1. Interventions HS317b - Coding & Classification of Health Information

2. 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.

6. Structure of the CCI Code 1.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.

7. Structure of the CCI Code 1.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

8. 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

9. 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)

10. 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

11. 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

12. Note rules in Coding Standards Abandoned interventions Change of plans during an intervention Converted interventions Failed interventions Revised interventions Endoscopic interventions Diagnostic Imaging interventions