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. (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, 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.
- 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)
Background |
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