AHA Coding Clinic® for ICD-9 - 2012 Issue 4

Selection of Principal Procedure

In the Second Quarter 2011 issue of Coding Clinic, information was published to clarify whether the concept of principal procedure was valid for coding and reporting purposes. Since then, hospitals have been requesting further clarification on the selection of principal procedures because of its importance in surgical quality measures.  The following instructions should be applied in the selection of principal procedure and clarification on the importance of the relation to the principal diagnosis when more than one procedure is performed: Procedure performed for definitive treatment of both principal diagnosis and secondary diagnosis Sequence procedure performed for definitive treatment...

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