<< Previous Data Element Outpatient Output Table of Contents Next Data Element >>

Data Element Name:   Other Procedure Code 1-14
SPARCS Data Element Number:  54
Record Positions:  See Group Definition Format-Length:  A/N - 7
Effective Date:  1/1/1994 Revision Date:  January 2003

Definition:

All significant procedures other than the Principal Procedure Code (Data Element 52) are reported here, as space allows. They are reported in order of significance, starting with the most significant.

A significant procedure was one that was surgical in nature, carried a procedural risk, carried an anesthetic risk, or required specialized training. Surgery included incision, excision, amputation, introduction, endoscopy, repair, destruction, suture, and manipulation.

Codes and Values:
  1. Must have been left justified and entered exactly as shown in the ICD-9-CM coding reference, excluding the decimal point, and space filled.

  2. If this field was not applicable, it contains blanks.
Edit Applications:
  1. If Other Procedure Code 1-14 was entered, the corresponding Other Procedure Date 1-14 (Data Element 55) must have also been reported.

  2. Ambulatory Surgery Only:
    Edits pertaining to ICD-9-CM codes were validated on the basis of the Discharge Date (Data Element 6) and Expected Principal Reimbursement (Data Element 21) depending on conditions described in Appendix N, which included sex-specific diagnosis code conditions.

  3. Emergency Department Only:
    Edits pertaining to ICD-9-CM codes were validated on the basis of the Discharge Date (Data Element 6) depending on conditions described in Appendix N, which included sex-specific procedure code conditions.