Interventions

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Interventions

• HS317b - Coding Classification of Health
  Information

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Intervention

• A service performed for or on behalf of a client
  whose purpose is to improve health, to alter or
  diagnose the course of a disease (health
  condition) or to promote wellness.
• Therapeutic, Diagnostic, Obstetrical and Fetal,
  Other interventions

3
Therapeutic Interventions

• Purpose to improve health, alter the course of
  a disease or health condition, or to promote
  wellness.
• While a therapeutic intervention may contain a
  diagnostic component, the primary intent of the
  intervention is to alleviate or treat the
  underlying disease or health condition.

4
Diagnostic Intervention

• A service performed for or on behalf of a client
  whose basic purpose is to assess the presence,
  absence or status of a disease process or health
  condition.

5
Obstetrical Fetal Interventions

• A service performed for or on behalf of a
  pregnant client which pertains solely to the
  pregnancy or to the fetus.
• These codes have been separated from other
  diagnostic and therapeutic interventions.

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Structure of the CCI Code1 .AN.87.SE-AZ

• 1.AN.87.SE-AZ Excision partial, brain, burr hole
  technique for access, with ultrasonic aspirator
  e.g. CUSA
• The structure of the fields is the same for all
  sections of CCI but the meanings of field 2,4 and
  5 may change slightly to remain relevant.

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Structure of the CCI Code1 .AN.87.SE-AZ

• 1 refers to sections (field1)
• 1 Physical/Physiological Therapeutic
  Interventions
• 2 Diagnostic Interventions
• 3 Diagnostic Imagining Interventions
• 4 Clinical Laboratory Investigation
• 5 Obstetrical and Fetal Interventions
• 6 Cognitive, Psychosocial and Sensory
  Therapeutic Interventions
• 7 Other Healthcare Interventions

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1. AN .87.SE -AZ

• AN refers to the anatomy site (field 2)
• AN Brain
• 87 refers to the intervention (field 3)
• Partial Excision
• (As a general rule of thumb, all interventions in
  section 1 of CCI that have a generic intervention
  number of 50 or higher, should be coded in
  acute care facilities)
• SE refers to the approach/technique (field 4)
• Burr hole approach

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1 .AN.87.SE- AZ

• AZ refers to device used (field 5)
• Ultrasonic aspirator
• Sometimes CCI codes have another grouping of
  letters (field 6). This refers to the tissue
  used (e.g. grafts, flaps)

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Attributes

• Attributes are separate data elements from the
  CCI code.
• Their function is to provide extra detail about
  the intervention (or the episode of the
  intervention) that may be useful.
• Types of attributes status, location, mode of
  delivery, extent
• Attributes that are pink are mandatory for
  certain scenarios

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What procedures to code?

• As a general rule of thumb, all interventions in
  section 1 of CCI that have a generic intervention
  number of 50 or higher, should be coded in
  acute care facilities
• In section 5 interventions with a number greater
  than 45.
• Mandatory Interventions like cardiopulmonary
  bypass, ventilation of respiratory system greater
  than 96 hours, Induction of labour

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Note rules in Coding Standards

• Abandoned interventions
• Change of plans during an intervention
• Converted interventions
• Failed interventions
• Revised interventions
• Endoscopic interventions
• Diagnostic Imaging interventions