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PQRS Measure

#21Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
 Description  Data Collection Sheet  Coding Specifications Registry OK.
 This measure is can be reported as part of the following groups:
 Perioperative Care Group   

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
4041FDocumentation of order for cefazolin OR cefuroxime for antimicrobial prophylaxis (PERI 2)
4041F8PDocumentation of order for cefazolin OR cefuroxime for antimicrobial prophylaxis (PERI 2)
4041F1PDocumentation of order for cefazolin OR cefuroxime for antimicrobial prophylaxis (PERI 2)
15734Muscle, myocutaneous, or fasciocutaneous flap; trunk
15738Muscle, myocutaneous, or fasciocutaneous flap; lower extremity
19260Excision of chest wall tumor including ribs
19271Excision of chest wall tumor involving ribs, with plastic reconstruction; without mediastinal lymphadenectomy
19272Excision of chest wall tumor involving ribs, with plastic reconstruction; with mediastinal lymphadenectomy
19301Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy);
19302Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy
19303Mastectomy, simple, complete
19304Mastectomy, subcutaneous
19305Mastectomy, radical, including pectoral muscles, axillary lymph nodes
19306Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)
19307Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle
19361Breast reconstruction; with latissimus dorsi flap
19364Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)
19366Breast reconstruction with other technique
19367Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap
19368Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)
19369Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap
21627Sternal debridement
21632Radical resection of sternum; with mediastinal lymphadenectomy
21740Reconstructive repair of pectus excavatum or carinatum; open
21750Closure of median sternotomy separation with or without debridement (separate procedure)
21805Open treatment of rib fracture without fixation, each
21825Open treatment of sternum fracture with or without skeletal fixation
22325Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; lumbar
22524Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device, 1 vertebral body, unilateral or bilateral cannulation (eg, kyphoplasty); lumbar
22554Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2
22558Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar
22600Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment
22612Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed)
22630Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar;
22800Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments
22802Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments
22804Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments
27125Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)
27130Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft
27132Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft
27134Revision of total hip arthroplasty; both components, with or without autograft or allograft
27137Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft
27138Revision of total hip arthroplasty; femoral component only, with or without allograft
27235Percutaneous skeletal fixation of femoral fracture, proximal end, neck
27236Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement
27244Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant, with or without cerclage
27245Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage
27269Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed
27440Arthroplasty, knee, tibial plateau;
27441Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy
27442Arthroplasty, femoral condyles or tibial plateau(s), knee;
27443Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy
27445Arthroplasty, knee, hinge prosthesis (eg, Walldius type)
27446Arthroplasty, knee, condyle and plateau; medial OR lateral compartment
27447Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)
27702Arthroplasty, ankle; with implant (total ankle)
27703Arthroplasty, ankle; revision, total ankle
27704Removal of ankle implant
27758Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage
27759Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage
27766Open treatment of medial malleolus fracture, includes internal fixation, when performed
27769Open treatment of posterior malleolus fracture, includes internal fixation, when performed
27792Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed
27814Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed
28192Removal of foreign body, foot; deep
28193Removal of foreign body, foot; complicated
28293Correction, hallux valgus (bunion), with or without sesamoidectomy; resection of joint with implant
28415Open treatment of calcaneal fracture, includes internal fixation, when performed;
28420Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)
28445Open treatment of talus fracture, includes internal fixation, when performed
28465Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each
28485Open treatment of metatarsal fracture, includes internal fixation, when performed, each
28505Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed
28525Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each
28531Open treatment of sesamoid fracture, with or without internal fixation
28555Open treatment of tarsal bone dislocation, includes internal fixation, when performed
28585Open treatment of talotarsal joint dislocation, includes internal fixation, when performed
28615Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed
28645Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed
28675Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed
28705Arthrodesis; pantalar
28715Arthrodesis; triple
28725Arthrodesis; subtalar
28730Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse;
28735Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)
28737Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)
31760Tracheoplasty; intrathoracic
31766Carinal reconstruction
31770Bronchoplasty; graft repair
31775Bronchoplasty; excision stenosis and anastomosis
31786Excision of tracheal tumor or carcinoma; thoracic
31805Suture of tracheal wound or injury; intrathoracic
32095Thoracotomy, limited, for biopsy of lung or pleura
32100Thoracotomy; with exploration
32110Thoracotomy; with control of traumatic hemorrhage and/or repair of lung tear
32120Thoracotomy; for postoperative complications
32124Thoracotomy; with open intrapleural pneumonolysis
32140Thoracotomy; with cyst(s) removal, includes pleural procedure when performed
32141Thoracotomy; with resection-plication of bullae, includes any pleural procedure when performed
32150Thoracotomy; with removal of intrapleural foreign body or fibrin deposit
32215Pleural scarification for repeat pneumothorax
32220Decortication, pulmonary (separate procedure); total
32225Decortication, pulmonary (separate procedure); partial
32310Pleurectomy, parietal (separate procedure)
32320Decortication and parietal pleurectomy
32402Biopsy, pleura; open
32440Removal of lung, pneumonectomy;
32442Removal of lung, pneumonectomy; with resection of segment of trachea followed by broncho-tracheal anastomosis (sleeve pneumonectomy)
32445Removal of lung, pneumonectomy; extrapleural
32480Removal of lung, other than pneumonectomy; single lobe (lobectomy)
32482Removal of lung, other than pneumonectomy; 2 lobes (bilobectomy)
32484Removal of lung, other than pneumonectomy; single segment (segmentectomy)
32486Removal of lung, other than pneumonectomy; with circumferential resection of segment of bronchus followed by broncho-bronchial anastomosis (sleeve lobectomy)
32488Removal of lung, other than pneumonectomy; with all remaining lung following previous removal of a portion of lung (completion pneumonectomy)
32491Removal of lung, other than pneumonectomy; with resection-plication of emphysematous lung(s) (bullous or non-bullous) for lung volume reduction, sternal split or transthoracic approach, includes any pleural procedure, when performed
32500Removal of lung, other than total pneumonectomy; wedge resection, single or multiple
32501Resection and repair of portion of bronchus (bronchoplasty) when performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)
32800Repair lung hernia through chest wall
32810Closure of chest wall following open flap drainage for empyema (Clagett type procedure)
32815Open closure of major bronchial fistula
32900Resection of ribs, extrapleural, all stages
32905Thoracoplasty, Schede type or extrapleural (all stages);
32906Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula
32940Pneumonolysis, extraperiosteal, including filling or packing procedures
33020Pericardiotomy for removal of clot or foreign body (primary procedure)
33025Creation of pericardial window or partial resection for drainage
33030Pericardiectomy, subtotal or complete; without cardiopulmonary bypass
33031Pericardiectomy, subtotal or complete; with cardiopulmonary bypass
33050Resection of pericardial cyst or tumor
33120Excision of intracardiac tumor, resection with cardiopulmonary bypass
33130Resection of external cardiac tumor
33140Transmyocardial laser revascularization, by thoracotomy; (separate procedure)
33141Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List separately in addition to code for primary procedure)
33202Insertion of epicardial electrode(s); open incision (eg, thoracotomy, median sternotomy, subxiphoid approach)
33250Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); without cardiopulmonary bypass
33251Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); with cardiopulmonary bypass
33256Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass
33261Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass
33300Repair of cardiac wound; without bypass
33305Repair of cardiac wound; with cardiopulmonary bypass
33310Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); without bypass
33315Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass
33320Suture repair of aorta or great vessels; without shunt or cardiopulmonary bypass
33321Suture repair of aorta or great vessels; with shunt bypass
33322Suture repair of aorta or great vessels; with cardiopulmonary bypass
33332Insertion of graft, aorta or great vessels; with shunt bypass
33335Insertion of graft, aorta or great vessels; with cardiopulmonary bypass
33400Valvuloplasty, aortic valve; open, with cardiopulmonary bypass
33401Valvuloplasty, aortic valve; open, with inflow occlusion
33403Valvuloplasty, aortic valve; using transventricular dilation, with cardiopulmonary bypass
33404Construction of apical-aortic conduit
33405Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve
33406Replacement, aortic valve, open, with cardiopulmonary bypass; with allograft valve (freehand)
33410Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve
33411Replacement, aortic valve; with aortic annulus enlargement, noncoronary sinus
33413Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve (Ross procedure)
33416Ventriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic stenosis (eg, asymmetric septal hypertrophy)
33422Valvotomy, mitral valve; open heart, with cardiopulmonary bypass
33425Valvuloplasty, mitral valve, with cardiopulmonary bypass;
33426Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring
33427Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring
33430Replacement, mitral valve, with cardiopulmonary bypass
33460Valvectomy, tricuspid valve, with cardiopulmonary bypass
33463Valvuloplasty, tricuspid valve; without ring insertion
33464Valvuloplasty, tricuspid valve; with ring insertion
33465Replacement, tricuspid valve, with cardiopulmonary bypass
33475Replacement, pulmonary valve
33496Repair of non-structural prosthetic valve dysfunction with cardiopulmonary bypass (separate procedure)
33510Coronary artery bypass, vein only; single coronary venous graft
33511Coronary artery bypass, vein only; 2 coronary venous grafts
33512Coronary artery bypass, vein only; 3 coronary venous grafts
33513Coronary artery bypass, vein only; 4 coronary venous grafts
33514Coronary artery bypass, vein only; 5 coronary venous grafts
33516Coronary artery bypass, vein only; 6 or more coronary venous grafts
33517Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (List separately in addition to code for primary procedure)
33518Coronary artery bypass, using venous graft(s) and arterial graft(s); 2 venous grafts (List separately in addition to code for primary procedure)
33519Coronary artery bypass, using venous graft(s) and arterial graft(s); 3 venous grafts (List separately in addition to code for primary procedure)
33521Coronary artery bypass, using venous graft(s) and arterial graft(s); 4 venous grafts (List separately in addition to code for primary procedure)
33522Coronary artery bypass, using venous graft(s) and arterial graft(s); 5 venous grafts (List separately in addition to code for primary procedure)
33523Coronary artery bypass, using venous graft(s) and arterial graft(s); 6 or more venous grafts (List separately in addition to code for primary procedure)
33530Reoperation, coronary artery bypass procedure or valve procedure, more than 1 month after original operation (List separately in addition to code for primary procedure)
33533Coronary artery bypass, using arterial graft(s); single arterial graft
33534Coronary artery bypass, using arterial graft(s); 2 coronary arterial grafts
33535Coronary artery bypass, using arterial graft(s); 3 coronary arterial grafts
33536Coronary artery bypass, using arterial graft(s); 4 or more coronary arterial grafts
33542Myocardial resection (eg, ventricular aneurysmectomy)
33545Repair of postinfarction ventricular septal defect, with or without myocardial resection
33548Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR, SAVER, Dor procedures)
33572Coronary endarterectomy, open, any method, of left anterior descending, circumflex, or right coronary artery performed in conjunction with coronary artery bypass graft procedure, each vessel (List separately in addition to primary procedure)
33877Repair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary bypass
33880Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s), if required, to level of celiac artery origin
33881Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); not involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s), if required, to level of celiac artery origin
33883Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); initial extension
33886Placement of distal extension prosthesis(s) delayed after endovascular repair of descending thoracic aorta
33891Bypass graft, with other than vein, transcervical retropharyngeal carotid-carotid, performed in conjunction with endovascular repair of descending thoracic aorta, by neck incision
34051Embolectomy or thrombectomy, with or without catheter; innominate, subclavian artery, by thoracic incision
34800Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using aorto-aortic tube prosthesis
34802Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using modular bifurcated prosthesis (1 docking limb)
34803Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using modular bifurcated prosthesis (2 docking limbs)
34804Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using unibody bifurcated prosthesis
34805Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using aorto-uniiliac or aorto-unifemoral prosthesis
34825Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, or dissection; initial vessel
34830Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; tube prosthesis
34831Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bi-iliac prosthesis
34832Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bifemoral prosthesis
34900Endovascular repair of iliac artery (eg, aneurysm, pseudoaneurysm, arteriovenous malformation, trauma) using ilio-iliac tube endoprosthesis
35021Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, innominate, subclavian artery, by thoracic incision
35081Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal aorta
35091Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal aorta involving visceral vessels (mesenteric, celiac, renal)
35102Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal aorta involving iliac vessels (common, hypogastric, external)
35131Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, iliac artery (common, hypogastric, external)
35141Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, common femoral artery (profunda femoris, superficial femoral)
35151Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, popliteal artery
35211Repair blood vessel, direct; intrathoracic, with bypass
35216Repair blood vessel, direct; intrathoracic, without bypass
35241Repair blood vessel with vein graft; intrathoracic, with bypass
35246Repair blood vessel with vein graft; intrathoracic, without bypass
35271Repair blood vessel with graft other than vein; intrathoracic, with bypass
35276Repair blood vessel with graft other than vein; intrathoracic, without bypass
35301Thromboendarterectomy, including patch graft, if performed; carotid, vertebral, subclavian, by neck incision
35311Thromboendarterectomy, including patch graft, if performed; subclavian, innominate, by thoracic incision
35481Transluminal peripheral atherectomy, open; aortic
35526Bypass graft, with vein; aortosubclavian, aortoinnominate, or aortocarotid
35601Bypass graft, with other than vein; common carotid-ipsilateral internal carotid
35606Bypass graft, with other than vein; carotid-subclavian
35612Bypass graft, with other than vein; subclavian-subclavian
35616Bypass graft, with other than vein; subclavian-axillary
35621Bypass graft, with other than vein; axillary-femoral
35623Bypass graft, with other than vein; axillary-popliteal or -tibial
35626Bypass graft, with other than vein; aortosubclavian, aortoinnominate, or aortocarotid
35631Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal
35632Bypass graft, with other than vein; ilio-celiac
35633Bypass graft, with other than vein; ilio-mesenteric
35634Bypass graft, with other than vein; iliorenal
35636Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis)
35637Bypass graft, with other than vein; aortoiliac
35638Bypass graft, with other than vein; aortobi-iliac
35642Bypass graft, with other than vein; carotid-vertebral
35645Bypass graft, with other than vein; subclavian-vertebral
35646Bypass graft, with other than vein; aortobifemoral
35647Bypass graft, with other than vein; aortofemoral
35650Bypass graft, with other than vein; axillary-axillary
35651Bypass graft, with other than vein; aortofemoral-popliteal
35654Bypass graft, with other than vein; axillary-femoral-femoral
35656Bypass graft, with other than vein; femoral-popliteal
35661Bypass graft, with other than vein; femoral-femoral
35663Bypass graft, with other than vein; ilioiliac
35665Bypass graft, with other than vein; iliofemoral
35666Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery
35671Bypass graft, with other than vein; popliteal-tibial or -peroneal artery
36830Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft)
37616Ligation, major artery (eg, post-traumatic, rupture); chest
38115Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy
38381Suture and/or ligation of thoracic duct; thoracic approach
38746Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure)
39000Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach
39010Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy
39200Resection of mediastinal cyst
39220Resection of mediastinal tumor
39545Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic
39561Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap)
43045Esophagotomy, thoracic approach, with removal of foreign body
43100Excision of lesion, esophagus, with primary repair; cervical approach
43101Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach
43107Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal)
43108Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es)
43112Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy)
43113Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es)
43116Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction
43117Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor Lewis)
43118Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es)
43121Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty
43122Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty
43123Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es)
43124Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy
43130Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach
43135Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach
43300Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula
43305Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula
43310Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula
43312Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula
43313Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula
43320Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach
43324Esophagogastric fundoplasty (eg, Nissen, Belsey IV, Hill procedures)
43325Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure)
43326Esophagogastric fundoplasty; with gastroplasty (eg, Collis)
43330Esophagomyotomy (Heller type); abdominal approach
43331Esophagomyotomy (Heller type); thoracic approach
43340Esophagojejunostomy (without total gastrectomy); abdominal approach
43341Esophagojejunostomy (without total gastrectomy); thoracic approach
43350Esophagostomy, fistulization of esophagus, external; abdominal approach
43351Esophagostomy, fistulization of esophagus, external; thoracic approach
43352Esophagostomy, fistulization of esophagus, external; cervical approach
43360Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty
43361Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es)
43400Ligation, direct, esophageal varices
43401Transection of esophagus with repair, for esophageal varices
43405Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation
43410Suture of esophageal wound or injury; cervical approach
43415Suture of esophageal wound or injury; transthoracic or transabdominal approach
43420Closure of esophagostomy or fistula; cervical approach
43425Closure of esophagostomy or fistula; transthoracic or transabdominal approach
43496Free jejunum transfer with microvascular anastomosis
43500Gastrotomy; with exploration or foreign body removal
43501Gastrotomy; with suture repair of bleeding ulcer
43502Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss)
43510Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)
43520Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation)
43605Biopsy of stomach, by laparotomy
43610Excision, local; ulcer or benign tumor of stomach
43611Excision, local; malignant tumor of stomach
43620Gastrectomy, total; with esophagoenterostomy
43621Gastrectomy, total; with Roux-en-Y reconstruction
43622Gastrectomy, total; with formation of intestinal pouch, any type
43631Gastrectomy, partial, distal; with gastroduodenostomy
43632Gastrectomy, partial, distal; with gastrojejunostomy
43633Gastrectomy, partial, distal; with Roux-en-Y reconstruction
43634Gastrectomy, partial, distal; with formation of intestinal pouch
43640Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective
43641Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective)
43653Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure)
43800Pyloroplasty
43810Gastroduodenostomy
43820Gastrojejunostomy; without vagotomy
43825Gastrojejunostomy; with vagotomy, any type
43830Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)
43831Gastrostomy, open; neonatal, for feeding
43832Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure)
43840Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury
43843Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty
43845Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch)
43846Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy
43847Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption
43848Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure)
43850Revision of gastroduodenal anastomosis (gastroduodenostomy) with reconstruction; without vagotomy
43855Revision of gastroduodenal anastomosis (gastroduodenostomy) with reconstruction; with vagotomy
43860Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy
43865Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy
43870Closure of gastrostomy, surgical
44005Enterolysis (freeing of intestinal adhesion) (separate procedure)
44010Duodenotomy, for exploration, biopsy(s), or foreign body removal
44020Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal
44021Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube)
44050Reduction of volvulus, intussusception, internal hernia, by laparotomy
44055Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure)
44100Biopsy of intestine by capsule, tube, peroral (1 or more specimens)
44120Enterectomy, resection of small intestine; single resection and anastomosis
44125Enterectomy, resection of small intestine; with enterostomy
44126Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering
44127Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering
44130Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure)
44132Donor enterectomy (including cold preservation), open; from cadaver donor
44133Donor enterectomy (including cold preservation), open; partial, from living donor
44135Intestinal allotransplantation; from cadaver donor
44136Intestinal allotransplantation; from living donor
47420Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty
47425Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty
47460Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure)
47480Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure)
47560Laparoscopy, surgical; with guided transhepatic cholangiography, without biopsy
47561Laparoscopy, surgical; with guided transhepatic cholangiography with biopsy
47570Laparoscopy, surgical; cholecystoenterostomy
47600Cholecystectomy;
47605Cholecystectomy; with cholangiography
47610Cholecystectomy with exploration of common duct;
47612Cholecystectomy with exploration of common duct; with choledochoenterostomy
47620Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography
47700Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography
47701Portoenterostomy (eg, Kasai procedure)
47711Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic
47712Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic
47715Excision of choledochal cyst
47720Cholecystoenterostomy; direct
47721Cholecystoenterostomy; with gastroenterostomy
47740Cholecystoenterostomy; Roux-en-Y
47741Cholecystoenterostomy; Roux-en-Y with gastroenterostomy
47760Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract
47765Anastomosis, of intrahepatic ducts and gastrointestinal tract
47780Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract
47785Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract
47800Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis
47802U-tube hepaticoenterostomy
47900Suture of extrahepatic biliary duct for pre-existing injury (separate procedure)
48020Removal of pancreatic calculus
48100Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy)
48120Excision of lesion of pancreas (eg, cyst, adenoma)
48140Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy
48145Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy
48146Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure)
48148Excision of ampulla of Vater
48150Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy
48152Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy
48153Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy
48154Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy
48155Pancreatectomy, total
48500Marsupialization of pancreatic cyst
48510External drainage, pseudocyst of pancreas, open
48511External drainage, pseudocyst of pancreas; percutaneous
48520Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct
48540Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y
48545Pancreatorrhaphy for injury
48547Duodenal exclusion with gastrojejunostomy for pancreatic injury
48548Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation)
48554Transplantation of pancreatic allograft
48556Removal of transplanted pancreatic allograft
49215Excision of presacral or sacrococcygeal tumor
49568Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection (List separately in addition to code for the incisional or ventral hernia repair)
50320Donor nephrectomy (including cold preservation); open, from living donor
50340Recipient nephrectomy (separate procedure)
50360Renal allotransplantation, implantation of graft; without recipient nephrectomy
50365Renal allotransplantation, implantation of graft; with recipient nephrectomy
50370Removal of transplanted renal allograft
50380Renal autotransplantation, reimplantation of kidney
60521Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure)
60522Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure)
61154Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural
61312Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural
61313Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral
61315Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar
61510Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma
61512Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial
61518Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull
61548Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic
61697Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation
61700Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation
61750Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion;
61751Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance
61867Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventricular, periaqueductal gray), with use of intraoperative microelectrode recording; first array
62223Creation of shunt; ventriculo-peritoneal, -pleural, other terminus
62230Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system
63015Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical
63020Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical
63030Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar
63042Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumbar
63045Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; cervical
63047Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar
63056Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal approach) (eg, far lateral herniated intervertebral disc)
63075Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace
63081Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment
63267Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar
63276Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic
64746Transection or avulsion of; phrenic nerve
Legend:
Registry OKThis measure can be submitted through registry.
EHR OKThis measure can be submitted via Electronic Health Record (EHR).

More information on these alternative reporting mechanisms is available at:
    http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
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