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Release Notes:
Data Element
Version 2013B

Data Element Name: ICD-9-CM Principal Procedure Date
Collected For: All Records , Optional for All HBIPS and PBM Records
Definition:The month, day, and year when the principal procedure was performed.

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

Suggested Data Collection Question:What was the date the principal procedure was performed?
Format:
Length:10 – MM-DD-YYYY (includes dashes)
Type:Date
Occurs:1
Allowable Values:


MM = Month (01-12)
DD = Day (01-31)
YYYY = Year (20xx)
Leave Blank if Unable to Determine

Notes for Abstraction:
  • If the principal procedure date is unable to be determined from medical record documentation, leave blank.
  • The medical record must be abstracted as documented (taken at “face value”). When the date documented is obviously in error (not a valid date/format or is outside of the parameters of care [after Discharge Date ]) and no other documentation is found that provides this information, the abstractor should leave blank.
    Examples:
    • Documentation indicates the ICD-9-CM Principal Procedure Date was 02- 42 -2008. No other documentation in the medical record provides a valid date. Since the ICD-9-CM Principal Procedure Date is outside of the range listed in the Allowable Values for “Day,” it is not a valid date and the abstractor should leave blank.
    • Patient expires on 02-12-2008 and documentation indicates the ICD-9-CM Principal Procedure Date was 03-12-2008. Other documentation in the medical record supports the date of death as being accurate. Since the ICD-9-CM Principal Procedure Date is after the Discharge Date (death), it is outside of the parameter of care and the abstractor should leave blank.
      Note:
      Transmission of a case with an invalid date as described above will be rejected from the Joint Commission’s Data Warehouse.
Suggested Data Sources:

  • Consultation notes
  • Face sheet
  • Progress notes
  • Discharge summary
  • Diagnostic test reports
  • Operative notes
  • Procedure notes
  • UB-04, Field Location: 74
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • None
  • None

ICD-9-CM Principal Procedure Date
Specifications Manual for Joint Commission National Quality Measures (v2013B)
Discharges 07-01-13 (3Q13) through 12-31-13 (4Q13)