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. '''[[(D) Abdominal or ~~Pelvic~~ Cavity, NOS]]''' + '''[[Inspection, Exploration (non-endoscopic)]]'''

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

**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.

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