Aborted Procedure

• 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

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

• 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.

Background

We decided that our coding will not track whether a procedure was aborted (aka a "failed procedure"), or was a failed procedure while still in surgery, as part of CCI Collection. We used to specifically collect failure or abandonment status on some procedures (e.g. inoperable cancer). In CCI, failure would need to be coded by appending "Status A" after the code. This would require an extra field for something we never generally coded before, so it was decided not to code this.