Tuesday, August 25, 2015

How the Single-level CCS Works

Single-level CCS is most useful for ranking of diagnoses and procedures and for direct integration into risk adjustment and other software. This Single-level CCS lassifies all diagnoses and procedures into unique groups, has a total of 285 mutually exclusive categories.

Now look for some Example of ‘Single-level  CCS’

CCS Category     CCS Category Desc
1        Tuberculosis
2        Septicemia (except in labor)
3        Bacterial infection; unspecified site
4        Mycoses
5        HIV infection
6        Hepatitis
7        Viral infection
8        Other infections; including parasitic
9        Sexually transmitted infections (not HIV or hepatitis)
10        Immunizations and screening for infectious disease

Now try to understand how the ICD-9 Rolled in each of the CCS Category:

CCS Category     CCS Category Desc    ICD9_diag_code    ICD-9-CM CODE DESCRIPTION

5        HIV infection        0439        ARC- UNSPECIFIED (Begin 1986 End 1994)
5        HIV infection        0420        HIV W/SPECIF INFECTIONS (Begin 1986 End 1994)
5        HIV infection        0421        HIV CAUS OTH SPEC INFECT (Begin 1986 End 1994)
5        HIV infection        0422        HIV W/SPEC MALIG NEOPLSM (Begin 1986 End 1994)
5        HIV infection        0429        AIDS- UNSPECIFIED (Begin 1986 End 1994)
5        HIV infection        0430        HIV CAUS LYMPHADENOPATHY (Begin 1986 End 1994)
5        HIV infection        0431        HIV CAUS SP CNS DISEASE (Begin 1986 End 1994)
5        HIV infection        042        HIV DISEASE (Begin 1994)
5        HIV infection        0433        HIV CAUS OTH SPECIF COND (Begin 1986 End 1994)
5        HIV infection        V08        HIV POSITIVE NOS (Begin 1994)
5        HIV infection        0440        HIV CAUS ACUTE INFECTION (Begin 1986 End 1994)
5        HIV infection        0449        HIV- UNSPECIFIED (Begin 1986 End 1994)
5        HIV infection        07953        HIV TYPE 2 (Begin 1993)
5        HIV infection        27910        IMMUNDEF T-CELL DEF NOS
5        HIV infection        27919        DEFIC CELL IMMUNITY NOS
5        HIV infection        79571        NONSPECIFIC SEROLOG HIV (Begin 1994)
5        HIV infection        7958        POSITIVE SERO/VIRAL HIV (Begin 1986 End 1994)
5        HIV infection        0432        HIV CAUS OT DISOR IMMUNE (Begin 1986 End 1994)

CCS Category     CCS Category Desc            ICD9_diag_code ICD-9-CM CODE DESCRIPTION

9    Sexually transmitted infections (not HIV or hepatitis)    0939    CARDIOVASCULAR SYPH NOS
9    Sexually transmitted infections (not HIV or hepatitis)    096    LATE SYPHILIS LATENT
9    Sexually transmitted infections (not HIV or hepatitis)    09482    SYPHILITIC PARKINSONISM
9    Sexually transmitted infections (not HIV or hepatitis)    09481    SYPHILITIC ENCEPHALITIS
9    Sexually transmitted infections (not HIV or hepatitis)    0943    ASYMPTOMAT NEUROSYPHILIS
9    Sexually transmitted infections (not HIV or hepatitis)    0942    SYPHILITIC MENINGITIS
9    Sexually transmitted infections (not HIV or hepatitis)    09484    SYPHILITIC OPTIC ATROPHY
9    Sexually transmitted infections (not HIV or hepatitis)    0940    TABES DORSALIS
9    Sexually transmitted infections (not HIV or hepatitis)    09485    SYPH RETROBULB NEURITIS
9    Sexually transmitted infections (not HIV or hepatitis)    09389    CARDIOVASCULAR SYPH NEC
9    Sexually transmitted infections (not HIV or hepatitis)    09382    SYPHILITIC MYOCARDITIS
9    Sexually transmitted infections (not HIV or hepatitis)    09381    SYPHILITIC PERICARDITIS
9    Sexually transmitted infections (not HIV or hepatitis)    09324    SYPHIL PULMONARY VALVE
9    Sexually transmitted infections (not HIV or hepatitis)    09323    SYPHIL TRICUSPID VALVE

The Other ICD-9 Codes that also used in CCS category 9 are:
09322,0941,0952,0900,0958,0957,0956,0955,09483,0953,0931,0951,0950,0949,09489,09487,09486, 0954,09049,0912,0911,0910,0909,0907,09321,0905,09150,09042,09041,09040,0903,0902,0901,0906, 0917,0970,0930,0929,0920,0919,09189,0913,09181,0914,09169,09162,09161,09152,09151,09320, 09182,09886,0959,0994,0993,0992,0991,09941,09889,09949,09885,09884,09883,09882,09881, 0987,0990,09956,79675,79519,79515,79505,0999,09940,09959,09853,09955,09954,09953,09952, 09951,09950,0998,09813,09830,0982,09819,09817,09816,0986,09814,09833,09812,09811,09810, 0980,0979,0971,09815,09840,79679,09852,09851,09850,09849,09843,09831,09841,09832,09839, 09837,09836,09835,09834,09859,09842

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