Clarification on Planned Procedure vs Procedure Activity Procedure Template Usage

Jyothi Yella

unread,

Dec 29, 2025, 8:41:42 AM12/29/25

to Edge Test Tool (ETT)

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

Jyothi Yella

unread,

Dec 31, 2025, 2:45:58 AM12/31/25

to Edge Test Tool (ETT)

Hi,

Could you please look into the above query....

Regards,

Joe

Brett Marquard

unread,

Dec 31, 2025, 12:14:42 PM12/31/25

to Edge Test Tool (ETT)

Planned is a for a future event. When sending Planned SDOH interventions there is a recommended value set which includes SNOMED!

Jyothi Yella

unread,

Jan 5, 2026, 8:02:30 AMJan 5

to Edge Test Tool (ETT)

Thank you for the clarification.

Based on our validation testing, Planned SDOH Interventions pass validation only when both an allowed procedure code (CPT/HCPCS/ICD-10-PCS) and a SNOMED CT code are present. Using either SNOMED alone or HCPCS/CPT alone results in a validation error, while HCPCS/CPT with an equivalent SNOMED CT code (e.g., as a translation) passes validation.

We do not see explicit guidance in the IG requiring SNOMED to be sent together with CPT/HCPCS or instructing the use of translation. Could you please confirm whether this combined approach is the expected modeling pattern, or if there is alternative guidance we should follow?