, Pylorus
• for Jejunostomy tube you combine this "what was done" code with the "body part" code: (T) Small Intestine
• for suprapubic cathether you combine this "what was done" code with the body part code (T) Ureter, Bladder or Urethra
• for VAD' you combine this "what was done" code with the "body part" code: (T) Cardiac ventricle
  • if the patient already has a VAD from a previous admission you can use Heart assist device, has one in ICD 10 diagnosis.
• * scleral buckle- combine with (T) Eye, NOS
• for DBS (deep brain stimulator) of STN (subthalamic nucleus) for Parkinson's disease combine with (T) Brain
• IUD combine with (T) Uterus and Surrounding Structures
  • More generally, use this code for devices that are entirely internal, or have both an internal and external part but are meant to be permanent. BUT there are exceptions to this, for example DO code a temporary pacemaker (which has its own code, as below).
• VP shunt
• Excludes:
  • Pacemaker insertion, permanent
  • Pacemaker insertion, temporary
  • CVC placement, any location (central line, Porta-cath)
  • For nephrostomy tube placement use Nephrostomy placement from CCI Picklist.
• stents use Dilation
• When a drainage (e.g. abscess) procedure is done and a temporary drain is left in place, only code the drainage procedure, i.e. do not use this code for that.

Removals are not coded

• We do not code the removal or subsequent management of devices, only their insertion/implantation.
  • there are exceptions to this, please see (T) NOS

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

• Heart assist device, has one if applicable

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