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 ==
<!-- if you put questions in here, make sure you add the {{Discuss | who = Allan | question = <question> }} to that. -->
<!-- if you put questions in here, make sure you add the {{Discuss | who = Allan | question = <question> }} to that. -->
{{Discuss | who = Allan | question =
* Are tunneled central lines (insertion of dialysis catheters) supposed to be coded?
*AG REPLY --- we're re-considering this, and all CVCs}}


== Procedures we have specifically considered, and decided not to code ==  
== Procedures we have specifically considered, and decided not to code ==  
* Arterial Brachial Indices (ABIs)  
*Arterial Brachial Indices (ABIs)  
* Cryoprecipitate
*Cardioversion or defibrillation during arrest
* Dressings (incl VAC dressings)
*Care of ostomies (we used to collect these)
* EKG  
*Chemotherapy - but see [[Past history of chemotherapy for neoplastic disease]], [[Antineoplastic/chemotherapy or immunosuppressive drugs, adverse effect]], [[Antineoplastic/chemotherapy or immunosuppressive drugs, overdose/toxicity]]
* Fecal management system (FMS)
*Continuous bladder irrigation / CBI / Kelly irrigation
* Fluoroscopy (might be captured as xray or CT if we collect the relevant area and modality)
*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
* Suture removal
*Fecal management system (FMS)
* Plain X-rays other than [[AXR (abdominal plain X-ray)]] and [[CXR (plain film)]]
*Fluoroscopy
 
*[[Foley]]
{{Discuss | who = Allan | question = 
*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.  
* Art lines
*Lavage, therapeutic (abdominal washout) - if done for diagnostic reasons, code as [[Biopsy (non-endoscopic)]]/[[Biopsy (endoscopic)]]
* [[Central Line]] insertions ---------------- ??
*mammogram
* Pulmonary Arterial Catheters (ie. Swan Ganz catheters) ---------------- ??
*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)]] -->
*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 ==
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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: