List of CCI procedures we don't code: Difference between revisions

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m (They are not examples, they are a list of things we have specifically decided on.)
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See [[Reasoning around moving to CCI and our subset of it#Why do we not include the entire set of CCI codes]].
See [[Reasoning around moving to CCI and our subset of it#Why do we not include the entire set of CCI codes]].


*Procedures we have specifically considered, and decided not to code.
Procedures we have specifically considered, and decided not to code:
** EKG  
* EKG  
** Xrays other than [[Abdominal plain X-ray (AXR)]], [[CXR plain film]]
* Xrays other than [[Abdominal plain X-ray (AXR)]], [[CXR plain film]]
** Dressings (incl VAC dressings)
* Dressings (incl VAC dressings)
** Oxygenation
* Oxygenation
** intubation - it is already coded as [[Insertion of ETT (TISS Item)]] for ICU and not done on the ward (without patient leaving to ICU), so it was decided not to code this.  
* intubation - it is already coded as [[Insertion of ETT (TISS Item)]] for ICU and not done on the ward (without patient leaving to ICU), so it was decided not to code this.  
** chest tubes inserted and left in place (ie. therapeutic thoracentesis, not just diagnostic)
* chest tubes inserted and left in place (ie. therapeutic thoracentesis, not just diagnostic)
** tracheostomy insertion (is on TISS)
* tracheostomy insertion (is on TISS)
** Temp Pacemakers in the unit (is on TISS)
* Temp Pacemakers in the unit (is on TISS)
** Foley
* Foley
** nasogastric tube (NG)/orogastric tube (OG)
* nasogastric tube (NG)/orogastric tube (OG)
** suture removal
* suture removal
** [[Central Line]] insertions  
* [[Central Line]] insertions  
** Art lines
* Art lines
** Pulmonary Arterial Catheters (ie. Swan Ganz catheters)
* Pulmonary Arterial Catheters (ie. Swan Ganz catheters)
** Fecal management system (FMS)
* Fecal management system (FMS)


== Background ==
== Background ==
*We don't code all procedures. A procedure that is not either: (a) on the picklist, or (b) able to be constructed from it's components [e.g. a body part, and what was done to that body part] --- then we're not looking to code it.
We don't code all procedures. If a procedure is not either: (a) on the picklist, or (b) able to be constructed from it's components (e.g. a body part, and what was done to that body part) then we're not looking to code it.
*The main issue here is that among the lists "what was done", we haven't included EVERY possibility.  
 
**For example, in the Imaging Procedures, besides some plain X-rays contained in that picklist, the "what type of imaging study was done" does NOT include plain x-rays. Thus we're not enabling creation of a plain X-ray of other body part other than those contained in the picklist.
The main issue here is that among the [[CCI component 2 codes - what was done]], we haven't included EVERY possibility.  
**Similarly, for the Therapeutic Procedures, there is a list of approximately 30 items of "what was done" to the chosen body part. So some items of "what was done" are not available and you won't be able to code such procedures.   
 
***'''BUT, before you decide this is the case, you will need to become very familiar with the descriptions of EACH of the "what was done" items that ARE available'''. For example the item '''[[Bypass]]''' includes creating a ostomy (which includes a colostomy and even a tracheostomy).
Examples:
****See '''[[CCI component 2 codes - what was done]]'''
* In the [[Imaging Procedure]]s, besides some plain X-rays contained in the [[CCI Picklist]], the [[CCI component 2 codes - what was done]] does NOT include plain x-rays. Thus we're not enabling creation of a plain X-ray of body parts other than those contained in the picklist.
* For the Therapeutic Procedures, there is a list of approximately 30 [[CCI component 2 codes - what was done]] to the chosen body part. So some items of "what was done" are not available and you won't be able to code such procedures.   
 
'''BUT, before you decide this is the case, you will need to become very familiar with the descriptions of EACH of the [[CCI component 2 codes - what was done]] that ARE available'''. Some will include items you would not expect. '''
Example: The item '''[[Bypass]]''' includes creating a ostomy (which includes a colostomy and even a tracheostomy).
 
   
   


[[Category: CCI | *]]
[[Category: CCI | *]]
[[Category: CCI Procedure| *]]
[[Category: CCI Procedure| *]]

Revision as of 16:37, 2018 June 20

Additional Info

See Reasoning around moving to CCI and our subset of it#Why do we not include the entire set of CCI codes.

Procedures we have specifically considered, and decided not to code:

  • EKG
  • Xrays other than Abdominal plain X-ray (AXR), CXR plain film
  • Dressings (incl VAC dressings)
  • Oxygenation
  • intubation - it is already coded as Insertion of ETT (TISS Item) for ICU and not done on the ward (without patient leaving to ICU), so it was decided not to code this.
  • chest tubes inserted and left in place (ie. therapeutic thoracentesis, not just diagnostic)
  • tracheostomy insertion (is on TISS)
  • Temp Pacemakers in the unit (is on TISS)
  • Foley
  • nasogastric tube (NG)/orogastric tube (OG)
  • suture removal
  • Central Line insertions
  • Art lines
  • Pulmonary Arterial Catheters (ie. Swan Ganz catheters)
  • Fecal management system (FMS)

Background

We don't code all procedures. If a procedure is not either: (a) on the picklist, or (b) able to be constructed from it's components (e.g. a body part, and what was done to that body part) then we're not looking to code it.

The main issue here is that among the CCI component 2 codes - what was done, we haven't included EVERY possibility.

Examples:

BUT, before you decide this is the case, you will need to become very familiar with the descriptions of EACH of the CCI component 2 codes - what was done that ARE available. Some will include items you would not expect. Example: The item Bypass includes creating a ostomy (which includes a colostomy and even a tracheostomy).

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