This procedure is a part of CCI Collection via CCI Picklist.
- This code is for a DIAGNOSTIC cardiac cath, done in the cath lab (or very rarely in an angio suite)
- A CT angiogram, or MRI angiogram is not included in this code.
- If a dilation procedure is done at the same time, then don't code the diagnostic part (this code) and instead code one of:
- If the patient has a diagnostic cardiac cath and THEN goes to the OR for a CABG, then you SHOULD code this diagnostic cath, and (of course) the surgical procedure too.
I recall discussing this in TASK a while ago and I remember that we were talking about now coding both the diagnostic Angiogram, coronary (diagnostic cardiac catheterization) and therapeutic Angioplasty, coronary (with stenting) if both were done. I just want to make sure that we have the correct instructions here. --Jvelasco 12:24, 2019 April 17 (CDT)
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 angiogram:
|Other procedure in cardiac:
| ||Has CCI Picklist Code||Has CCI 1 Code||Has CCI 2 Code|
|(T) Aortic Valve, Related Structures||1.HV|
|(T) Cardiac Atrium||1.HM|
|(T) Cardiac Conduction System||1.HH|
|(T) Cardiac ventricle||1.HP|
|(T) Coronary Arteries||1.IJ|
|(T) Coronary Vessels, NOS||1.IL|
|(T) Heart, NOS||1.HZ|
|(T) Interatrial Septum||1.HN|
|(T) Interventricular Septum||1.HR|
|(T) Mitral Valve, Related Structures||1.HU|
|(T) Other or Unknown Part of Body||1.^^|
|(T) Pulmonic Valve, Related Structures||1.HT|
|(T) Total Body||1.ZZ|
|(T) Tricuspid Valve, Related Structures||1.HS|
|Angiogram, aortic (any part of aorta)||3.ID.10.V^|
|Angiogram, artery NOS (except specifically coded)||3.KV.10.VX|
|Angiogram, pulmonary artery (pulmonary arteriogram)||3.IM.10.V^|
|Angioplasty, coronary (with stenting)||1.IJ.50.GQ-OA|
|Angioplasty, coronary (without stenting)||1.IJ.50.GQ-BD|
|Cardiac CT or Cardiac CT angiogram (with or without coronary arteries)||3.IP.20|
|Cardiac electrophysiology study||2.HZ.24.GP-KM|
|Cardiac nuclear scan (e.g. MUGA)||3.IP.70|
|Cardiac stress test (any kind)||2.HZ.08|
|Cardioversion (EXCLUDE defibrillation-we are not tracking)||1.HZ.09|
|ECHO (echocardiogram of heart)||3.IP.30|
|Right heart catheterization, in cardiac cath lab||2.HZ.28.GP-PL|
|Other procedure in Imaging Procedure:
Related ICD10 Codes
- Angiogram (← links)
- Task Team Meeting - Rolling Agenda and Minutes 2018 (← links)
- CCI Collection (← links)
- CCMDB.mdb Change Log 2018 (← links)
- Imaging Px (← links)
- CCI Category (← links)
- CCI Picklist (← links)
- ECHO (echocardiogram of heart) (← links)
- Angiogram, artery NOS (except specifically coded) (← links)
- Cardiac CT or Cardiac CT angiogram (with or without coronary arteries) (← links)
- CT of chest with PE protocol (CT angiogram of pulmonary vessels) (← links)
- Angiogram, cerebral (including vertebral arteries) (← links)
- Cardiac nuclear scan (e.g. MUGA) (← links)
- CXR (plain film) (← links)
- Angiogram, aortic (any part of aorta) (← links)
- AXR (abdominal plain X-ray) (← links)
- Cardiac MRI (← links)
- Angiogram, vein (← links)
- Angiogram, pulmonary artery (pulmonary arteriogram) (← links)
- (T) Total Body (← links)
- (T) Coronary Arteries (← links)
- (T) Interatrial Septum (← links)
- (I) Arm (← links)
- (T) Other Vessels of Head, Neck, Spine, NOS (← links)
- (D) Arm Vessels (← links)
- (I) Total Body (← links)
- (D) Intrathoracic Lymph Nodes, NOS (← links)
- (T) Thoracic Aorta (← links)
- (T) Pulmonic Valve, Related Structures (← links)
- (T) Arm, NOS (← links)
- (D) Intraabdominal, Pelvic, Inguinal Lymph Nodes (← links)
- (T) Vessels of Pelvis, Perineum, Gluteal Region (← links)
- (T) Heart, NOS (← links)
- (T) Interventricular Septum (← links)
- (T) Lymph Nodes of Extremity (← links)
- (T) Artery with Vein, NOS (← links)
- (T) Blood Vessels, NOS (← links)
- (T) Mitral Valve, Related Structures (← links)
- (D) Ear, NOS (← links)
- (D) Cervical Lymph Node, Neck Region NOS (← links)
- (D) Leg, NOS (← links)
- (T) Abdominal Aorta (← links)
- (D) Bronchi (← links)
- (T) Artery, NOS (← links)
- (T) Abdominal Arteries, NOS (← links)
- (D) Esophagus (← links)
- (T) Tricuspid Valve, Related Structures (← links)
- (T) Cardiac Conduction System (← links)
- (T) Vein, NOS (← links)
- (T) Aortic Valve, Related Structures (← links)