Angiogram, artery NOS (except specifically coded)

CCI Picklist
Procedure:	Angiogram, artery NOS (except specifically coded)
CCI Picklist code:	3.KV.10.VX
CCI Collection Mode:	CCI collect each
Start Date:
Stop Date:

This procedure is a part of CCI Collection via CCI Picklist.

Additional Info

• This is for formal DIAGNOSTIC angiogram done by invasive radiology in the angio suite, or cardiology in the cath lab.
• A CT angiogram, or MRI angiogram is not included in this code.
• This is a "wastebasket code" that covers angiograms for vessels not included in one of the more specific angiogram codes, i.e:
  • Angiogram, aortic (any part of aorta)
  • Angiogram, pulmonary artery (pulmonary arteriogram)
  • Angiogram, coronary (diagnostic cardiac catheterization)
  • Angiogram, cerebral (including vertebral arteries)

The Angiogram CCI codes are ALL for diagnostic procedures, not therapeutic ones.

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

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 angiogram:

Has CCI Picklist Code Has CCI 1 Code Has CCI 2 Code Angiogram, aortic (any part of aorta) 3.ID.10.V^ Angiogram, cerebral (including vertebral arteries) 3.JM.10.V^ Angiogram, coronary (diagnostic cardiac catheterization) 3.IP.10.V^ Angiogram, pulmonary artery (pulmonary arteriogram) 3.IM.10.V^ Angiogram, vein 3.KX.10.VC CT of chest with PE protocol (CT angiogram of pulmonary vessels) 3.JY.20 Cardiac CT or Cardiac CT angiogram (with or without coronary arteries) 3.IP.20 TIPS (transjugular intrahepatic portosystemic shunt) 1.KQ.76.GP-NR

Other procedure in vessel:

Has CCI Picklist Code Has CCI 1 Code Has CCI 2 Code (D) Anything Inside Thoracic Cavity, NOS 2.GY (D) Arm Vessels 2.JZ (D) Arm, NOS 2.TZ (D) Axillary Lymph Nodes 2.MD (D) Bronchi 2.GM (D) Cervical Lymph Node, Neck Region NOS 2.MC (D) Ear, NOS 2.DZ (D) Esophagus 2.NA (D) Gallbladder or bile ducts 2.OD (D) Heart, NOS 2.HZ (D) Intraabdominal, Pelvic, Inguinal Lymph Nodes 2.MG (D) Intrathoracic Lymph Nodes, NOS 2.MF (D) Leg, NOS 2.VZ (D) Lymphatic System, NOS 2.MZ (D) Vessels of Pelvis, Perineum and Gluteal Region 2.KT (D) other Vessels of Head, Neck, Spine 2.JX (I) Total Body 3.ZZ (T) Abdominal Aorta 1.KA (T) Abdominal Arteries, NOS 1.KE (T) Aorta, NOS 1.ID (T) Aortic Valve, Related Structures 1.HV (T) Arm, NOS 1.TZ (T) Arteries of Leg, NOS 1.KG (T) Artery with Vein, NOS 1.KY (T) Artery, NOS 1.KV (T) Axillary Lymph Nodes 1.MD (T) Blood Vessels, NOS 1.KZ (T) Bronchi 1.GM (T) Cardiac Atrium 1.HM (T) Carotid Artery 1.JE (T) Circulatory System, NOS 1.LZ (T) Coronary Arteries 1.IJ (T) Coronary Vessels, NOS 1.IL (T) Gallbladder, Bile Ducts 1.OD (T) Heart, NOS 1.HZ (T) Humerus, Radius, Ulna 1.TK (T) Interatrial Septum 1.HN (T) Interventricular Septum 1.HR (T) Intracranial Vessels 1.JW (T) Jugular, Subclavian, Arm veins 1.JU (T) Lymph Nodes of Extremity 1.MK (T) Lymphatic System, NOS 1.MZ (T) Other Vessels of Head, Neck, Spine, NOS 1.JX (T) Other or Unknown Part of Body 1.^^ (T) Pulmonary Artery 1.IM (T) Pulmonary Vein 1.IN (T) Pulmonic Valve, Related Structures 1.HT (T) Subclavian, Brachiocephalic, Brachial, Arm Arteries 1.JM (T) Thoracic Aorta 1.IC (T) Thoracic Vessels, NOS 1.JY (T) Total Body 1.ZZ (T) Vein, NOS 1.KX (T) Veins of Abdomen, Legs 1.KR (T) Vena Cava 1.IS (T) Vessels of Pelvis, Perineum, Gluteal Region 1.KT Angiogram, aortic (any part of aorta) 3.ID.10.V^ Angiogram, cerebral (including vertebral arteries) 3.JM.10.V^ Angiogram, coronary (diagnostic cardiac catheterization) 3.IP.10.V^ Angiogram, pulmonary artery (pulmonary arteriogram) 3.IM.10.V^ Angiogram, vein 3.KX.10.VC Angioplasty, coronary (with stenting) 1.IJ.50.GQ-OA Angioplasty, coronary (without stenting) 1.IJ.50.GQ-BD TIPS (transjugular intrahepatic portosystemic shunt) 1.KQ.76.GP-NR

Other procedure in Imaging Procedure:

Related ICD10 Codes

Data Integrity Checks (automatic list)

	App	Status
Query check CCI each count vs LOS	CCMDB.accdb	needs review

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