The Term "post-op"

Example: MD writes postop ileus on POD2 after abdominal surgery. Bowel function returns by day 4 and pt is dc'd home. Do you still query asking if the ileus is a complication because they used the word "postop". Or do you just ignore since it is inherent to surgery? I wouldn't code ileus normally in these circumstances but I'm concerned re the use of "post op"

Another example- post op atelectasis; common finding after surgery.

Post op hypotension- do you ask if its a complication?


  • The term 'post op' is a period of time. There is no linkage to a complication, therefore one would not be coded, nor queried as there is no documentation showing it required additional care, etc. See Optum360's Guide to Clinical Validation which may help you.
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