APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Appendix B Page 1
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
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Appendix B Page 2
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 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
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Appendix B Page 3
Attributes for Spinal X-Rays (Required for OCF 23)
CCI Code Attribute
Max Fee Payable
(Feb 1, 2014)
Cervical Spine
2 or fewer views 3SC10 CXA 36.80
3-4 views 3SC10 CXB 43.91
5-6 views 3SC10 CXC 50.19
More than 6 views 3SC10 CXD 59.22
Thoracic Spine
2 or fewer views 3SC10 THA 34.34
3-4 views 3SC10 THB 45.20
Lumbar Spine
2 or fewer views 3SC10 LBA 36.80
3-4 views 3SC10 LBB 43.91
5-6 views 3SC10 LBC 50.19
More than 6 views 3SC10 LBD 59.22
Lumbosacral
Spine
2 or fewer views 3SC10 LSA 36.80
3-4 views 3SC10 LSB 43.91
5-6 views 3SC10 LSC 50.19
More than 6 views 3SC10 LSD 59.22
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Appendix B Page 1
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’.
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.UB.12 IA*-Intermittent Attendance
Pharmacotherapy 35 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
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Appendix B Page 2
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’.
Mental
Health &
Addictions
Total Body Ankle
Joint
Muscles
of Head
and
Neck
Hip Joint Spinal
Vertebrae
Shoulder
Joint
Muscles
of back Wrist Joint
Code AA ZZ WA EP VA SC TA SG UB
Assessment 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
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
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Appendix B Page 3
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
Musculos
keletal
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.SC.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 3.WZ.40
Computerized
Tomography 20 3.AN.20 3.SC.20 3.WZ.20
Diagnostic
Nuclear
Imaging
70 3.ZZ.70 3.AN.60 3.VA.70 3.TA.70 3.SC.70 3.WZ.70
Intervention
NEC 94 3.VA.94
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Appendix B Page 4
Section 6 – Examples of Cognitive, Psychosocial and Sensory Therapeutic Intervention Codes
Cognitive, Psychosocial and Sensory Intervention codes always start with a ‘6’.
Mental
Health &
Addictions
Inter-
personal
Relations
Cogniti
on and
Learnin
g
Comm
unicati
on
Hearing Voice
Sight
and
Other
Sense
s
Motor
&
Living
Skills
Attribute
Code AA DA KA LA PA RA TA VA
Assessment 02 6.AA.02 6.KA.02 6.LA.02 6.RA.0
2 6.VA.02
Counselling
(for a known
condition)
10 6.AA.10 6.DA.10 6.KA.10 6.LA.10 6.PA.10 6.RA.1
0
6.TA.1
0 6.VA.10
IN-Indirect
SD-Self-Directed
IM-Individual >1
provider
GR-Group – 1
provider
GS*-Group >1
provider
Facilitation 07 6.DA.07 6.KA.07 6.VA.07
Therapy 30 6.AA.30 6.DA.30 6.KA.30 6.RA.3
0
6.VA.30
Training 50 6.DA.50 6.KA.50 6.LA.50 6.PA.50 6.RA.5
0
6.TA.5
0
6.VA.50
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Appendix B Page 5
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 (court) 34 7.SJ.34
Instruction 59 7.SC.59 7.SP.59 IN-Indirect; SD-Self-Directed; IM-
Individual >1 provider; GR-Group – 1
provider; GS*-Group >1 provider Education 60 7.SP.60
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
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Appendix B Page 1
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
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Appendix B Page 2
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
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Appendix B Page 3
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
Documentation 7SJ30 Documentation, support activity
7SJ30LB Documentation, support activity for claim
form (e.g. for insurance, third party payor,
workers compensation)
Dressing 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
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Appendix B Page 4
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
Hyperthermy (cont.) 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
Hypothermy 1SJ06 Hypothermy, back NEC
1VA06 Hypothermy, hip joint
1ZX06 Hypothermy, multiple body sites
1TA06 Hypothermy, shoulder joint
1TX06 Hypothermy, soft tissue of arm NEC
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Appendix B Page 5
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
Imaging Not Elsewhere Classified 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
Immobilization (brace, cast, external fixator, splint,
traction etc..)
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
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Appendix B Page 6
Interventions Alphabetically CCI Code Description
Immobilization (brace, cast, external fixator, splint,
traction etc..)
(cont.)
1SN03 Immobilization, scapula
1TA03 Immobilization, shoulder joint
1SC03 Immobilization, spinal vertebrae
1VQ03 Immobilization, tibia and fibula
1ZZ03 Immobilization, total body
1UB03 Immobilization, wrist joint
1EB03 Immobilization, zygoma
Inspection
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
Inspection (cont.) 2CP70 Inspection, soft tissue of orbit and eyeball
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Appendix B Page 7
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
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.
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
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Appendix B Page 8
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.
(cont.)
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
Manipulation 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
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Appendix B Page 9
Interventions Alphabetically CCI Code Description
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 See “Documentation”
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Appendix B Page 10
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, pre-
operative 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
Stimulation: Includes electrostimulation, including TENS,
EMS, IFC, ultrasound, laser.
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
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Appendix B Page 11
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
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Appendix B Page 12
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
Tomography 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]
Training
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
APPENDIX B
PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)
Appendix B Page 13
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