List of CCI procedures we don't code
See also: List of ICD10 Diagnoses we don't code
Procedures collectors don't know if/how to code
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Ie. Back slab applied for broken metatarsal bones: (T) Bone, NOS (CCI 1) and (T) NOS ? Or use fixation (CCI 2)? Or?
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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 thoracentesis)
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- Temp Pacemakers in the unit (is on TISS)
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- 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)
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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. --LKolesar 13:43, 2018 July 5 (CDT) |
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 Imaging 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).