appendix b - cci-cihi

APPENDIX B

PARTIAL PICK LIST OF HEALTH RELATED SERVICES & INTERVENTION CODES (CCI)

Appendix B

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


Appendix B

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


Appendix B

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


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


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


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


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


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


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


Appendix B Page 2


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


Appendix B Page 3


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,


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


Appendix B Page 4


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


Appendix B Page 5


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,


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


Appendix B Page 6


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


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],


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


Appendix B Page 8


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


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


Appendix B Page 9


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


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


Appendix B Page 10


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


Appendix B Page 11


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,


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


Appendix B Page 12


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


Appendix B Page 13


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 - cci-cihi

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