Appendix B

APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
What is CCI and are there profession-specific intervention codes?
The Canadian Classification of Health Interventions, referred to as CCI, was developed by the
Canadian Institute for Health Information (CIHI). It is a comprehensive list of codes for
diagnostic, therapeutic, and support interventions.
Are there different codes for different professions?
No. One of the key features of the classification is its provider and setting neutrality. The same
codes are applicable regardless of whether a doctor, a nurse or a therapist performs the
interventions, or whether the intervention is performed in a hospital, a clinic, a doctor’s office
or in the home.
CCI and HCAI
HCAI will only recognize valid CCI codes and on June 1, 2015, those codes will reflect the 2015
version of CCIError! Bookmark not defined.. In many cases it will be important for users of HCAI to learn
how to use the HCAI search code utility to locate valid CCI codes. Without valid CCI codes,
HCAI users will be unable to submit forms to automobile insurers.
CCI Code Structure
Section (position 1)
The Section Code represents the broad category or type of intervention. It allows you to
quickly differentiate between assessments, treatments (both physical and non-physical) and
other healthcare services.
Section Code
Section Description
1
Therapeutic interventions(Physical/Physiological)
2
Diagnostic interventions (Assessments, Tests)
3
Diagnostic imaging
6
Therapeutic (Cognitive, Psychosocial, Sensory)
7
Other (Healthcare, Services, Support)
Group (position 2-3)
The Group Code indicates what was affected.

For those interventions related to physical anatomy (Section Codes 1, 2, and 3), the group
code represents the body region or body part affected.

For cognitive, psychosocial, sensory interventions, and other health care services (Section
Codes 6 and 7), the group code indicates the specific skill, sense, or activity involved in the
intervention.
Intervention (position 4-5)
The Intervention Code indicates what was done. A unique set of intervention codes exists for
each Section Code. These first 5 positions form the base CCI code and are mandatory
Appendix B
Page 1
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Approach/Technique/Reason (position 6-7)
The Technique or Reason Code indicates how or why the intervention was done. Generally,
this level of detail is not required for automobile insurers.
Exceptions include the following:
7.SE.02.AB Assessment of environment (private living space, includes: Home assessment)
7.SE.02.AW Assessment of environment (workplace, includes: Ergonomic and Workplace
assessments)
7.SJ.30.LB
Documentation, support activity (for claim form)
Attributes
In addition to the CCI code, healthcare services can be further specified with Attribute Codes.
These codes are used to indicate how the service was delivered or the number of views in an
X-ray study.
The absence of attribute codes means that a service was rendered directly (“in person”), to one
individual by an individual provider, and required continuous attendance. Any exceptions to
this must include the valid attribute code. Refer to tables below to determine which attribute
codes apply to specific interventions. In many cases where one provider is in attendance with
one patient, there is no attribute code required.
For Section 1 only, the following additional Attribute Codes apply:
Code
IA*
Description
Intermittent Attendance
For Section 1, 6, and 7, the following Attribute Codes apply:
Code
Description
IN
Indirect (e.g. telephone)
SD
Self-directed (e.g. using tapes, videos)
IM
Individual with more than one provider
GR
Group with one provider
GS
Group with more than one provider
For Section 3, the following Attribute Codes apply:
Code
Description
A
2 or less views
B
3 to 4 views
C
5 to 6 views
D
More than 6 views
Appendix B
Page 2
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Attributes for Spinal X-Rays (Required for OCF 23)
Max Fee Payable
CCI Code
Attribute
2 or fewer views
3SC10
CXA
36.80
3-4 views
3SC10
CXB
43.91
5-6 views
More than 6 views
3SC10
3SC10
CXC
CXD
50.19
59.22
2 or fewer views
3SC10
THA
34.34
3-4 views
3SC10
THB
45.20
2 or fewer views
3-4 views
3SC10
3SC10
LBA
LBB
36.80
43.91
5-6 views
3SC10
LBC
50.19
More than 6 views
3SC10
LBD
59.22
2 or fewer views
3SC10
LSA
36.80
3-4 views
5-6 views
3SC10
3SC10
LSB
LSC
43.91
50.19
More than 6 views
3SC10
LSD
59.22
(Feb 1, 2014)
Cervical Spine
Thoracic Spine
Lumbar Spine
Lumbosacral
Spine
Appendix B
Page 3
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Appendix B – Examples of CCI Codes
An alphabetic listing of interventions begins on Page 7
Section 1 – Examples of Physical/Physiological Therapeutic Interventions
Physical/Physiological Therapeutic Intervention codes always start with a ‘1’.
Code
Total
Body
Multiple
Body
Sites
Ankle
Joint
Muscles of
Head and
Neck
Hip Joint
Shoulder
Joint
Spinal
Vertebrae
Wrist
Joint
ZZ
ZX
WA
EP
VA
TA
SC
UB
Attribute*
IM-Individual >1 provider
Exercise
02
1.ZX.02
1.WA.02
1.VA.02
1.TA.02
1.SC.02
1.UB.02
GR-Group – 1 provider
GS*-Group >1 provider
Immobilization
03
1.ZZ.03
1.WA.03
Mobilization
04
1.ZX.04
1.WA.04
Manipulation
05
1.ZX.05
1.WA.05
Hypothermy
06
1.ZX.06
Hyperthermy
07
1.ZX.07
Stimulation
09
Acupuncture
10
1.ZX.10
Therapy
12
1.ZX.12
Pharmacotherapy
35
1.EP.04
1.WA.07
1.VA.03
1.TA.03
1.SC.03
1.UB.03
1.VA.04
1.TA.04
1.SC.04
1.UB.04
1.VA.05
1.TA.05
1.SC.05
1.UB.05
1.VA.06
1.TA.06
1.VA.07
1.TA.07
IA*-Intermittent Attendance
1.UB.07
1.EP.09
1.WA.12
IA*-Intermittent Attendance
1.VA.12
1.TA.12
1.UB.12
1ZZ35
Notes:


Where there is no intervention code for a particular part of the anatomy, use the “Multiple Body Sites” codes.
For Example:
o Acupuncture for neck pain = 1.ZX.10
o Ultrasound to shoulder joint = 1.ZX.12
Appendix B
IA*-Intermittent Attendance
Page 1
IA*-Intermittent Attendance
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Section 2 – Examples of Diagnostic Intervention Codes
Diagnostic Intervention codes always start with a ‘2’, with the exception of Cognitive, Psychosocial and Sensory Therapeutic assessments and
tests, which begin with a ‘6’.
Total Body
Ankle
Joint
Muscles
of Head
and
Neck
Hip Joint
Spinal
Vertebrae
Shoulder
Joint
Muscles
of back
Wrist Joint
AA
ZZ
WA
EP
VA
SC
TA
SG
UB
02
6.AA.02
2.ZZ.02
Test
08
6.AA.08
2.ZZ.08
2.WA.08
2.EP.08
2.VA.08
2.SC.08
2.TA.08
2.SG.08
2.UB.08
Evaluation
07
Electrophysiological
Measurement
24
Other
measurement
NEC total body
29
2.ZZ.29
Other
diagnostic
intervention
NEC
94
2.ZZ.94
Inspection
70
Function study
58
Mental
Health &
Addictions
Code
Assessment
Appendix B
2.EP.24
2.WA.70
2.SG.24
2.VA.70
Page 2
2.TA.70
2.UB.70
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Section 3 – Examples of Diagnostic Imaging Intervention Codes
Diagnostic Imaging Intervention codes always start with a ‘3’.
Code
X-ray
10
Total Body
Ankle joint
Brain
Hip
joint
Shoulder
joint
Spinal
Vertebrae
Wrist joint
Musculos
keletal
System
NEC
ZZ
WA
AN
VA
TA
SC
UB
WZ
3.ZZ.10
3.WA.10
3.AN.10
3.VA.10
3.TA.10
3.SC.10
3.UB.10
3.WZ.10
Attribute
# of views
A (</=2)
B (3-4)
C (5-6)
D (>6)
MRI
40
Computerized
Tomography
20
Diagnostic
Nuclear
Imaging
70
Intervention
NEC
94
Appendix B
3.ZZ.40
3.ZZ.70
3.AN.40
3.SC.40
3.WZ.40
3.AN.20
3.SC.20
3.WZ.20
3.SC.70
3.WZ.70
3.AN.60
3.VA.70
3.TA.70
3.VA.94
Page 3
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Section 6 – Examples of Cognitive, Psychosocial and Sensory Therapeutic Intervention Codes
Cognitive, Psychosocial and Sensory Intervention codes always start with a ‘6’.
Assessment
Appendix B
Voice
Sight
and
Other
Sense
s
Motor
&
Living
Skills
RA
TA
VA
Mental
Health &
Addictions
Interpersonal
Relations
Cogniti
on and
Learnin
g
Comm
unicati
on
Hearing
Code
AA
DA
KA
LA
PA
02
6.AA.02
6.KA.02
6.LA.02
6.RA.0
2
6.LA.10
6.RA.1
0
Counselling
(for a known
condition)
10
Facilitation
07
Therapy
30
Training
50
6.AA.10
6.AA.30
6.DA.10
6.KA.10
6.DA.07
6.KA.07
6.DA.30
6.KA.30
6.DA.50
6.KA.50
6.PA.10
6.VA.02
6.TA.1
0
6.RA.3
0
6.LA.50
6.PA.50
Page 4
6.RA.5
0
Attribute
6.TA.5
0
IN-Indirect
6.VA.10
SD-Self-Directed
6.VA.07
IM-Individual >1
provider
6.VA.30
GR-Group – 1
provider
6.VA.50
GS*-Group >1
provider
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Section 7 – Examples of Other Healthcare Intervention Codes
Other Healthcare Intervention codes always start with a ‘7’.
Code
Assistance
01
Personal
Care
Environment
Service
Support
Activity
Promote Health/
Prevent Disease
SC
SE
SF
SJ
SP
Attribute
7.SC.01
Assessment (Home)
02.AB
7.SE.02.AB
Assessment (Work)
02.AW
7.SE.02.AW
Counselling (for a
potential condition)
10
Planning
12
7.SF.12
Preparation
13
7.SF.13
Brokerage
15
7.SF.15
7.SP.10
Documentation
(Claims Form)
30.LB
Documentation
(Other)
30
7.SJ.30
Testimony (court)
34
7.SJ.34
Instruction
59
Education
60
IN-Indirect; SD-Self-Directed; IMIndividual >1 provider; GR-Group – 1
provider; GS*-Group >1 provider
7.SJ.30.LB
7.SC.59
7.SP.59
7.SP.60
IN-Indirect; SD-Self-Directed; IMIndividual >1 provider; GR-Group – 1
provider; GS*-Group >1 provider
Unit Measures
CCI codes may only be used with the “Unit Measures” HR (Hour) or PR (Procedure). The only exceptions are codes beginning with 7SJ30
(Documentation). These may be used with HR, PR or PG (Page).
Appendix B
Page 5
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Interventions Alphabetically
CCI Code
Description
Acupuncture - involves the insertion of needles into
specific exterior body locations to relieve pain, induce
anaesthesia for physical (and psychological) therapeutic
purposes
1ZX10
Acupuncture, multiple body sites
Advocacy
7SC05
Advocacy, personal care
Assessment – When possible, it is recommended that
assessments are coded using GAP codes.
Refer to Appendix C for a list of GAP codes.
Assessment -.CCI Codes
Note: Providers are advised to select GAP codes to
reflect assessment activities including Insurer
Examinations. If you choose to use 2ZZ02 (instead of a
GAP code), the description will read “Total body
assessment”. It is recommended that the narrative sections
of the OCF be used to provide a more detailed
explanation to the insurer about the nature of the
assessment being proposed or billed for.
2DZ02
Assessment (examination), ear
2CZ02
Assessment (examination), eye
2GE02
Assessment (examination), larynx
2FK02
Assessment (examination), mouth
2ZZ02
Assessment (examination), total body
7SE02
Assessment, environment
7SE02AB
Assessment, environment of private living
space
7SE02AW
Assessment, environment of workplace
6AA02
Assessment, mental health and addictions.
Diagnostic interview
Assistance - accompanying, client, ADL, self-care, bathing
(client) NOS, Feeding (client) NOS, Grooming (client) NOS,
performing ADL for client, portering patient, positioning
body (NOS)
7SC01
Assistance, personal care
Brokerage: Includes telephone advice, health advice,
delegation of clinical support activities on client's behalf,
case management, monitoring of third party administered
therapy, client referral. May involve initiating or
maintaining a collaborative process to assess, plan,
implement, coordinate, monitor and/or evaluate the
options and services required to meet a client's health care
needs.
7SF15
Brokerage, service
Capacity Measurement (study) - includes spirometry,
monitoring breathing, respiratory function study,
2GT21
Capacity measurement, lung
2GZ21
Capacity measurement, respiratory system
Claim Form Completion
See “Documentation”
Collection of Legal Evidence
7SJ35
Collection of legal evidence, support activity
Compression
1MR34
Compression, lymphatic vessels of arm
1LZ34
Compression, circulatory system NEC
1MS34
Compression, lymphatic vessels of leg
1KR34
Compression, veins of leg NEC
Appendix B
Page 1
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Interventions Alphabetically
CCI Code
Description
CT
3AN20
Computerized tomography [CT], brain
3EA20
Computerized tomography [CT], cranium
3ER20
Computerized tomography [CT], head NEC
3VZ20
Computerized tomography [CT], leg NEC
3GT20
Computerized tomography [CT], lung NEC
3WZ20
Computerized tomography [CT],
musculoskeletal system NEC
3CA20
Computerized tomography [CT], orbit (of eye)
3EY20
Computerized tomography [CT], paranasal
sinuses
3AF20
Computerized tomography [CT], pituitary
region
3SF20
Computerized tomography [CT], sacrum and
coccyx
3FY20
Computerized tomography [CT], soft tissue of
neck
3SC20
Computerized tomography [CT], spinal
vertebrae
3EL20
Computerized tomography [CT],
temporomandibular joint [TMJ]
3GY20
Computerized tomography [CT], thoracic cavity
Conduction Study - using needle electrodes
percutaneously inserted; with repetitive stimulation by
electrodes percutaneously inserted; Neuromuscular
junction testing; using surface electrodes externally
applied
2BR50
Conduction study, nerves of arm
2BP50
Conduction study, nerves of hand
2BB50
Conduction study, nerves of head and neck
2BT50
Conduction study, nerves of lower leg
2BX50
Conduction study, peripheral nerve(s) NEC
Counseling
6DA10
Counseling, interpersonal relationships
6KA10
Counseling, cognition and learning
6LA10
Counseling, communication (skills)
6PA10
Counseling, hearing (loss)
6AA10
Counseling, mental health and addictions
6VA10
Counseling, motor and living skills
7SP10
Counseling, promoting health and preventing
disease
6TA10
Counseling, sight and other senses NEC
6RA10
Counseling, voice
Appendix B
Page 2
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Interventions Alphabetically
CCI Code
Description
Diagnostic Nuclear Imaging
3AW70
Diagnostic nuclear (imaging) study, spinal
cord
3SC70
Diagnostic nuclear (imaging) study, spinal
vertebrae
3AN70
Diagnostic nuclear (imaging) study, brain
3WZ70
Diagnostic nuclear (imaging) study,
musculoskeletal system NEC
3ZZ70
Diagnostic nuclear (imaging) study, total body
7SJ30
Documentation, support activity
7SJ30LB
Documentation, support activity for claim
form (e.g. for insurance, third party payor,
workers compensation)
1YA14
Dressing, scalp
1YZ14
Dressing, skin NEC
1YS14
Dressing, skin of abdomen and trunk
1YT14
Dressing, skin of arm
1YR14
Dressing, skin of axillary region
1YC14
Dressing, skin of ear
1YF14
Dressing, skin of face
1YW14
Dressing, skin of foot
1YB14
Dressing, skin of forehead
1YU14
Dressing, skin of hand
1YV14
Dressing, skin of leg
1YG14
Dressing, skin of neck
1YD14
Dressing, skin of nose
1YY14
Dressing, skin of surgically constructed sites
1EQ14
Dressing, soft tissue of head and neck
Education
7SP60
Education, promoting health and preventing
disease
Electrostimulation (TENS, laser, Interferential Current,
muscle stimulation, Functional Electrical Stimulation).
See Stimulation
Evaluation/analysis Mental Health
6AA02
Assessment, mental health and addictions
Exercise
1WA02
Exercise, ankle joint
1TZ02
Exercise, arm NEC
1SJ02
Exercise, back NEC
1TM02
Exercise, elbow joint
1WG02
Exercise, foot
1UZ02
Exercise, hand with wrist
1VA02
Exercise, hip joint
1UL02
Exercise, joints of fingers and hand NEC
1VG02
Exercise, knee joint
1VZ02
Exercise, leg NEC
Documentation
Dressing
Appendix B
Page 3
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Interventions Alphabetically
CCI Code
Description
Exercise (cont.)
1ZX02
Exercise, multiple body sites
1SY02
Exercise, muscles of the chest and abdomen
1GZ02
Exercise, respiratory system NEC
1SI02
Exercise, sacroiliac joint
1TA02
Exercise, shoulder joint
1SC02
Exercise, spinal vertebrae
1EL02
Exercise, temporomandibular joint [TMJ]
1UB02
Exercise, wrist joint
Facilitation - Involves assisting a client to overcome any
obstacle, related to a health condition, by aiding the client
to develop effective study habits and classroom
behaviours by supporting the educational facility, with
training and counseling, to ensure the client a safe and
productive educational environment.
6KA07
Facilitation, cognition and learning
6DA07
Facilitation, interpersonal relationships
Hyperthermy
1TB07
Hyperthermy, acromioclavicular and
sternoclavicular joints
1WA07
Hyperthermy, ankle joint
1SJ07
Hyperthermy, back NEC
1TM07
Hyperthermy, elbow joint
1VA07
Hyperthermy, hip joint
1UL07
Hyperthermy, joints of fingers and hand
1WV07
Hyperthermy, soft tissues of the foot and
ankle
1UL07
Hyperthermy, joints of fingers and hand NEC
1VG07
Hyperthermy, knee joint
1UL07
Hyperthermy, joints of fingers and hand
1ZX07
Hyperthermy, multiple body sites
1YA07
Hyperthermy, scalp
1TA07
Hyperthermy, shoulder joint
1TX07
Hyperthermy, soft tissue of arm NEC
1VX07
Hyperthermy, soft tissue of leg
1SZ07
Hyperthermy, soft tissue of the chest and
abdomen
1WV07
Hyperthermy, soft tissue of the foot and ankle
1UY07
Hyperthermy, soft tissue of the wrist and hand
1UB07
Hyperthermy, wrist joint
1SJ06
Hypothermy, back NEC
1VA06
Hypothermy, hip joint
1ZX06
Hypothermy, multiple body sites
1TA06
Hypothermy, shoulder joint
1TX06
Hypothermy, soft tissue of arm NEC
Hyperthermy (cont.)
Hypothermy
Appendix B
Page 4
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Interventions Alphabetically
CCI Code
Description
Hypothermy (cont).
1VX06
Hypothermy, soft tissue of leg
1SZ06
Hypothermy, soft tissue of the chest and
abdomen
1WV06
Hypothermy, soft tissue of the foot and ankle
1UY06
Hypothermy, soft tissue of the wrist and hand
3ED94
Imaging intervention NEC, maxilla
3EL94
Imaging intervention NEC,
temporomandibular joint [TMJ]
3TZ94
Imaging intervention NEC, arm NEC
3AN94
Imaging intervention NEC, brain
3EA94
Imaging intervention NEC, cranium NEC
3VC94
Imaging intervention NEC, femur
3WG94
Imaging intervention NEC, foot
3UZ94
Imaging intervention NEC, hand with wrist
3VA94
Imaging intervention NEC, hip joint
3VG94
Imaging intervention NEC, knee joint
3VZ94
Imaging intervention NEC, leg NEC
3EE94
Imaging intervention NEC, mandible
3EQ94
Imaging intervention NEC, soft tissue of head
and neck
3AW94
Imaging intervention NEC, spinal cord
3VQ94
Imaging intervention NEC, tibia and fibula
1WA03
Immobilization, ankle joint
1SA03
Immobilization, atlas and axis
1SM03
Immobilization, clavicle
1TM03
Immobilization, elbow joint
1VC03
Immobilization, femur
1WG03
Immobilization, foot
1VA03
Immobilization, hip joint
1TK03
Immobilization, humerus
1UL03
Immobilization, joints of fingers and hand NEC
1VG03
Immobilization, knee joint
1EE03
Immobilization, mandible
1ED03
Immobilization, maxilla
1EF03
Immobilization, maxilla with mandible
1ET03
Immobilization, nose
1SQ03
Immobilization, pelvis
1WL03
Immobilization, other phalanx of foot
1UJ03
Immobilization, other phalanx of hand
1TV03
Immobilization, radius and ulna
1SL03
Immobilization, ribs
Imaging Not Elsewhere Classified
Immobilization (brace, cast, external fixator, splint,
traction etc..)
Appendix B
Page 5
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Interventions Alphabetically
CCI Code
Description
Immobilization (brace, cast, external fixator, splint,
traction etc..)
1SN03
Immobilization, scapula
1TA03
Immobilization, shoulder joint
(cont.)
1SC03
Immobilization, spinal vertebrae
1VQ03
Immobilization, tibia and fibula
1ZZ03
Immobilization, total body
1UB03
Immobilization, wrist joint
1EB03
Immobilization, zygoma
2BB70
Inspection, nerves of head and neck
2TB70
Inspection, acromioclavicular and sternoclavicular
joints
2WA70
Inspection, ankle joint
2BA70
Inspection, cranial nerves (intracranial)
2EA70
Inspection, cranium
2TM70
Inspection, elbow joint
2CZ70
Inspection, eye
2WH70
Inspection, foot and toe joint
2VA70
Inspection, hip joint
2UL70
Inspection, joints of fingers and hand
2VG70
Inspection, knee joint
2GE70
Inspection, larynx
2GT70
Inspection, lung
2DL70
Inspection, mastoid (process)
2GW70
Inspection, mediastinum
2DK70
Inspection, middle ear
2FA70
Inspection, nasopharynx
2BR70
Inspection, nerves of arm
2BP70
Inspection, nerves of hand
2BU70
Inspection, nerves of leg
2BT70
Inspection, nerves of lower leg
2BS70
Inspection, nerves of pelvis and hip and thigh
2BD70
Inspection, nerves of the ear
2BL70
Inspection, nerves of trunk
2ET70
Inspection, nose
2FX70
Inspection, oropharynx
2BX70
Inspection, peripheral nerve(s) NEC
2TC70
Inspection, rotator cuff
2TA70
Inspection, shoulder joint
2TX70
Inspection, soft tissue of arm
2EQ70
Inspection, soft tissue of head and neck
2VX70
Inspection, soft tissue of leg
2CP70
Inspection, soft tissue of orbit and eyeball
Inspection
Inspection (cont.)
Appendix B
Page 6
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
2SH70
Inspection, soft tissue of the back
2SZ70
Inspection, soft tissue of the chest and abdomen
2WV70
Inspection, soft tissue of the foot and ankle
2UY70
Inspection, soft tissue of the wrist and hand
2EL70
Inspection, temporomandibular joint [TMJ]
2GJ70
Inspection, trachea
2UB70
Inspection, wrist joint
Instruction - Involves providing client with sufficient
instructional guidance enabling the performance of self
care
7SC59
Instruction, personal care
Instruction - Includes instruction on: biofeedback,
monitoring vital signs, self exam, reduce health risk factors
7SP59
Instruction, promoting health and preventing
disease
Interpretation
7SF19
Interpretation, service
MRI
3TZ40
Magnetic resonance imaging [MRI], arm NEC
3AN40
Magnetic resonance imaging [MRI], brain
3ER40
Magnetic resonance imaging [MRI], head NEC
3VZ40
Magnetic resonance imaging [MRI], leg NEC
3SF40
Magnetic resonance imaging [MRI], sacrum and
coccyx
3FY40
Magnetic resonance imaging [MRI], soft tissue of
neck
3SC40
Magnetic resonance imaging [MRI], spinal
vertebrae
3EL40
Magnetic resonance imaging [MRI],
temporomandibular joint [TMJ]
3GY40
Magnetic resonance imaging [MRI], thoracic
cavity NEC
3JY40
Magnetic resonance imaging [MRI], thoracic
vessels NEC
3ZZ40
Magnetic resonance imaging [MRI], total body
1WA38
Management of external appliance, ankle joint
1SM38
Management of external appliance, clavicle
1TM38
Management of external appliance, elbow joint
1VC38
Management of external appliance, femur
1WG38
Management of external appliance, foot
1FB38
Management of external appliance, hard palate
1VA38
Management of external appliance, hip joint
1TK38
Management of external appliance, humerus
1UL38
Management of external appliance, joints of
fingers and hand NEC
1VG38
Management of external appliance, knee joint
1GE38
Management of external appliance, larynx NEC
Management External Appliance (cast, splint) - involves
adjusting appliance, management of appliance, removal of
device. Does not include fitting or skills training for use of
appliance.
Appendix B
Page 7
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Interventions Alphabetically
CCI Code
Description
Management External Appliance (cast, splint) - involves
adjusting appliance, management of appliance, removal of
device. Does not include fitting or skills training for use of
appliance.
1EE38
Management of external appliance,
mandible
1ED38
Management of external appliance, maxilla
1WL38
Management of external appliance, phalanx
of foot
1UJ38
Management of external appliance, phalanx
of hand
1TV38
Management of external appliance, radius
and ulna
1TA38
Management of external appliance,
shoulder joint
1SC38
Management of external appliance, spinal
vertebrae
1VQ38
Management of external appliance, tibia
and fibula
1UB38
Management of external appliance, wrist
joint
1SM38
Management of external appliance, clavicle
1TB05
Manipulation, acromioclavicular and
sternoclavicular joints
1WA05
Manipulation, ankle joint
1SA05
Manipulation, atlas and axis
1TM05
Manipulation, elbow joint
1VA05
Manipulation, hip joint
1WM05
Manipulation, interphalangeal joints of toe
1UL05
Manipulation, joints of fingers and hand
NEC
1VG05
Manipulation, knee joint
1ZX05
Manipulation, multiple body sites
1SQ05
Manipulation, pelvis
1SL05
Manipulation, ribs
1SI05
Manipulation, sacroiliac joint
1TA05
Manipulation, shoulder joint
1SC05
Manipulation, spinal vertebrae
1WE05
Manipulation, tarsal bones and intertarsal
joints [hindfoot, midfoot]
1WJ05
Manipulation, tarsometatarsal joints,
metatarsal bones and metatarsophalangeal
joints (forefoot)
1EL05
Manipulation, temporomandibular joint
[TMJ]
1UB05
Manipulation, wrist joint
(cont.)
Manipulation
Appendix B
Page 8
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Interventions Alphabetically
CCI Code
Massage Therapy
See “Therapy”
Measuring and Fitting Service. Includes measuring
and/or fitting assistive or adaptive devices, prosthetics
7SF18
Measuring and fitting, service
Mobilization
1TB04
Mobilization, acromioclavicular and
sternoclavicular joints
1WA04
Mobilization, ankle joint
1SA04
Mobilization, atlas and axis
1TM04
Mobilization, elbow joint
1VA04
Mobilization, hip joint
1WM04
Mobilization, interphalangeal joints of toe
1UL04
Mobilization, joints of fingers and hand
NEC
1VG04
Mobilization, knee joint
1ZX04
Mobilization, multiple body sites
1EP04
Mobilization, muscles of head and neck
1VR04
Mobilization, muscles of lower leg [around
knee]
1TF04
Mobilization, muscles of the arm [around
shoulder]
1SG04
Mobilization, muscles of the back
1SY04
Mobilization, muscles of the chest and
abdomen
1TQ04
Mobilization, muscles of the forearm
[around elbow]
1VD04
Mobilization, muscles of the hip and thigh
1SQ04
Mobilization, pelvis
1SL04
Mobilization, ribs
1SI04
Mobilization, sacroiliac joint
1TA04
Mobilization, shoulder joint
1WV04
Mobilization, soft tissue of the foot and
ankle
1UY04
Mobilization, soft tissue of the wrist and
hand
1SC04
Mobilization, spinal vertebrae
1WE04
Mobilization, tarsal bones and intertarsal
joints [hindfoot, midfoot]
1WJ04
Mobilization, tarsometatarsal joints,
metatarsal bones and
metatarsophalangeal joints [forefoot]
1EL04
Mobilization, temporomandibular joint
[TMJ]
1UB04
Mobilization, wrist joint
OCF (claim form) Completion
Appendix B
Description
See “Documentation”
Page 9
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Interventions Alphabetically
CCI Code
Description
Other
2ZZ94
Other diagnostic intervention NEC, total
body
7SC08
Other ministration, personal care
Planning: Includes team conference, care planning,
discharge planning, activity programming, rounds
7SF12
Planning, service
Precaution. Includes adaptation of environment, creation of
safe environment and risk management
7SC70
Precaution, personal care
Preparation: Includes health intervention preparation, preoperative preparation.
7SF13
Preparation, service
Prescription
7SJ32
Prescription, support activity
Size Measurement
2TZ20
Size measurement, arm
2EA20
Size measurement, cranium
2DA20
Size measurement, external ear
2CZ20
Size measurement, eye
2VC20
Size measurement, femur
2VZ20
Size measurement, leg
2WZ20
Size measurement, musculoskeletal system
NEC
1EP09
Stimulation, muscles of head and neck
1VD09
Stimulation, muscles of hip and thigh
1VR09
Stimulation, muscles of lower leg [around
knee]
1TF09
Stimulation, muscles of the arm [around
shoulder]
1SG09
Stimulation, muscles of the back
1SY09
Stimulation, muscles of the chest and
abdomen
1TQ09
Stimulation, muscles of the forearm [around
elbow]
1BS09
Stimulation, nerve(s) of pelvis, hip and thigh
(and lower trunk)
1BX09
Stimulation, peripheral nerves NEC
1BJ09
Stimulation, phrenic nerve
1TV09
Stimulation, radius and ulna
1YA09
Stimulation, scalp
1YZ09
Stimulation, skin NEC
1YS09
Stimulation, skin of abdomen and trunk
1YT09
Stimulation, skin of arm
1YF09
Stimulation, skin of face
1YV09
Stimulation, skin of leg
1AW09
Stimulation, spinal cord
Stimulation: Includes electrostimulation, including TENS,
EMS, IFC, ultrasound, laser.
Appendix B
Page 10
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Interventions Alphabetically
CCI Code
Description
Test
2WA08
Test, ankle joint
2TZ08
Test, arm
2AN08
Test, brain
2TM08
Test, elbow joint
2CZ08
Test, eye
2HZ08
Test, heart
2VA08
Test, hip joint
2DR08
Test, inner ear NEC
2UL08
Test, joints of fingers and hand
2VG08
Test, knee joint
2VZ08
Test, leg
6AA08
Test, mental health and addictions
2EP08
Test, muscles of head and neck
2SG08
Test, muscles of the back
2SY08
Test, muscles of the chest and abdomen
2WZ08
Test, musculoskeletal system NEC
2GZ08
Test, respiratory system
2TA08
Test, shoulder joint
2UY08
Test, soft tissue of the wrist and hand
2SC08
Test, spinal vertebrae
2NF08
Test, stomach
2EL08
Test, temporomandibular joint [TMJ]
2ZZ08
Test, total body
2UB08
Test, wrist joint
Testimony
7SJ34
Testimony (court), support activity
Therapeutic Intervention Not Elsewhere Classified (NEC)
1TZ94
Therapeutic intervention NEC, arm NEC
1AZ94
Therapeutic intervention NEC, central
nervous system NEC
1VZ94
Therapeutic intervention NEC, leg NEC
1MZ94
Therapeutic intervention NEC, lymphatic
system NEC
1WZ94
Therapeutic intervention NEC,
musculoskeletal system NEC
1BZ94
Therapeutic intervention NEC, nervous
system NEC
1YZ94
Therapeutic intervention NEC, skin NEC
1EQ94
Therapeutic intervention NEC, soft tissue of
head and neck
1FE94
Therapeutic intervention NEC, tooth
Appendix B
Page 11
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Interventions Alphabetically
CCI Code
Description
Therapy: Includes vibrating device, accupressure
technique, massage technique, therapeutic touch
technique.
1EQ12
Therapy NEC, soft tissue of head and neck
1WA12
Therapy, ankle joint
1SJ12
Therapy, back NEC
6KA30
Therapy, cognition and learning
1TM12
Therapy, elbow joint
1VA12
Therapy, hip joint
6DA30
Therapy, interpersonal relationships
1UL12
Therapy, joints of fingers and hand NEC
1VG12
Therapy, knee joint
6AA30
Therapy, mental health and addictions
6VA30
Therapy, motor and living skills
1ZX12
Therapy, multiple body sites
1TA12
Therapy, shoulder joint
1YZ12
Therapy, skin NEC
1YT12
Therapy, skin of arm
1YF12
Therapy, skin of face
1YV12
Therapy, skin of leg
1TX12
Therapy, soft tissue of arm NEC
1VX12
Therapy, soft tissue of leg
1SZ12
Therapy, soft tissue of the chest and abdomen
1WV12
Therapy, soft tissue of the foot and ankle
1UY12
Therapy, soft tissue of the wrist and hand
1WJ12
Therapy, tarsometatarsal joints, metatarsal bones
and metatarsophalangeal joints [forefoot]
6RA30
Therapy, voice
1UB12
Therapy, wrist joint
3SC18
Tomography, spinal vertebrae
3TZ18
Tomography, arm NEC
3EA18
Tomography, cranium
3VZ18
Tomography, leg NEC
3DL18
Tomography, mastoid (process)
3SQ18
Tomography, pelvis
3SF18
Tomography, sacrum and coccyx
3EL18
Tomography, temporomandibular joint [TMJ]
6KA50
Training, cognition and learning (skills)
6LA50
Training, communication
6PA50
Training, hearing
6VA50
Training, motor and living skills
6TA50
Training, sight or other sensory loss
6DA50
Training, social skills
6RA50
Training, voice
Tomography
Training
Appendix B
Page 12
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Interventions Alphabetically
CCI Code
Description
Xrays
3TB10
Xray, acromioclavicular and sternoclavicular joints
3WA10
Xray, ankle joint
3TZ10
Xray, arm NEC
3SM10
Xray, clavicle
3EA10
Xray, cranium
3TM10
Xray, elbow joint
3EI10
Xray, facial bone structure
3VC10
Xray, femur
3WG10
Xray, foot
3UZ10
Xray, hand with wrist
3VA10
Xray, hip joint
3TK10
Xray, humerus
3SE10
Xray, intervertebral disc
3JW10
Xray, intracranial vessels
3UL10
Xray, joints of fingers and hand NEC
3VG10
Xray, knee joint
3VZ10
Xray, leg NEC
3EE10
Xray, mandible
3DL10
Xray, mastoid (process)
3ED10
Xray, maxilla
3EF10
Xray, maxilla with mandible
3WZ10
Xray, musculoskeletal system NEC
3SQ10
Xray, pelvis
3UJ10
Xray, phalanx of hand
3TV10
Xray, radius and ulna
3SL10
Xray, ribs
3SF10
Xray, sacrum and coccyx
3SN10
Xray, scapula
3TA10
Xray, shoulder joint
3EQ10
Xray, soft tissue of head and neck
3AW10
Xray, spinal cord
3SC10
Xray, spinal vertebrae)
3SK10
Xray, sternum
3EL10
Xray, temporomandibular joint [TMJ]
3GY10
Xray, thoracic cavity NEC
3JY10
Xray, thoracic vessels NEC
3VQ10
Xray, tibia and fibula
3ZZ10
Xray, total body
3UB10
Xray, wrist joint
Appendix B
Page 13