The Clinical Classification System - Evidence Based Coding
CCC Manual

Framework

Coding

Each of the two interrelated CCC Terminologies use five alphanumeric characters to code each diagnosis and intervention concept/data element/label. The coding structure is based on 10th Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) (WHO, 1992). It consists of a five character alphanumeric code with the core concept consisting of three characters.

  • 1st is an alphabetic character representing the Care Component
  • 2nd and 3rd characters are two numeric digits representing the major category for Nursing Diagnosis or Nursing Intervention
  • 4th character is blank or one decimal digit representing a subcategory, if used, for Nursing Diagnosis or Nursing Intervention
  • 5th digit representing the qualifier for either terminology.*

* Qualifier for CCC of Nursing Diagnoses uses one of three Expected Outcomes and/or Actual Outcomes and one of four Action Types.

The Terminologies are coded as follows:

  • 1st Alpha Code: A to U Care Component
  • 2nd.3rd Digits: 01-nn Major Category
  • 4th Digit: 1 to 9: Sub-Category
  • 5th Digit: .1.,2. or .3 Outcome Qualifier or 5th Digit:.1, .2, .3, or .4 Action Type Qualifier

Examples

Listed below are two coded examples. One for a Nursing Diagnosis with the Outcome Qualifier and one for a Nursing Intervention with an Action Type Qualifier.

Coded Example: CCC of Nursing Diagnosis with Actual Outcome

Activity Alteration Improved: A.01.11

Activity (Component) (A)
Activity Alteration (Major Category) (A01)
No Subcategory (A01.0)
Activity Alteration Improved (Outcome Qualifier (A01.0.1)

Coded Example: CCC of Nursing Intervention with Action Type

Perform Dressing Change: R55.2.2

Tissue Integrity (Component) (R)
No Major Category (R55)
Dressing Change (Subcategory) (R.55.2)
Perform Dressing Change (Action Type Qualifier (R55.2.2)