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Release Notes:
Data Element
Version 2013A1

Data Element Name: ICD-9-CM Principal Procedure Code
Collected For: All Records , Optional for All HBIPS Records; Used in algorithm for PC-01, 02, 04 and 05
Definition:The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) code that identifies the principal procedure performed during this hospitalization. The principal procedure is the procedure performed for definitive treatment rather than diagnostic or exploratory purposes, or which is necessary to take care of a complication.

Note: If transmitted for the HBIPS measure set, all applicable edits (e.g., valid value, ICD-9-CM Principal Procedure Date exists, etc.) will apply.

Suggested Data Collection Question:What was the ICD-9-CM code selected as the principal procedure for this record?
Format:
Length:5 (with or without decimal point)
Type:Alphanumeric
Occurs:1
Allowable Values:

Any valid ICD-9-CM procedure code.

Notes for Abstraction:The principal procedure as described by the Uniform Hospital Discharge Data Set (UHDDS) is one performed for definitive treatment rather than diagnostic or exploratory purposes, or which is necessary to take care of a complication.
Suggested Data Sources:

  • Face sheet
  • Discharge summary
  • UB-04, Field Location: 74
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • None
  • None

ICD-9-CM Principal Procedure Code
Specifications Manual for Joint Commission National Quality Measures (v2013A1)
Discharges 01-01-13 (1Q13) through 06-30-13 (2Q13)