Isolation, infectious

CCI Picklist
Procedure:	Isolation, infectious
CCI Picklist code:	7.SC.70.SA
CCI Collection Mode:	CCI collect first
Start Date:	2018-04-25
Stop Date:

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

Additional Info

Code as Acquired Procedure

• While this can be an Admit Procedure or an Acquired Procedure, it usually will be coded as an Acquired Procedure. It's counter-intuitive, but review the documentation at Acquired Procedure/Admit Procedure and it should be clear why.
• It can, on occasion be coded as both an Admit Procedure and (later in the admission) as a separate Acquired Procedure.

For EMIPs with covid suspect as part of admit dx list and already on isolation, would the isolation be considered an admit or acquired CCI? Is there a way it would not meet the definition of Admit Procedure? Are you wondering because the procedure is really more of a continuous thing, which most procedures would not be? Admit Procedure seems to define this all around the start of the record. Could you please clarify how it is not clear? Ttenbergen 21:26, 2020 November 1 (CST) I am wondering because there is no physical move to another unit in the case of EMIP and most of the time, isolation is implemented prior to medicine accept date/time Thank you, Pamela Piche 06:53, 2020 November 3 (CST). The instructions now are that an admit procedure is related to the start of the database record (Admit Procedure). Would that make it clear that this is should be used for EMIPs? If so, please clear out this discussion, of not pls elaborate. Ttenbergen 09:43, 2020 November 10 (CST)

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Definition

• This is a procedure code for a patient who is on infection isolation precautions.
• The person does NOT have to turn out to have the condition for which isolation is indicated.
  • Thus use it if a patient is put on isolation for TB, or COVID-19 even if they turn out NOT to have those infections.
  • Can also use it for somebody put on isolation prophylactically, as is the case with reverse isolation.
• It includes any/all of the following kinds of isolation protocols:
  • gloves only
  • gloves and gown
  • mask
  • negative pressure room use
  • reverse isolation -- i.e. a person at risk for getting infection (e.g. neutropenic after chemotherapy for cancer) is isolated to try and avoid them being exposed
  • cohorting the patient with other patients with the same pathogen

In the context of Colonized with organism (not infected)

• This code could be either an Admit or Acquired procedure.
  • If it qualifies for the rules of Admit Procedure then use that. If not, use Acquired Procedure.

Do not use this code for isolation for Use of Cytotoxic Agents

• This is NOT included because such isolation (e.g. keeping pregnant nurses from caring for patients getting certain teratogenic medications) is not isolating the patient.

Collecting "CCI collect first" items

• "CCI collect first" items are entered the first time they happen
• Px Date
  • if an Acquired Procedure, enter them with the Px Date of the first time they happen
  • if an Admit Procedure leave the date blank and just enter the procedure
• Px Count is always 1 for this collection mode

Px Date for patients who move

See Px Date#Moves

Alternate CCIs to consider coding instead or in addition

Other procedure in Therapeutic Procedure:

Related ICD10 Codes

Data Integrity Checks (automatic list)

none found

Data use

• Medicine report - need right link

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