1. L

    Wiki Aborted Procedure Anesthesia Coding

    I am hoping for some feedback on this one. I have an anesthesiologist who did the anesthesia for a hardware placement and spinal fusion. The anesthesia was initiated and the IONM was started. As a result of the findings on the IONM the ortho decided to abort the procedure. My question is do...
  2. A

    Wiki Cancelled procedure documentation

    There seems to be some debate. In an outpatient/day surgery setting, does a provider need to document the reason why a procedure was cancelled and sign off on it? Or is it sufficient for the nurse to write the reason why in a progress note/nurse note. Specifically if its cancelled due to pt...