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

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== Procedures collectors don't know if/how to code ==
== Procedures collectors don't know if/how to code ==
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{{Discuss | who = Allan | question =
* Are casts, back slabs, walking casts, splints, and/or slings to be coded in CCI?
Ie. Back slab applied for broken metatarsal bones:  [[(T) Bone, NOS]] (CCI 1) and [[(T) NOS]] ?  Or use [[fixation]] (CCI 2)?  Or?
**[[(T) NOS]] is a CCI1 code, so it would not be that... }}


== Procedures we have specifically considered, and decided not to code ==  
== Procedures we have specifically considered, and decided not to code ==  
* Art lines
*Arterial Brachial Indices (ABIs)
* [[Central Line]] insertions
*Cardioversion or defibrillation during arrest
* cryoprecipitate
*Care of ostomies (we used to collect these)
* Dressings (incl VAC dressings)
*Chemotherapy - but see [[Past history of chemotherapy for neoplastic disease]], [[Antineoplastic/chemotherapy or immunosuppressive drugs, adverse effect]], [[Antineoplastic/chemotherapy or immunosuppressive drugs, overdose/toxicity]]
* EKG  
*Continuous bladder irrigation / CBI / Kelly irrigation
* Fecal management system (FMS)
*Cryoprecipitate
* Foley
*Dressings -- including VAC dressings
* 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.  
*EKG  
* nasogastric tube (NG)/orogastric tube (OG)
*EMG
* Oxygenation
*Epidural insertion (epidural catheter insertion) - for any purpose including anesthesia, chemotherapy, analgesia and any others
* Pulmonary Arterial Catheters (ie. Swan Ganz catheters)
*Fecal management system (FMS)
* suture removal
*Fluoroscopy
* Xrays other than [[Abdominal plain X-ray (AXR)]], [[CXR plain film]]
*[[Foley]]
 
*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.  
* chest tubes inserted and left in place (ie. therapeutic thoracentesis, not just [[Diagnostic thoracentesis]])
*Lavage, therapeutic (abdominal washout) - if done for diagnostic reasons, code as [[Biopsy (non-endoscopic)]]/[[Biopsy (endoscopic)]]
{{Discuss | who = Allan | question =
*mammogram
* things we don't code list - So if a thoracentesis is done and no chest tube is left in place, then we code this? OR you don't want any thoracentesis with or without a tube for any reason (diagnostic or therapeutic)??  Please clarify this item. --[[User:LKolesar|LKolesar]] 13:45, 2018 June 22}}
*Nasogastric tube (NG)/orogastric tube (OG) - but see {{TISS w Nr | IV hyperalimentation (TISS Item)}}
 
*open chest cardiac massage <!-- confirmed with Allan 2020-07-30; decided to not include this with [[Cardioversion (EXCLUDE defibrillation-we are not tracking)]] -->
* Temp Pacemakers in the unit (is on TISS)
*Oxygenation - but see {{TISS w Nr | Supp O2 through any device, delivered via nose, mouth, ETT or trach (TISS Item)}}
{{Discuss | who = Allan | question =
*Phlebotomy, blood draws for lab testing
* Temp Pacemakers - you do not want us to code pacemakers but in the collection instructions you have pacemaker insertions on the picklist ([[Pacemaker insertion, temporary]]) as putting in once per stay only.  Please clarify.--[[User:LKolesar|LKolesar]] 13:43, 2018 July 5 (CDT)}}
*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
{{Discuss | who = Allan | question =
*Whole body cooling (except [[Targeted Temperature Management (TTM)]])
* Are ABI's (Arterial Brachial Indices) coded? If so, how to code? [[User:Ppiche|Pamela Piche]] 10:47, 2018 July 30 (CDT)
*Whole body warming (except [[Targeted Temperature Management (TTM)]])
*AG REPLY --- NO!}}
*fistulogram
 
{{Discuss | who = Allan | question =
* Are tunneled central lines (insertion of dialysis catheters) supposed to be coded?}}
 
{{Discuss | who = Allan | question =
* I see that the reason for not coding some of the  above procedures is because it is on the TISS.  I should point out that some of the items on the pick list are also on the tiss (CRRT, hemodialysis, isolation, peritoneal dialysis, TPN, cardioversions are examples)
Just want to be sure of consistency in these decisions.  There is also a case for including procedures in CCI even if they are on the tiss for the purpose of medicine collection where there is no tiss and also the fact that many things get missed on the tiss.  Pagasa often sends out queries when a code is used but it is missed on the tiss.  Just want to ensure we are considering all issues here.  --[[User:LKolesar|LKolesar]] 13:43, 2018 July 5 (CDT)}}


== Background ==
== Background ==
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Examples:  
Examples:  
* 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.
* 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.   
* 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.   


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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]].
== 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: