Specifications Manual for Joint Commission National Quality Measures (v2018A1)
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Release Notes:
Data Element
Version 2018A1

Data Element Name: ICD-10-PCS Principal Procedure Date
Collected For: All Records, Optional for All HBIPS 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-10-PCS 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) or UTD
Type:Date
Occurs:1
Allowable Values:

MM = Month (01-12)
DD = Day (01-31)
YYYY = Year (20xx)
UTD = Unable to Determine
Notes for Abstraction:
  • If the principal procedure date is unable to be determined from medical record documentation, select “UTD.”
  • 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 select “UTD.”
    Examples:
    • Documentation indicates the ICD-10-PCS Principal Procedure Date was 02-42-20xx. No other documentation in the medical record provides a valid date. Since the ICD-10-PCS 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 select “UTD.”
    • Patient expires on 02-12-20xx and documentation indicates the ICD-10-PCS Principal Procedure Date was 03-12-20xx. Other documentation in the medical record supports the date of death as being accurate. Since the ICD-10-PCS Principal Procedure Date is after the Discharge Date (death), it is outside of the parameter of care and the abstractor should select “UTD.”

Note: Transmission of a case with an invalid date as described above will be rejected from the QIO Clinical Warehouse and the Joint Commission’s Data Warehouse. Use of “UTD” for ICD-10-PCS Principal Procedure Date allows the case to be accepted into the warehouse.

Suggested Data Sources:

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

ICD-10-PCS Principal Procedure Date
Specifications Manual for Joint Commission National Quality Measures (v2018A1)
Discharges 07-01-18 (3Q18) through 12-31-18 (4Q18)
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