Emergency Surgery (concept)

Admit Types:

The concept of emergency surgery is used in two places:

• Admit Type for APACHE II
• T26 & 27 - Emergency Surgery (TISS Item)-39

when to use Emergency Surgery

1. If the patient was admitted from an OR or from Recovery AND
2. your site uses the E1, E2, E3 scheme for surgery documentation:
   • use E1 as emergency surgery for APACHE II Admit Type and for TISS Items 39
3. all other patients admitted from OR or RR, are considered to be elective surgery
4. if your site does not use the E1, E2, E3 scheme in surgery documentation:
   • use your judgment and the General Diagnosis Coding Guidelines to decide if the surgery was emergent or elective
5. If the patient was admitted from anywhere other than Operating Room or Recovery code as Medical in Admit Type for APACHE II