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Appendix B – Health Related Service and Intervention Codes 20030930 Initial Publication 20031014 Correct acupuncture codes 20061122 Addition of new mobilization (04)
and manipulation (05) codes. Remove release code (01).
20071011 Update 2007 version
Appendix B – Health Related Services and Intervention Codes (CCI©1)
What is CCI? 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.
Where Can I Get a Complete List of CCI Codes? Visit the CIHI website for more information: http://secure.cihi.ca/cihiweb/dispPage.jsp?cw_page=codingclass_e A downloadable PDF is available on this website that will allow you to learn more about using CCI codes. Providers and software vendors can purchase products and publications related to coding directly from CIHI at www.cihi.ca, including: ICD-10-CA/CCI, 2006 (CD-ROM – Single user)
o This product is similar to CD-ROM encyclopaedias. The infobase automatically indexes every word and users may find information quickly using the software’s search engine.
Code Title Tables 2006 (for use with ICD-10-CA/CCI) o The code title tables include all the valid diagnosis and intervention codes and
their descriptions.
CCI and HCAI HCAI will only recognize valid CCI codes. 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.
What is a “Healthcare intervention”?
Therapeutic Intervention A service performed for or on behalf of a client whose basic purpose is 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.
1 © CCI - 2006 Canadian Institute for Health Information
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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.
Other Intervention Any other service that cannot be described as obstetrical (fetal), therapeutic or diagnostic but, nevertheless, contributes directly to improve a client's health, alters the course of a health condition or promotes wellness. 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. The list in Appendix B represents a sub-set of CCI. The complete list of intervention codes used in Canada is available from CIHI. CCI is a copyright product of CIHI and may not be changed without their express permission. Providers should contact their associations for guidance with coding. For the purposes of the Automobile Insurance Standard Invoice (AISI), a number of non-CCI codes were developed in consultation with CIHI to complement the existing set of CCI codes. These AISI specific codes are noted with an asterisk (*) and are not part of CCI.
CCI Code Structure CCI Base
(mandatory) CCI Qualifiers
(Optional) Position 1 Position 2-3 Position 4-5 Position 6-7 Position 8-9
Section Group Intervention Approach or Technique or
Reason
Device or Method
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.
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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.
Some of the Group codes for regularly used interventions are listed below for Section 1 (therapeutic interventions), Section 2 (diagnostic interventions) and Section 3 (diagnostic imaging interventions).
Group Code Region Description A Brain and Spinal Cord B Nerves D Ear and Mastoid (Process) E Musculoskeletal Tissue of the Head, Nasal Cavity and Sinuses F Oral cavity and Pharynx S Musculoskeletal System: Spine, Trunk and Pelvis SA – Atlas & Axis SC – Spinal Vertebrae SE – Intervertebral Disc SF – Sacrum & Coccyx SG – Muscles of Back SH – Soft Tissues of Back SI – Sacroiliac Joint SJ - Back Not Elsewhere Classified (NEC) SK - Sternum SL – Ribs SM – Clavicle SN – Scapula SQ – Pelvis SW – Pubis SY – Muscles of Chest and Abdomen SZ – Soft Tissues of Chest and Abdomen T Shoulder and Arm (excluding hand and wrist) TA – Shoulder Joint TB – Acromioclavicular and Sternoclavicular Joints TC – Rotator Cuff TF – Muscles of Arm (around shoulder) TH – Tendons of Arm (around shoulder) TK – Humerus TM – Elbow Joint TQ – Muscles of Forearm (around elbow) TS – Tendons of Forearm (around elbow) TV – Radius and Ulna TX – Soft Tissue of Arm NEC TZ – Arm NEC U Hand and Wrist UB – Wrist Joint UC – Distal Radioulnar and Carpal Joints and Bones
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UF – Metacarpal Bones UG – Metacarpophalangeal Joint(s) UJ – Phalanx of Hand UK – Interphalangeal Joints of Hand UL – Joints of Fingers and Hand NEC US – Extensor Tendons of Fingers (excludes thumb) UT – Tendons of Fingers (excludes thumb) UU – Thumb (Pollicis Tendons) UV – Tendons of Wrist and Hand UY – Soft Tissue of Wrist and Hand UZ – Hand with Wrist V Hip and Leg VA – Hip Joint VC – Femur VD – Muscles of Hip and Thigh VE – Tendons of Hip and Thigh VG – Knee Joint VK – Meniscus of the Knee VL – Cruciate Ligaments of Knee VM – Collateral Ligaments of Knee VN – Cruciate with Collateral Ligaments VP - Patella VQ – Tibia and Fibula VR – Muscles of Lower Leg (around knee) VS – Tendons of Lower Leg (around knee) VX – Soft Tissues of Leg VZ – Leg NEC W Ankle and Foot WA – Ankle Joint WB – Foot Ligaments WE – Tarsal Bones and Intertarsal Joints (hindfoot, midfoot) WG - Foot
WJ – Tarsometatarsal Joints, Metatarsal Bones and Metatarsophalangeal Joints
WL – Phalanx of Foot WM – Interphalangeal Joints of Tow WT – Tendons of Ankle and Foot WW – Soft Tissues of Foot and Ankle Y Skin and Subcutaneous Tissue and Breast Z Total Body ZX – Multiple Body Sites ZZ – Total Body
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For Section 6 codes, the following Group codes apply:
Group Code Region Description AA Mental health DA Interpersonal relationships KA Cognition and learning LA Communication PA Hearing RA Voice TA Sight and other senses NEC VA Motor functions
For Section 7 codes, the following Group codes apply:
Group Code Region Description SC Personal care SE Environmental SF Service SJ Support activity SP Promoting health and preventing disease
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. For Section 1 (Therapeutic – physical, physiological), the following Intervention codes apply:
Code Description Definition 02 Exercise Assisting and supervising client in performing exercise for
improvement of health or correction of a deformity. Passive, active, resistive. • range of motion exercise • conditioning exercise ( e.g. aerobic) • aquatic exercise, hydrotherapy, pool therapy • postural exercise, balance training, • work hardening, work conditioning
03 Immobilization Rendering a body part incapable of being moved, with or without traction or traction elevation • Application of external immobilization device • Application of splinting device [e.g. cervical collar,
spinal corset] • traction (with or without suspension)
04 Mobilization Moving a joint (or soft tissue) within the physiological range of motion without a high velocity thrust.
05 Manipulation Moving a joint beyond the physiological range of motion with a high velocity thrust.
06 Hypothermy Applying cold to the body or body part to produce a therapeutic effect
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• application of cold using cold device (e.g. cold pack, ice)
07 Hyperthermy Applying heat to the body or body part to produce a therapeutic effect • application of heat using hot pack, moist heat,
compress • sauna, whirlpool, hot/warm bath • ultrasound
09 Stimulation Exciting or inducing to a physiological state or functional activity (electrostimulation). • Transcutaneous electrical nerve stimulation (TENS)
or neuromuscular stimulation (EMS/FES), includes interferential, faradic or galvanic currents.
• Ultrasound • Laser
10 Acupuncture Inserting needles into specific exterior body locations to relieve pain, induce surgical anaesthesia and for other therapeutic purposes.
12 Therapy The general treatment of condition, disease, or dysfunction to eradicate its cause, manage or reduce the symptoms, or alleviate other associated disabling conditions by using appropriate selected techniques. • Massage • Acupressure, therapeutic touch • Use of vibrating device
For Section 2 (Diagnostic), the following Intervention codes apply:
Code Description Definition 02 Assessment
(examination) Involves evaluating a client's condition, problem, or functional status to establish a diagnosis and/or identify treatment or rehabilitation measures and/or monitor a client's response to an existing treatment/rehabilitation plan. Also includes, where applicable, ordering diagnostic investigations, reviewing results, prescribing medications and counselling patient. • Determination of mental status (2.AZ.02) • General physical examination (2.ZZ.02) • Assessment, language (2.GE.02)
08 Test An examination or trial of function, production, or range of movement of a body part or system. • Range of motion, strength • Speech localization test • Psychological testing
24 Electrophysiological measurement
The study of the mechanisms of production of electrical phenomena. Involves measuring electrical activity in muscles at rest, following voluntary contractions and following electrical stimulation • Electromyography [EMG]
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For Section 3 (Imaging), the following Intervention codes apply:
Code Description Definition 10 X-ray Display of an image developed from the capture of external
ionizing radiation (e.g. x-ray) on photographic film or photoconductive plate. The number of views in a study are indicated by the Extent Attribute.
For Section 6 (Therapeutic – Cognitive, psychosocial, sensory) the following Intervention codes apply:
Code Description Definition 07 Facilitation Providing general supportive assistance to a client.
• Assistance with community integration • Mediation of interpersonal relationships
10 Counselling (for a known condition)
Providing health advice to a client that identifies health problems (or risks), encourages a change of client attitude or behaviour in order to initiate a willingness to modify lifestyle or behaviour that will result in an elimination of the health problem (or risk).
30 Therapy The general treatment of a condition, disease or dysfunction to eradicate its cause, manage or reduce the symptoms, or alleviate other associated disabling conditions by using appropriate selected techniques. • Behaviour using desensitization technique • Psychotherapy using active listening technique • Work Hardening
50 Training Teaching new or different skills to assist a client in overcoming a functional problem (or impairment) that usually involves a complex learning process before those skills are acquired and integrated. • Teaching body positioning • Prosthetic training • Teaching language skills using phonetics • Training for memory (e.g. compensatory,
restorative)
For Section 7 (Other – healthcare, services, support), the following Intervention codes apply:
Code Description Definition 01 Assistance The act of helping or aiding a client to perform a task of
daily living. • Bathing a patient [client] • Portering patient • Assistance with feeding
10 Counselling (for a potential condition)
Providing advice to a client that identifies health problems (or risks), encourages a change of client attitude or behaviour in order to initiate a willingness to modify lifestyle
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or behaviour that will result in an elimination of the health problem (or risk). • Lifestyle counselling • Coping information and resources
12 Planning Preparing an outline of care, services, or activities that affect a specific client • Planning, team conference • Programming
13 Preparation Initial services done to ready a client for an upcoming intervention. Includes processing a specimen, rehearsal or simulation of an intervention. • File review in preparation for an Independent
Medical Examination or DAC. 15 Brokerage The act of delegating, managing or monitoring services or
care on behalf of a client. • Case management • Patient referral
30 Documentation Written correspondence or completion of certificates or documents done on behalf of a client. Excludes patient record keeping which is considered part of the clinical care process. • Correspondence • Certificate completion
59 Instruction Simple demonstration of a process (or task) and repetition of that task by the client in a supportive environment to assist the client in future self-care. • Instruction towards self care to reduce health risk factors • Instruction toward self monitoring, self exam • Biofeedback
60 Education Information provided, normally in a structured format (e.g. lecture, seminar, classroom) to bring an audience to a better understanding of a health-related topic so that the quality of their lives (and future decision-making) may be improved • Educating for health risks (e.g. disease process) • Listing available community healthcare resources • Other family members learning about a patient's
condition 70 Precaution Personal care precautions may often be employed during
episodes of acute infection, psychotic episodes, detoxification, autoimmune deficiency, allergic reaction, premature infant development, or any other health condition that requires special environmental (or personal) controls. Includes: • area restriction • physical restraint • environmental adaptation (safe environment)
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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)
Device/Method (position 8-9) The Device or Method Code indicates what was used. This level of detail is not required for automobile insurers.
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. For Section 1 only, the following additional Attribute codes apply:
Code Description IA* 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
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Appendix B – Examples of CCI Codes
Section 1 – Examples of Physical/Physiological Therapeutic Interventions Physical/Physiological Therapeutic Intervention codes always start with a ‘1’.
Total Body
Multiple Body Sites
Ankle Joint
Muscles of Head
and Neck
Hip Joint
Shoulder Joint
Spinal Vertebrae
Wrist Joint Attribute*
Code ZZ ZX WA EP VA TA SC UB
Exercise 02 1.ZX.02 1.WA.02 1.VA.02 1.TA.02 1.SC.02 1.UB.02
IM-Individual >1 provider GR-Group – 1 provider GS*-Group >1 provider
Immobilization 03 1.ZZ.03 1.WA.03 1.VA.03 1.TA.03 1.SC.03 1.UB.03
Mobilization 04 1.ZX.04 1.WA.04 1.EP.04 1.VA.04 1.TA.04 1.SC.04 1.UB.04
Manipulation 05 1.ZX.05 1.WA.05 1.VA.05 1.TA.05 1.SC.05 1.UB.05
Hypothermy 06 1.ZX.06 1.VA.06 1.TA.06 IA*-Intermittent Attendance
Hyperthermy 07 1.ZX.07 1.WA.07 1.VA.07 1.TA.07 1.UB.07 IA*-Intermittent Attendance
Stimulation 09 1.EP.09 IA*-Intermittent Attendance
Acupuncture 10 1.ZX.10
Therapy 12 1.ZX.12 1.WA.12 1.VA.12 1.TA.12 1.S1.12 1.UB.12 IA*-Intermittent Attendance
Notes: Where there is no intervention code for a particular part of the anatomy, use the “Multiple Body Sites” codes. Examples: Acupuncture for neck pain = 1.ZX.10 Ultrasound to shoulder joint = 1.ZX.12
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Section 2 – Examples of Diagnostic Intervention Codes Diagnostic Intervention codes always start with a ‘2’.
Mental Health
Total Body
Ankle Joint
Muscles of Head
and Neck
Hip Joint
Spinal Vertebrae
Shoulder Joint
Muscles of back
Wrist Joint
Code AZ ZZ WA EP VA SC TA SG UB
Assessment 02 2.AZ.02 2.ZZ.02
Test 08 2.AZ.08 2.ZZ.08 2.WA.08 2.EP.08 2.VA.08 2.SC.08 2.TA.08 2.SG.08 2.U1.08
Evaluation 07 2.AZ.07 Electro-physiological Measurement
24 2.EP.24 2.SG.24
Other measurement NEC total body
29 2.ZZ.29
Other diagnostic intervention NEC
94 2.ZZ.94
Inspection 70 2.WA.70 2.VA.70 2.TA.70 2.UB.70
Function study 58
Section 3 – Examples of Diagnostic Imaging Intervention Codes Diagnostic Imaging Intervention codes always start with a ‘3’.
Total Body Ankle joint Brain Hip joint Shoulder
joint Spinal
Vertebrae Wrist joint
Musculoskeletal System
NEC Attribute
Code ZZ WA AN VA TA SC UB WZ # of views
X-ray 10 3.ZZ.10 3.WA.10 3.AN.10 3.VA.10 3.TA.10 3.S1.10 3.UB.10 3.WZ.10
A (</=2) B (3-4) C (5-6) D (>6)
MRI 40 3.ZZ.40 3.AN.40 3.SC.40 Computerized Tomography 20 3.AN.20 3.SC.20 3.WZ.20
Diagnostic Nuclear Imaging
70 3.ZZ.70 3.SC.70 3.WZ.70
Intervention NEC 94 3.VA.94
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Section 6 – Examples of Cognitive, Psychosocial and Sensory Therapeutic Intervention Codes Cognitive, Psychosocial and Sensory Therapeutic Intervention codes always start with a ‘6’.
Mental Health
Inter-personal Relations
Cognition and
Learning
Communication Hearing Voice
Sight and
Other Senses
Motor Function Attribute
Code AA DA KA LA PA RA TA VA
Counselling (for a known condition)
10 6.AA.10 6.DA.10 6.KA.10 6.LA.10 6.PA.10 6.RA.10 6.TA.10 6.VA.10
Facilitation 07 6.DA.07 6.KA.07
Therapy 30 6.AA.30 6.DA.30 6.KA.30 6.RA.30 6.VA.30
Training 50 6.DA.50 6.KA.50 6.LA.50 6.PA.50 6.RA.50 6.TA.50 6.VA.50
IN-Indirect SD-Self-Directed IM-Individual >1 provider GR-Group – 1 provider GS*-Group >1 provider
Section 7 – Examples of Other Healthcare Intervention Codes Other Healthcare Intervention codes always start with a ‘7’.
Personal Care Environment Service Support
Activity
Promote Health/ Prevent Disease
Attribute
Code SC SE SF SJ SP
Assistance 01 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 7.SP.10
IN-Indirect SD-Self-Directed IM-Individual >1 provider GR-Group – 1 provider
GS*-Group >1 provider Planning 12 7.SF.12
Preparation 13 7.SF.13
Brokerage 15 7.SF.15 Documentation (Claims Form) 30.LB 7.SJ.30.LB
Documentation (Other) 30 7.SJ.30
Testimony (medicolegal) 34 7.SJ.34
Instruction 59 7.SC.59 7.SP.59
Education 60 7.SP.60
IN-Indirect SD-Self-Directed IM-Individual >1 provider GR-Group – 1 provider
GS*-Group >1 provider
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CCI Pick List: Note – this is not a complete list of health interventions. Refer to page 1 for instruction on how to locate a complete list of CCI codes.
CCI Codes Alphabetically 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 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
Assessment - Involves evaluating a client's condition, problem or functional status to establish a diagnosis, and/or identify treatment or rehabilitation measures, and/or monitor a client's response to an existing treatment/rehabilitation plan. Also includes, where applicable, ordering diagnostic investigations, reviewing results, prescribing medications and counseling patient. Includes rehabilitative needs assessment, activities of daily living assessment, for use of assistive devices, for determining candidacy for treatment etc.
2AZ02 Assessment, mental health 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, determination of service needs, 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. 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. Includes advice, telephone, advisory, health, delegation of clinical support activities on client's behalf, determination of service needs, follow up, case management, monitoring third party administered therapy.
7SF15 Brokerage, service
2GT21 Capacity measurement, lung Capacity Measurement (study) - includes spirometry, monitoring breathing, respiratory function study, 2GZ21 Capacity measurement, respiratory system Collection of Legal Evidence 7SJ35 Collection of legal evidence, support activity
1MR34 Compression, lymphatic vessels of arm 1LZ34 Compression, circulatory system NEC 1MS34 Compression, lymphatic vessels of leg
Compression
1KR34 Compression, veins of leg NEC 3AN20 Computerized tomography [CT], brain 3EA20 Computerized tomography [CT], cranium
CT
3ER20 Computerized tomography [CT], head NEC
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CCI Codes Alphabetically Code Description 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 eye3EY20 Computerized tomography [CT], paranasal
sinuses 3AF20 Computerized tomography [CT], pituitary
region 3SF20 Computerized tomography [CT], sacrum and
coccyx 3FY20 Computerized tomography [CT], soft tissue o
neck 3SC20 Computerized tomography [CT], spinal
vertebrae 3EL20 Computerized tomography [CT],
temporomandibular joint [TMJ] 3GY20 Computerized tomography [CT], thoracic cav 2BR50 Conduction study, nerves of arm 2BP50 Conduction study, nerves of hand 2BB50 Conduction study, nerves of head and neck2BT50 Conduction study, nerves of lower leg
Conduction Study - using needle electrodes percutaneously inserted; with repetitive stimulation by electrodes percutaneously inserted; Neuromuscular junction testing; using surface electrodes externally applied
2BX50 Conduction study, peripheral nerve(s) NEC 6DA10 Counseling, interpersonal relationships 6KA10 Counseling, cognition and learning 6LA10 Counseling, communication (skills) 6PA10 Counseling, hearing (loss) 6AA10 Counseling, mental health 6VA10 Counseling, motor function (impairment) 7SP10 Counseling, promoting health and preventing
disease 6TA10 Counseling, sight or other sensory loss
Counseling
6RA10 Counseling, voice 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
Diagnostic Nuclear Imaging
3ZZ70 Diagnostic nuclear (imaging) study, total bod7SJ30 Documentation, support activity
Documentation 7SJ30LB
Documentation, support activity for claim form(e.g. for insurance, third party payor, workerscompensation)
Dressing 1YA14 Dressing, scalp
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CCI Codes Alphabetically Code Description 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 sites1EQ14 Dressing, soft tissue of head and neck
Education 7SP60 Education, promoting health and preventing disease
2AZ07 Evaluation/analysis, mental health 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 1ZX02 Exercise, multiple body sites 1SY02 Exercise, muscles of the chest and abdomen1GZ02 Exercise, respiratory system NEC 1SI02 Exercise, sacroiliac joint 1TA02 Exercise, shoulder joint 1SC02 Exercise, spinal vertebrae 1EL02 Exercise, temporomandibular joint [TMJ]
Evaluation/analysis Mental Health
1UB02 Exercise, wrist joint 6KA07 Facilitation, cognition and learning 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.
6DA07 Facilitation, interpersonal relationships
1TB07 Hyperthermy, acromioclavicular and sternoclavicular joints
1WA07 Hyperthermy, ankle joint 1SJ07 Hyperthermy, back NEC
Hyperthermy Hypothermy
1TM07 Hyperthermy, elbow joint
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CCI Codes Alphabetically Code Description 1VA07 Hyperthermy, hip joint 1UK07 Hyperthermy, interphalangeal joints of hand1WM07 Hyperthermy, interphalangeal joints of toe 1UL07 Hyperthermy, joints of fingers and hand NEC1VG07 Hyperthermy, knee joint 1UG07 Hyperthermy, metacarpophalangeal joint(s)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 ankle1UY07 Hyperthermy, soft tissue of the wrist and han1UB07 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 1VX06 Hypothermy, soft tissue of leg 1SZ06 Hypothermy, soft tissue of the chest and
abdomen 1WV06 Hypothermy, soft tissue of the foot and ankle1UY06 Hypothermy, soft tissue of the wrist and hand3ED94 Imaging intervention NEC, maxilla 3EL94 Imaging intervention NEC, temporomandibu
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
Imaging NEC
3VQ94 Imaging intervention NEC, tibia and fibula Immobilization (brace, cast, external fixator, splint, traction 1WA03 Immobilization, ankle joint
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CCI Codes Alphabetically Code Description 1SA03 Immobilization, atlas and axis 1SM03 Immobilization, clavicle 1TM03 Immobilization, elbow joint 1VC03 Immobilization, femur 1WG03 Immobilization, foot 1HZ03 Immobilization, heart NEC 1VA03 Immobilization, hip joint 1TK03 Immobilization, humerus 1UL03 Immobilization, joints of fingers and hand NE1VG03 Immobilization, knee joint 1EE03 Immobilization, mandible 1ED03 Immobilization, maxilla 1EF03 Immobilization, maxilla with mandible 1ET03 Immobilization, nose 1SQ03 Immobilization, pelvis 1WL03 Immobilization, phalanx of foot 1UJ03 Immobilization, phalanx of hand 1TV03 Immobilization, radius and ulna 1SL03 Immobilization, ribs 1SN03 Immobilization, scapula 1QG03 Immobilization, scrotum 1TA03 Immobilization, shoulder joint 1SC03 Immobilization, spinal vertebrae 1VQ03 Immobilization, tibia and fibula 1ZZ03 Immobilization, total body 1UB03 Immobilization, wrist joint
etc..)
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
Inspection
2FA70 Inspection, nasopharynx
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CCI Codes Alphabetically Code Description 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 thigh2BD70 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 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 hand2EL70 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 3TZ40 Magnetic resonance imaging [MRI], arm NEC3AN40 Magnetic resonance imaging [MRI], brain 3ER40 Magnetic resonance imaging [MRI], head NE3VZ40 Magnetic resonance imaging [MRI], leg NEC3SF40 Magnetic resonance imaging [MRI], sacrum
and coccyx 3FY40 Magnetic resonance imaging [MRI], soft tissu
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
MRI
3ZZ40 Magnetic resonance imaging [MRI], total bod
E-7
CCI Codes Alphabetically Code Description 1WA38 Management of external appliance, ankle join1SM38 Management of external appliance, clavicle1TM38 Management of external appliance, elbow joi1VC38 Management of external appliance, femur 1WG38 Management of external appliance, foot 1FB38 Management of external appliance, hard pala1VA38 Management of external appliance, hip joint1TK38 Management of external appliance, humerus1UL38 Management of external appliance, joints of
fingers and hand NEC 1VG38 Management of external appliance, knee join1GE38 Management of external appliance, larynx NE1EE38 Management of external appliance, mandible1ED38 Management of external appliance, maxilla 1WL38 Management of external appliance, phalanx
foot 1UJ38 Management of external appliance, phalanx
hand 1TV38 Management of external appliance, radius an
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 join
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.
1SM38 Management of external appliance, clavicle1TB05 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 NEC1VG05 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 join
[hindfoot, midfoot]
Manipulation
1WJ05 Manipulation, tarsometatarsal joints, metatarsbones and metatarsophalangeal joints
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CCI Codes Alphabetically Code Description [forefoot]
1EL05 Manipulation, temporomandibular joint [TMJ]1UB05 Manipulation, wrist joint
Measuring and Fitting Service 7SF18 Measuring and fitting, service 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 NEC1VG04 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 ankle1UY04 Mobilization, soft tissue of the wrist and hand1SC04 Mobilization, spinal vertebrae 1WE04 Mobilization, tarsal bones and intertarsal join
[hindfoot, midfoot] 1WJ04 Mobilization, tarsometatarsal joints, metatars
bones and metatarsophalangeal joints [forefoot]
1EL04 Mobilization, temporomandibular joint [TMJ]
Mobilization
1UB04 Mobilization, wrist joint 2ZZ94 Other diagnostic intervention NEC, total bodyOther 7SC08 Other ministration, personal care
Planning: Includes team conference, care planning, discharge planning, activity programming, rounds
7SF12 Planning, service
Precaution 7SC70 Precaution, personal care Preparation: Includes health intervention preparation, pre-operative preparation.
7SF13 Preparation, service
Prescription 7SJ32 Prescription, support activity
E-9
CCI Codes Alphabetically Code Description 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
Size Measurement
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
Stimulation: Includes electrostimulation, including TENS, EMS, IFC, ultrasound, laser.
1AW09 Stimulation, spinal cord 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 2AZ08 Test, mental health 2EP08 Test, muscles of head and neck 2SG08 Test, muscles of the back
Test
2SY08 Test, muscles of the chest and abdomen
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CCI Codes Alphabetically Code Description 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 1TZ94 Therapeutic intervention NEC, arm NEC 1AZ94 Therapeutic intervention NEC, central nervou
system NEC 1VZ94 Therapeutic intervention NEC, leg NEC 1MZ94 Therapeutic intervention NEC, lymphatic
system NEC 1WZ94 Therapeutic intervention NEC, musculoskele
system NEC 1BZ94 Therapeutic intervention NEC, nervous syste
NEC 1YZ94 Therapeutic intervention NEC, skin NEC 1EQ94 Therapeutic intervention NEC, soft tissue of
head and neck
Therapeutic Intervention NEC
1FE94 Therapeutic intervention NEC, tooth 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 6VA30 Therapy, motor functions 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 abdome1WV12 Therapy, soft tissue of the foot and ankle
Therapy: Includes laser, vibrating device, accupressure technique, massage technique, therapeutic touch technique.
1UY12 Therapy, soft tissue of the wrist and hand
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CCI Codes Alphabetically Code Description 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
Tomography
3EL18 Tomography, temporomandibular joint [TMJ]6KA50 Training, cognition and learning (skills) 6LA50 Training, communication 6PA50 Training, hearing 6VA50 Training, motor functions 6TA50 Training, sight or other sensory loss 6DA50 Training, social skills
Training
6RA50 Training, voice 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
Xray
3UJ10 Xray, phalanx of hand
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CCI Codes Alphabetically Code Description 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