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

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== Additional Info ==
See also: [[List of ICD10 Diagnoses we don't code]]
See [[Reasoning around moving to CCI and our subset of it#Why do we not include the entire set of CCI codes]].
 
*Examples of procedures we have specifically considered, and decided not to code.
== Procedures collectors don't know if/how to code ==
** EKG
<!-- if you put questions in here, make sure you add the {{Discuss | who = Allan | question = <question> }} to that. -->
** 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.  


{{discussAllan|
== Procedures we have specifically considered, and decided not to code ==
Can we confirm that the following are not coded:
*Arterial Brachial Indices (ABIs)  
* chest tubes inserted and left in place (ie. therapeutic thoracentesis, not just diagnostic)
*Cardioversion or defibrillation during arrest
* paracentesis (therapeutic, not just diagnostic)
*Care of ostomies (we used to collect these)
* ECMO inserted in the unit
*Chemotherapy - but see [[Past history of chemotherapy for neoplastic disease]], [[Antineoplastic/chemotherapy or immunosuppressive drugs, adverse effect]], [[Antineoplastic/chemotherapy or immunosuppressive drugs, overdose/toxicity]]
* intubation (is on TISS)
*Continuous bladder irrigation / CBI / Kelly irrigation
* tracheostomy insertion (is on TISS)
*Cryoprecipitate
* Temp Pacemakers in the unit (is on TISS)
*Dressings -- including VAC dressings 
* [[IABP]] in the unit --[[User:LKolesar|LKolesar]] 13:59, 2018 April 20 (CDT)
*EKG
* foley - is this one that we want to leave of?
*EMG
* FMS
*Epidural insertion (epidural catheter insertion) - for any purpose including anesthesia, chemotherapy, analgesia and any others
* NG's/OG's
*Fecal management system (FMS)
* PEG insertion
*Fluoroscopy
* central line insertions (do we need to differentiate between PICCs, Vasc.caths, regular CL's, etc. They all look the same in component CCI).
*[[Foley]]
* Art lines
*Intubation - it is already coded as {{TISS w Nr | 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.
* Pulmonary Arterial Catheters (ie. Swan Ganz catheters)
*Lavage, therapeutic (abdominal washout) - if done for diagnostic reasons, code as [[Biopsy (non-endoscopic)]]/[[Biopsy (endoscopic)]]
}}
*mammogram
{{Discussion}}
*Nasogastric tube (NG)/orogastric tube (OG) - but see {{TISS w Nr | IV hyperalimentation (TISS Item)}}
should we assume because the above questions are not answered yet that we are not coding the above? It's pretty hard to practise coding the new system when we don't know what to code or how to do it.I work alone so without feedback from someone else it's hard to know what to do. Is anyone else out there having trouble knowing what to do? Does anyone out there think we need better training on this?[[User:GHall|GHall]] 08:58, 2018 June 7 (CDT)
*open chest cardiac massage <!-- confirmed with Allan 2020-07-30; decided to not include this with [[Cardioversion (EXCLUDE defibrillation-we are not tracking)]] -->
*Oxygenation - but see {{TISS w Nr | Supp O2 through any device, delivered via nose, mouth, ETT or trach (TISS Item)}}
*Phlebotomy, blood draws for lab testing
*Plain X-rays other than [[AXR (abdominal plain X-ray)]] and [[CXR (plain film)]]
*Removal of sutures or other devices, see [[(T) NOS]] for devices we DO include
*Whole body cooling (except [[Targeted Temperature Management (TTM)]])
*Whole body warming (except [[Targeted Temperature Management (TTM)]])
*fistulogram


== 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 Px|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).
 
See [[Reasoning around moving to CCI and our subset of it#Why do we not include the entire set of CCI codes]].
 
== Related articles ==
{{Related Articles}}


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

Latest revision as of 09:34, 2023 July 24

See also: List of ICD10 Diagnoses we don't code

Procedures collectors don't know if/how to code

Procedures we have specifically considered, and decided not to code

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:

  • In the Procedures, 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).

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

Related articles

Related articles: