Appendix B Partial Pick List of Health Related Services and Intervention Codes (CCI)

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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 CCI Error! 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 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)

2 Attributes Appendix B Partial Pick List of Health Related 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 IA* Description Intermittent Attendance For Section 1, 6, and 7, the following Attribute Codes apply: Code IN SD IM GR GS Description Indirect (e.g. telephone) Self-directed (e.g. using tapes, videos) Individual with more than one provider Group with one provider Group with more than one provider For Section 3, the following Attribute Codes apply: Code A B C D Description 2 or less views 3 to 4 views 5 to 6 views More than 6 views 2

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 views 3SC10 CXB views 3SC10 CXC More than 6 views 3SC10 CXD Thoracic Spine 2 or fewer views 3SC10 THA views 3SC10 THB Lumbar Spine 2 or fewer views 3SC10 LBA views 3SC10 LBB views 3SC10 LBC More than 6 views 3SC10 LBD Lumbosacral Spine 2 or fewer views 3SC10 LSA views 3SC10 LSB views 3SC10 LSC More than 6 views 3SC10 LSD

4 Appendix B Examples of CCI Codes NB: 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 Vertebra e Wrist Joint Attribute* Cod e 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 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 Hyperthermy 07 1.ZX.07 1.WA.07 1.VA.07 1.TA.07 1.UB.07 Stimulation 09 1.EP.09 Acupuncture 10 1.ZX.10 Therapy 12 1.ZX.12 1.WA.12 1.VA.12 1.TA.12 1.UB.12 Pharmacotherapy 35 1ZZ35 IM-Individual >1 provider GR-Group 1 provider GS*-Group >1 provider IA*-Intermittent Attendance IA*-Intermittent Attendance IA*-Intermittent Attendance 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 4

5 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 & Addiction s 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 Electrophysiological Measurement Other measurement NEC total body Other diagnostic intervention NEC 24 2.EP.24 2.SG ZZ 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 Musculoskel etal 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 MRI 40 3.ZZ.40 3.AN.40 3.SC.40 3.WZ.40 Computerized Tomography Diagnostic Nuclear Imaging Intervention NEC 20 3.AN.20 3.SC.20 3.WZ ZZ.70 3.AN.60 3.VA.70 3.TA.70 3.SC.70 3.WZ VA.94 A (</=2) B (3-4) C (5-6) D (>6) 5

6 Section 6 Examples of Cognitive, Psychosocial and Sensory Therapeutic Intervention Codes Cognitive, Psychosocial and Sensory Intervention codes always start with a 6. Mental Health & Addictio ns Interpersonal Relations Cognition and Learning Communi cation Hearing Voice Sight and Other Senses 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.02 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.10 6.TA.10 6.VA.10 Facilitation 07 6.DA.07 6.KA.07 6.VA.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 Planning 12 7.SF.12 Preparation 13 7.SF.13 Brokerage 15 7.SF.15 Documentation Form) (Claims 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 Education 60 7.SP.60 IN-Indirect; SD-Self- Directed; IM-Individual >1 provider; GR-Group 1 provider; GS*-Group >1 provider IN-Indirect SD-Self-Directed IM-Individual >1 provider GR-Group 1 provider GS*-Group >1 provider 6

7 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). 7

8 Interventions Alphabetically CCI Code Description Acupuncture - invloves 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. Assessment -.CCI Codes Note: Providers are advised to select GAP codes to reflect assessment activiites 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. Assistance - accompanying, client, ADL, self care, bathing (client) NOS, Feeding (client) NOS, Grooming (client) NOS, performing ADL for client, portering patient, positioning body (NOS) Refer to Appendix C for a list of GAP codes. 2DZ02 2CZ02 2GE02 2FK02 2ZZ02 7SE02 7SE02AB 7SE02AW 6AA02 7SC01 Assessment (examination), ear Assessment (examination), eye Assessment (examination), larynx Assessment (examination), mouth Assessment (examination), total body Assessment, environment Assessment, environment of private living space Assessment, environment of workplace Assessment, mental health and addictions. Diagnostic interview 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 referal. 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 2GT21 Capacity measurement, lung spirometry, monitoring breathing, respiratory function study, 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 8

9 CT 3AN20 Computerized tomography [CT], brain 3EA20 3ER20 3VZ20 3GT20 3WZ20 3CA20 3EY20 Computerized tomography [CT], cranium Computerized tomography [CT], head NEC Computerized tomography [CT], leg NEC Computerized tomography [CT], lung NEC Computerized tomography [CT], musculoskeletal system NEC Computerized tomography [CT], orbit (of eye) Computerized tomography [CT], paranasal sinuses 3AF20 3SF20 Computerized tomography [CT], pituitary region 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 2BR50 Conduction study, nerves of arm percutaneously inserted; with repetitive 2BP50 Conduction study, nerves of hand stimulation by electrodes percutaneously 2BB50 Conduction study, nerves of head and neck inserted; Neuromuscular junction testing; using surface electrodes externally applied 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 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) 9

10 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 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. 1TZ02 1SJ02 1TM02 1WG02 1UZ02 1VA02 1UL02 1VG02 1VZ02 1ZX02 1SY02 1GZ02 1SI02 1TA02 1SC02 1EL02 1UB02 6KA07 6DA07 Exercise, arm NEC Exercise, back NEC Exercise, elbow joint Exercise, foot Exercise, hand with wrist Exercise, hip joint Exercise, joints of fingers and hand NEC Exercise, knee joint Exercise, leg NEC Exercise, multiple body sites Exercise, muscles of the chest and abdomen Exercise, respiratory system NEC Exercise, sacroiliac joint Exercise, shoulder joint Exercise, spinal vertebrae Exercise, temporomandibular joint [TMJ] Exercise, wrist joint Facilitation, cognition and learning Facilitation, interpersonal relationships Hyperthermy 1TB07 Hyperthermy, acromioclavicular and sternoclavicular joints 1WA07 1SJ07 Hyperthermy, ankle joint Hyperthermy, back NEC 10

11 1TM07 1VA07 1UL07 1WV07 1UL07 1VG07 1UL07 1ZX07 1YA07 1TA07 1TX07 1VX07 1SZ07 Hyperthermy, elbow joint Hyperthermy, hip joint Hyperthermy, joints of fingers and hand Hyperthermy, soft tissues of the foot and ankle Hyperthermy, joints of fingers and hand NEC Hyperthermy, knee joint Hyperthermy, joints of fingers and hand Hyperthermy, multiple body sites Hyperthermy, scalp Hyperthermy, shoulder joint Hyperthermy, soft tissue of arm NEC Hyperthermy, soft tissue of leg 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 1ZX06 1TA06 1TX06 1VX06 1SZ06 Hypothermy, hip joint Hypothermy, multiple body sites Hypothermy, shoulder joint Hypothermy, soft tissue of arm NEC Hypothermy, soft tissue of leg 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 3AN94 3EA94 3VC94 3WG94 3UZ94 3VA94 3VG94 3VZ94 3EE94 3EQ94 Imaging intervention NEC, arm NEC Imaging intervention NEC, brain Imaging intervention NEC, cranium NEC Imaging intervention NEC, femur Imaging intervention NEC, foot Imaging intervention NEC, hand with wrist Imaging intervention NEC, hip joint Imaging intervention NEC, knee joint Imaging intervention NEC, leg NEC Imaging intervention NEC, mandible Imaging intervention NEC, soft tissue of head and neck 3AW94 3VQ94 Imaging intervention NEC, spinal cord Imaging intervention NEC, tibia and fibula 11

12 Immobilization (brace, cast, external fixator, splint, traction etc..) 1WA03 1SA03 1SM03 1TM03 1VC03 1WG03 1VA03 1TK03 1UL03 1VG03 1EE03 1ED03 1EF03 1ET03 1SQ03 1WL03 1UJ03 1TV03 1SL03 1SN03 1TA03 1SC03 1VQ03 1ZZ03 1UB03 1EB03 Immobilization, ankle joint Immobilization, atlas and axis Immobilization, clavicle Immobilization, elbow joint Immobilization, femur Immobilization, foot Immobilization, hip joint Immobilization, humerus Immobilization, joints of fingers and hand NEC Immobilization, knee joint Immobilization, mandible Immobilization, maxilla Immobilization, maxilla with mandible Immobilization, nose Immobilization, pelvis Immobilization, other phalanx of foot Immobilization, other phalanx of hand Immobilization, radius and ulna Immobilization, ribs Immobilization, scapula Immobilization, shoulder joint Immobilization, spinal vertebrae Immobilization, tibia and fibula Immobilization, total body Immobilization, wrist joint Immobilization, zygoma Inspection 2BB70 Inspection, nerves of head and neck 2TB70 Inspection, acromioclavicular and sternoclavicular joints 2WA70 2BA70 2EA70 2TM70 2CZ70 2WH70 2VA70 2UL70 2VG70 2GE70 2GT70 2DL70 2GW70 2DK70 2FA70 2BR70 2BP70 2BU70 2BT70 2BS70 Inspection, ankle joint Inspection, cranial nerves (intracranial) Inspection, cranium Inspection, elbow joint Inspection, eye Inspection, foot and toe joint Inspection, hip joint Inspection, joints of fingers and hand Inspection, knee joint Inspection, larynx Inspection, lung Inspection, mastoid (process) Inspection, mediastinum Inspection, middle ear Inspection, nasopharynx Inspection, nerves of arm Inspection, nerves of hand Inspection, nerves of leg Inspection, nerves of lower leg Inspection, nerves of pelvis and hip and thigh 12

13 Instruction - Involves providing client with sufficient instructional guidance enabling the performance of self care Instruction - Includes instruction on: biofeedback, monitoring vital signs, self exam, reduce health risk factors 2BD70 2BL70 2ET70 2FX70 2BX70 2TC70 2TA70 2TX70 2EQ70 2VX70 2CP70 2SH70 2SZ70 2WV70 2UY70 2EL70 2GJ70 2UB70 7SC59 7SP59 Inspection, nerves of the ear Inspection, nerves of trunk Inspection, nose Inspection, oropharynx Inspection, peripheral nerve(s) NEC Inspection, rotator cuff Inspection, shoulder joint Inspection, soft tissue of arm Inspection, soft tissue of head and neck Inspection, soft tissue of leg Inspection, soft tissue of orbit and eyeball Inspection, soft tissue of the back Inspection, soft tissue of the chest and abdomen Inspection, soft tissue of the foot and ankle Inspection, soft tissue of the wrist and hand Inspection, temporomandibular joint [TMJ] Inspection, trachea Inspection, wrist joint Instruction, personal care 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 3GY40 Magnetic resonance imaging [MRI], temporomandibular joint [TMJ] Magnetic resonance imaging [MRI], thoracic cavity NEC 3JY40 Magnetic resonance imaging [MRI], thoracic vessels NEC 3ZZ40 Magnetic resonance imaging [MRI], total body 13

14 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 1SM38 1TM38 1VC38 1WG38 1FB38 1VA38 1TK38 1UL38 1VG38 1GE38 1EE38 1ED38 1WL38 Management of external appliance, ankle joint Management of external appliance, clavicle Management of external appliance, elbow joint Management of external appliance, femur Management of external appliance, foot Management of external appliance, hard palate Management of external appliance, hip joint Management of external appliance, humerus Management of external appliance, joints of fingers and hand NEC Management of external appliance, knee joint Management of external appliance, larynx NEC Management of external appliance, mandible Management of external appliance, maxilla Management of external appliance, phalanx of foot 1UJ38 Management of external appliance, phalanx of hand 1TV38 Management of external appliance, radius and ulna 1TA38 1SC38 Management of external appliance, shoulder joint 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 1SA05 1TM05 1VA05 1WM05 1UL05 1VG05 1ZX05 1SQ05 1SL05 1SI05 1TA05 1SC05 1WE05 1WJ05 1EL05 1UB05 Manipulation, ankle joint Manipulation, atlas and axis Manipulation, elbow joint Manipulation, hip joint Manipulation, interphalangeal joints of toe Manipulation, joints of fingers and hand NEC Manipulation, knee joint Manipulation, multiple body sites Manipulation, pelvis Manipulation, ribs Manipulation, sacroiliac joint Manipulation, shoulder joint Manipulation, spinal vertebrae Manipulation, tarsal bones and intertarsal joints [hindfoot, midfoot] Manipulation, tarsometatarsal joints, metatarsal bones and metatarsophalangeal joints (forefoot) Manipulation, temporomandibular joint [TMJ] Manipulation, wrist joint 14

15 Massage Therapy Measuring and Fitting Service. Includes measuring and/or fitting assistive or adaptive devices, prosthetics See Therapy 7SF18 Measuring and fitting, service Mobilization 1TB04 Mobilization, acromioclavicular and sternoclavicular joints 1WA04 1SA04 1TM04 1VA04 1WM04 1UL04 1VG04 1ZX04 1EP04 1VR04 1TF04 Mobilization, ankle joint Mobilization, atlas and axis Mobilization, elbow joint Mobilization, hip joint Mobilization, interphalangeal joints of toe Mobilization, joints of fingers and hand NEC Mobilization, knee joint Mobilization, multiple body sites Mobilization, muscles of head and neck Mobilization, muscles of lower leg [around knee] Mobilization, muscles of the arm [around shoulder] 1SG04 1SY04 1TQ04 Mobilization, muscles of the back Mobilization, muscles of the chest and abdomen 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 Other 2ZZ94 Other diagnostic intervention NEC, total body 7SC08 Other ministration, personal care Planning: Includes team conference, care 7SF12 Planning, service planning, discharge planning, activity programming, rounds Precaution. Includes adaptation of environment, 7SC70 Precaution, personal care creation of safe environment and risk management Preparation: Includes health intervention 7SF13 Preparation, service preparation, pre-operative preparation. Prescription 7SJ32 Prescription, support activity 15

16 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 1VD09 1VR09 1TF09 1SG09 1SY09 1TQ09 Stimulation, muscles of head and neck Stimulation, muscles of hip and thigh Stimulation, muscles of lower leg [around knee] Stimulation, muscles of the arm [around shoulder] Stimulation, muscles of the back Stimulation, muscles of the chest and abdomen 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 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 16

17 2EL08 2ZZ08 2UB08 Test, temporomandibular joint [TMJ] Test, total body Test, wrist joint Testimony 7SJ34 Testimony (court), support activity Therapeutic Intervention Not Elsewhere Classified (NEC) 1TZ94 1AZ94 Therapeutic intervention NEC, arm NEC Therapeutic intervention NEC, central nervous system NEC 1VZ94 1MZ94 Therapeutic intervention NEC, leg NEC Therapeutic intervention NEC, lymphatic system NEC 1WZ94 Therapeutic intervention NEC, musculoskeletal system NEC 1BZ94 Therapeutic intervention NEC, nervous system NEC 1YZ94 1EQ94 Therapeutic intervention NEC, skin NEC Therapeutic intervention NEC, soft tissue of head and neck 1FE94 Therapeutic intervention NEC, tooth Therapy: Includes vibrating device, accupressure 1EQ12 Therapy NEC, soft tissue of head and neck technique, massage technique, therapeutic touch 1WA12 Therapy, ankle joint technique. 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) 17

18 3SQ18 3SF18 3EL18 Tomography, pelvis Tomography, sacrum and coccyx Tomography, temporomandibular joint [TMJ] 18

19 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 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 19