Aborted Procedure: Difference between revisions

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*If the procedure was not even begun, don't code it at all -- e.g. taken to, perhaps was put to sleep, but the surgeon/proceduralist never began doing the planned procedure.

*If on the other hand, a procedure WAS begun but the surgeon or proceduralist, for whatever reason, didn't do what was planned, then code WHATEVER WAS ACTUALLY DONE.

**e.g. planned a colon resection for colon cancer, opened the patient, saw that there was diffuse peritoneal carcinomatosis, and then just closed, then code the diagnostic exploratory lap, i.e. '''[[~~Diagnostic Interventions on the~~ Abdominal Cavity NOS]]''' + '''[[Inspection~~/exploration not via endoscope~~]]'''

**e.g. planned a colon resection for colon cancer, opened the patient, saw that there was diffuse peritoneal carcinomatosis, and then just closed, then code the diagnostic exploratory lap, i.e. '''[[(D) Abdominal or Pelvic Cavity, NOS]]''' + '''[[Inspection, Exploration (non-endoscopic)]]'''

***if they did a biopsy also before they closed, then code as above AND ALSO the biopsy as: '''[[(D) Abdominal or Pelvic Cavity, NOS]]''' + '''[[Biopsy (non-endoscopic)]]'''

*'''~~If a procedure was started but then aborted~~, ~~collect the procedure as if it had been completed successfully.~~'''

**e.g. they started a thrombectomy on the carotid artery of a stroke patient, but were unable to finish it, then here you'd code the thrombectomy because they went in and made the attempt.

*~~For example~~ a thrombectomy ~~was attempted~~ on a ~~neuro~~ patient but ~~they~~ were unable to ~~reach~~ the ~~clot and abandoned the procedure. Code~~ thrombectomy because they ~~actually~~ went in and made the attempt.

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@@ Line 2: / Line 2: @@
 *If the procedure was not even begun, don't code it at all -- e.g. taken to, perhaps was put to sleep, but the surgeon/proceduralist never began doing the planned procedure.
 *If on the other hand, a procedure WAS begun but the surgeon or proceduralist, for whatever reason, didn't do what was planned, then code WHATEVER WAS ACTUALLY DONE.
-**e.g. planned a colon resection for colon cancer, opened the patient, saw that there was diffuse peritoneal carcinomatosis, and then just closed, then code the diagnostic exploratory lap, i.e. '''[[Diagnostic Interventions on the Abdominal Cavity NOS]]''' + '''[[Inspection/exploration not via endoscope]]'''
+**e.g. planned a colon resection for colon cancer, opened the patient, saw that there was diffuse peritoneal carcinomatosis, and then just closed, then code the diagnostic exploratory lap, i.e. '''[[(D) Abdominal or Pelvic Cavity, NOS]]''' + '''[[Inspection, Exploration (non-endoscopic)]]'''
+***if they did a biopsy also before they closed, then code as above AND ALSO the biopsy as:  '''[[(D) Abdominal or Pelvic Cavity, NOS]]''' + '''[[Biopsy (non-endoscopic)]]'''
-*'''If a procedure was started but then aborted, collect the procedure as if it had been completed successfully.'''
+**e.g. they started a thrombectomy on the carotid artery of a stroke patient, but were unable to finish it, then here you'd code the thrombectomy because they went in and made the attempt.
-*For example a thrombectomy was attempted on a neuro patient but they were unable to reach the clot and abandoned the procedure. Code thrombectomy because they actually went in and made the attempt.
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