what is a surgical operative note?
The postoperative diagnosis is what the surgeon confirmed to be performed during the procedure. âProcedures performedâ is a preview of what should be found in the operative report. Keep in mind that anything coded must be documented in the body of the report. The operative note is the full report of what the surgeon performed during surgery. What do you do if the âprocedures performedâ indicates something that is not included in the body of the operative report? Query the provider. The surgeon is the only one who can tell you exactly what happened during an operation.