(I) Digestive System, NOS

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CCI component 1 codes - what organ was something done to
Procedure: (I) Digestive System, NOS
CCI 1 code: 3.OZ
Start Date: 2019-01-01

This procedure is a part of CCI Collection. This is one of the CCI component 1 codes - what organ was something done to.

Additional Info

Capsule endoscopy


we discussed this...   
  • Discussion 2020-04:
    • There is a code for this in full CCI but we decided not to add it
    • Did you mean to make capsule endoscopy into Inspection, Exploration (non-endoscopic)? I can imagine why, but it’s counterintuitive so would benefit from explanation. When we made the endoscopic/non-endoscopic distinction, I seem to remember the intention was to be able to show when something was done in an endoscopy suite. I could also see data users using this as an indication of invasiveness. For example, would someone use the inspection non-endoscopic to code that they opened up the patient for surgery, had a look and gave up? We could declare this an exception, but it would not be very intuitive. Ttenbergen 10:26, 2020 April 3 (CDT)

Answer from Allan: Yes I did. While the imaging abilities of capsule endoscopy is like that of regular endoscopy, it does not, in fact, use an endoscope. Clearly this diagnostic intervention is also not a surgery. It's unique and in its own category, but we don't want to make a new category for it, so non-endoscopic is probably best.

Collecting "CCI collect each" items

  • "CCI collect each" items are entered each time they happen
  • If they happen more than once on a day, enter the number of times as Px Count for that day, otherwise enter a Px Count of 1

Code only if done by Radiology or Cardiology

  • Code diagnostic imaging procedures only if performed by Radiology or Cardiology for which there is an order.
    • Examples: a bedside echo done by a cardiology tech should be coded, but a bedside echo done by the ICU fellow should not be coded. An echo done informally by the cardiology team (i.e. informal in that no actual order was put in for it) should not be coded.

Multiple Views or Sequences at one sitting

  • When a single imaging modality is used to look at a single body segment, then this is counted as ONE imaging study, even if during that study there are multiple views, or sequences, etc.
    • e.g. if a AXR (abdominal plain X-ray) or CXR (plain film) film comprises multiple views/films done at one sitting, only count it as ONE.
    • e.g. if an MRI is done and several different sequences are done of the same body part, that counts as ONE.
    • e.g. if a cardiac echo is done and they do both 2-D, M-mode, Doppler, and contrast-enhanced, this counts as ONE.
    • these examples hold for all types of imaging procedures, as long as they're of the same body part.

Guideline about Coding CCI vs ICD10 imaging codes

  • There are a set of "imaging codes" in ICD10, but these are not to code that an imaging test was performed, but to code that a result was abnormal --- and like all the ICD10 codes for abnormal symptoms or signs or test results, they are mainly to be used when the actual diagnosis CAUSING the abnormal findings is not known.

ICD10 Imaging diagnoses and other diagnoses that require imaging should be coded together with corresponding Imaging Pxs, where we have a code for them. Coding both is not redundant because the ICD10 will only be coded for abnormal results, and we don't have CCI coding options for every kind of imaging. Coding both as appropriate will cover all the ways we are interested in this data.

Alternate CCIs to consider coding instead or in addition

Other procedure in gastrointestinal system:

Related ICD10 Codes

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CCI_Picklist CCI component 1 codes - what organ was something done to CCI component 2 codes - what was done