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PQRS Measure

#43Use of Internal Mammary Artery (IMA) in Coronary Artery Bypass Graft (CABG) Surgery
 Description/Specifications Data Collection Sheet 

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
4110FInternal mammary artery graft performed for primary, isolated coronary artery bypass graft procedure (CABG)
4110F8PInternal mammary artery graft performed for primary, isolated coronary artery bypass graft procedure (CABG)
4110F1PInternal mammary artery graft performed for primary, isolated coronary artery bypass graft procedure (CABG)
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)
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
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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