List of CCI procedures we don't code

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Revision as of 21:42, 2018 November 8 by Ttenbergen (talk | contribs) (Text replacement - "Abdominal plain X-ray (AXR)" to "AXR (abdominal plain X-ray)")
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See also: List of ICD10 Diagnoses we don't code

Procedures collectors don't know if/how to code

  • Are tunneled central lines (insertion of dialysis catheters) supposed to be coded?
  • SMW


  • Cargo


  • Categories

Procedures we have specifically considered, and decided not to code

  • Arterial Brachial Indices (ABIs)
  • Art lines
  • Central Line insertions
  • cryoprecipitate
  • Dressings (incl VAC dressings)
  • EKG
  • Fecal management system (FMS)
  • Fluoroscopy (might be captured as xray or CT if we collect the relevant area and modality)
  • Foley
  • 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.
  • nasogastric tube (NG)/orogastric tube (OG)
  • Oxygenation
  • Pulmonary Arterial Catheters (ie. Swan Ganz catheters)
  • suture removal
  • Xrays other than AXR (abdominal plain X-ray), CXR plain film
  • 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. --LKolesar 13:45, 2018 June 22
  • SMW


  • Cargo


  • Categories

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.