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
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