Clarification on Planned Procedure vs Procedure Activity Procedure Template Usage
Jyothi Yella
Hi Team,
We would like to clarify the validator behavior we observed regarding procedure template usage and coding in our C-CDA.
When using the Planned Procedure template (2.16.840.1.113883.10.20.22.4.41), we observed that:
Providing a CPT or HCPCS code for the procedure resolves the validation warning.
Providing only a SNOMED CT code results in a validation warning.
This behavior aligns with the template constraints, as the Planned Procedure template restricts the procedure code to CPT-4 or ICD-10-PCS, and does not permit SNOMED CT as the primary procedure code.
In contrast, when the same intervention is represented using the Procedure Activity Procedure template (2.16.840.1.113883.10.20.22.4.14), the validator allows SNOMED CT codes, and no warning is generated.
Based on this, our understanding is:
For Planned Procedure (4.41), a CPT or HCPCS/ICD-10-PCS code must be used to avoid validation warnings.
If the intervention is best represented using SNOMED CT only (e.g., SDOH interventions), Procedure Activity Procedure (4.14) is the appropriate template.
Please let us know if this interpretation is correct or if there are any additional recommendations for representing planned & completed SDOH interventions.
Thank you for your guidance.
Best regards,
Joe
