Difference between revisions of "Bypass"

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m (→‎Additional Info: use Tracheostomy creation for tracheostomy creation, not bypass)
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*This is a much broader item than it seems as it includes:  
 
*This is a much broader item than it seems as it includes:  
**Forming an ostomy anywhere -- e.g. colostomy,
+
**Forming an ostomy anywhere -- e.g. colostomy,{{Discuss|Nephrostomy? }}
 
**Vascular bypass or A-V connection -- so for example it includes:  
 
**Vascular bypass or A-V connection -- so for example it includes:  
 
*** CABG
 
*** CABG

Revision as of 09:22, 2020 January 16

CCI component 2 codes - what was done
Procedure: Bypass
CCI 2 code: 76
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

  • This is a much broader item than it seems as it includes:
    • Forming an ostomy anywhere -- e.g. colostomy,
Interro-01.gif

Nephrostomy?

  • SMW


  • Cargo


  • Categories
    • Vascular bypass or A-V connection -- so for example it includes:
      • CABG
      • aorto-femoral or femoral-popliteal bypass
      • TIPS (Transjugular Intraheptatic Porto systemic Stent)
      • portocaval shunt
      • splenorenal shunt
      • making an A-V fistula for hemodialysis
      • Thoracic endovascular aneurysm repair (TEVAR)
      • etc.

Vascular graft guideline

Keywords for different kinds of bypasses so this can be found when searching: Axillofemoral bypass grafting / ax-fem bypass / axillobifemoral bypass, fem-tib bypass, fem-pop bypass, aorto-bi-iliac bypass, aorto-biiliac bypass, aorto-fem bypass

Harvesting for the graft

If they take a vessel from elsewhere (often a vein) to do the bypass, then you can also code the harvest by combining the appropriate Therapeutic Px from Category:Vessel with Procure, Harvest, Obtain for Further Use. Obviously if they use a dacron graft, then there'll be no harvesting.

Placing the graft

Code:

  • the CCI1 code for the target (bypassed) vessel at which the bypass ends, not the origin vessel from which the bypass (and blood flow) begins.
  • the CCI2 code Bypass / Repair as appropriate

Procedures done to a graft at a later time

Procedures performed on vascular grafts (either synthetic grafts or vessels harvested from elsewhere for use) are coded just as you would if the same thing was done to the native vessel.

When something is being done to a graft that's already in place, the "body part" of the CCI component code isn't the graft but rather is the native vessel that was there before grafting.

Example:   
Femoral artery dacron graft gets infected and is replaced.  The ICD10 diagnosis code would be Iatrogenic, infection, internal prosthetic device or implant or graft NOS, and the CCI code components would be (T) Arteries of Leg, NOS with Repair

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== Alternate CCIs to consider coding instead or in addition ==
  • CCI component 2 codes - what was done

Related ICD10 Codes

Possibly any one in Category:Myocardial Infarction

Related Articles

Related articles:


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