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Release Notes:
Data Element
Version 2010A1

Data Element Name: ICD-9-CM 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-9-CM Principal Procedure Code exists, etc.) will apply.

Suggested Data Collection Question:What was the date the principal procedure was performed?
Length:10 – MM-DD-YYYY (includes dashes) or UTD
Allowable Values:

MM = Month (01-12)
DD = Day (01-31)
YYYY = Year (2001-Current Year)
UTD = Unable to Determine

Notes for Abstraction:
  • If the principal procedure date is unable to be determined from medical record documentation, enter 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.”
    • 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 select “UTD.”
    • 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 select “UTD.”
      Transmission of a case with an invalid date as described above will be rejected from the Joint Commission’s Data Warehouse. Use of “UTD” for ICD-9-CM Principal Procedure Date allows the case to be accepted into the 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 Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)