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PQRS Measure

#393HRS-9: Infection within 180 Days of Cardiac Implantable Electronic Device (CIED) Implantation, Replacement, or Revision
 This measure may be submitted via Registry only

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
33202Insertion of epicardial electrode(s); open incision (eg, thoracotomy, median sternotomy, subxiphoid approach)
33203Insertion of epicardial electrode(s); endoscopic approach (eg, thoracoscopy, pericardioscopy)
33206Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial
33207Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular
33208Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular
33212Insertion of pacemaker pulse generator only; with existing single lead
33213Insertion of pacemaker pulse generator only; with existing dual leads
33214Upgrade of implanted pacemaker system, conversion of single chamber system to dual chamber system (includes removal of previously placed pulse generator, testing of existing lead, insertion of new lead, insertion of new pulse generator)
33215Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode
33216Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator
33217Insertion of 2 transvenous electrodes, permanent pacemaker or implantable defibrillator
33218Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator
33220Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator
33221Insertion of pacemaker pulse generator only; with existing multiple leads
33222Relocation of skin pocket for pacemaker
33223Relocation of skin pocket for implantable defibrillator
33224Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, with attachment to previously placed pacemaker or implantable defibrillator pulse generator (including revision of pocket, removal, insertion, and/or replacement of existing generator)
33225Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system) (List separately in addition to code for primary procedure)
33226Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including removal, insertion and/or replacement of existing generator)
33227Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system
33228Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system
33229Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system
33233Removal of permanent pacemaker pulse generator only
33234Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular
33240Insertion of implantable defibrillator pulse generator only; with existing single lead
33241Removal of implantable defibrillator pulse generator only
33249Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber
33262Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system
33263Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system
33264Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system
33282Implantation of patient-activated cardiac event recorder
33202Insertion of epicardial electrode(s); open incision (eg, thoracotomy, median sternotomy, subxiphoid approach)
33203Insertion of epicardial electrode(s); endoscopic approach (eg, thoracoscopy, pericardioscopy)
33206Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial
33207Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular
33208Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular
33212Insertion of pacemaker pulse generator only; with existing single lead
33213Insertion of pacemaker pulse generator only; with existing dual leads
33214Upgrade of implanted pacemaker system, conversion of single chamber system to dual chamber system (includes removal of previously placed pulse generator, testing of existing lead, insertion of new lead, insertion of new pulse generator)
33215Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode
33216Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator
33217Insertion of 2 transvenous electrodes, permanent pacemaker or implantable defibrillator
33218Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator
33220Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator
33221Insertion of pacemaker pulse generator only; with existing multiple leads
33222Relocation of skin pocket for pacemaker
33223Relocation of skin pocket for implantable defibrillator
33224Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, with attachment to previously placed pacemaker or implantable defibrillator pulse generator (including revision of pocket, removal, insertion, and/or replacement of existing generator)
33225Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system) (List separately in addition to code for primary procedure)
33226Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including removal, insertion and/or replacement of existing generator)
33227Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system
33228Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system
33229Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system
33233Removal of permanent pacemaker pulse generator only
33234Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular
33240Insertion of implantable defibrillator pulse generator only; with existing single lead
33241Removal of implantable defibrillator pulse generator only
33249Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber
33262Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system
33263Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system
33264Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system
33282Implantation of patient-activated cardiac event recorder

HCPCS Codes

CodeModifierPOSDescription
G9410Patient admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision
G9411Patient not admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision
G9412Patient admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision
G9413Patient not admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision

ICD9 Codes

CodeModifierPOSDescription
00.50
00.51
00.52
00.53
00.54
37.74
37.75
37.76
37.77
37.79
37.80
37.81
37.82
37.83
37.85
37.86
37.87
37.89
37.94
37.96
37.98
00.50
00.51
00.52
00.53
00.54
37.74
37.75
37.76
37.77
37.79
37.80
37.81
37.82
37.83
37.85
37.86
37.87
37.89
37.94
37.96
37.98
Legend:
ClaimThis measure can be submitted via claim. Use the 'Data Collection' pdf associated with the measure.
GroupThis measure can be submitted through one or more groups. Click on the group name to view the group information.
RegistryThis measure can be submitted through registry.
EHRThis measure can be submitted via Electronic Health Record (EHR).
GPROThis measure can be submitted via Group Practice Reporting Option, or GPRO Web Interface.
SurveyThis measure can be submitted/collected via a Certified Survey Vendor.

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