Nuclear Imaging

From CCMDB Wiki
CCI component 2 codes - what was done
Procedure: Nuclear Imaging
CCI 2 code: 70i
CCI Collection Mode: CCI collect each

This procedure is a part of CCI Collection. This is one of the CCI component 2 codes - what was done.

Additional Info

Collecting "CCI collect each" items

  • "CCI collect each" items are entered each time they happen
  • If they happen more than once on a day, enter the number of times as Px Count for that day, otherwise enter a Px Count of 1

Code only if done by Radiology or Cardiology

  • Code diagnostic imaging procedures only if performed by Radiology or Cardiology for which there is an order.
    • Examples: a bedside echo done by a cardiology tech should be coded, but a bedside echo done by the ICU fellow should not be coded. An echo done informally by the cardiology team (i.e. informal in that no actual order was put in for it) should not be coded.

Multiple Views or Sequences at one sitting

  • When a single imaging modality is used to look at a single body segment, then this is counted as ONE imaging study, even if during that study there are multiple views, or sequences, etc.
    • e.g. if a AXR (abdominal plain X-ray) or CXR (plain film) film comprises multiple views/films done at one sitting, only count it as ONE.
    • e.g. if an MRI is done and several different sequences are done of the same body part, that counts as ONE.
    • e.g. if a cardiac echo is done and they do both 2-D, M-mode, Doppler, and contrast-enhanced, this counts as ONE.
    • these examples hold for all types of imaging procedures, as long as they're of the same body part.

Guideline about Coding CCI vs ICD10 imaging codes

  • There are a set of "imaging codes" in ICD10, but these are not to code that an imaging test was performed, but to code that a result was abnormal --- and like all the ICD10 codes for abnormal symptoms or signs or test results, they are mainly to be used when the actual diagnosis CAUSING the abnormal findings is not known.

ICD10 Imaging diagnoses and other diagnoses that require imaging should be coded together with corresponding Imaging Pxs, where we have a code for them. Coding both is not redundant because the ICD10 will only be coded for abnormal results, and we don't have CCI coding options for every kind of imaging. Coding both as appropriate will cover all the ways we are interested in this data.=== Non-standard CCI code === This is a non-standard CCI Procedure. Added an "i" for imaging to distinguish from the other 70 codes Inspection, Exploration (non-endoscopic)/Inspection, Exploration (endoscopic).


Alternate CCIs to consider coding instead or in addition

Other procedure in Imaging Px:
 Has CCI Picklist CodeHas CCI 1 CodeHas CCI 2 Code
(I) Abdomen, Pelvis3.OT
(I) Arm3.TZ
(I) Digestive System, NOS3.OZ
(I) Head3.ER
(I) Leg3.VZ
(I) Neck3.FY
(I) Spinal Cord and/or Vertebrae (any segments)3.AW
(I) Thorax3.GY
(I) Total Body3.ZZ
AXR (abdominal plain X-ray)3.OT.10.VA
Angiogram, aortic (any part of aorta)3.ID.10.V^
Angiogram, artery NOS (except specifically coded)3.KV.10.VX
Angiogram, cerebral (including vertebral arteries)3.JM.10.V^
Angiogram, coronary (diagnostic cardiac catheterization)3.IP.10.V^
Angiogram, pulmonary artery (pulmonary arteriogram)3.IM.10.V^
Angiogram, vein3.KX.10.VC
CT of chest with PE protocol (CT angiogram of pulmonary vessels)3.JY.20
CXR (plain film)3.GY.10.VA
Cardiac CT or Cardiac CT angiogram (with or without coronary arteries)3.IP.20
Cardiac MRI3.IP.40
Cardiac nuclear scan (e.g. MUGA)3.IP.70
Computerized Tomography (CT)20
ECHO (echocardiogram of heart)3.IP.30
MRI40
Ultrasound30

Related ICD10 Codes

(enter links to ICD10 codes that would likely go with this CCI procedure, but only in case of close relation, ie not every dx that might require this procedure)

Related Articles

Related articles:


CCI_Picklist CCI component 1 codes - what organ was something done to CCI component 2 codes - what was done