PQRS Measure
#45Perioperative Care: Discontinuation of Prophylactic Antibiotics (Cardiac Procedures)
The following codes apply for this PQRS measure:
CPT Codes | |||
| Code | Modifier | POS | Description |
|---|---|---|---|
| 4046F | Documentation that prophylactic antibiotics were given within 4 hours prior to surgical incision or given intraoperatively (PERI 2) | ||
| 4043F | Documentation that an order was given to discontinue prophylactic antibiotics within 48 hours of surgical end time, cardiac procedures (PERI 2) | ||
| 4043F | 1P | Documentation that an order was given to discontinue prophylactic antibiotics within 48 hours of surgical end time, cardiac procedures (PERI 2) | |
| 4043F | 8P | Documentation that an order was given to discontinue prophylactic antibiotics within 48 hours of surgical end time, cardiac procedures (PERI 2) | |
| 4042F | Documentation that prophylactic antibiotics were neither given within 4 hours prior to surgical incision nor given intraoperatively (PERI 2) | ||
| 33120 | Excision of intracardiac tumor, resection with cardiopulmonary bypass | ||
| 33130 | Resection of external cardiac tumor | ||
| 33140 | Transmyocardial laser revascularization, by thoracotomy; (separate procedure) | ||
| 33141 | Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List separately in addition to code for primary procedure) | ||
| 33202 | Insertion of epicardial electrode(s); open incision (eg, thoracotomy, median sternotomy, subxiphoid approach) | ||
| 33250 | Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); without cardiopulmonary bypass | ||
| 33251 | Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); with cardiopulmonary bypass | ||
| 33256 | Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass | ||
| 33261 | Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass | ||
| 33305 | Repair of cardiac wound; with cardiopulmonary bypass | ||
| 33315 | Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass | ||
| 33321 | Suture repair of aorta or great vessels; with shunt bypass | ||
| 33322 | Suture repair of aorta or great vessels; with cardiopulmonary bypass | ||
| 33332 | Insertion of graft, aorta or great vessels; with shunt bypass | ||
| 33335 | Insertion of graft, aorta or great vessels; with cardiopulmonary bypass | ||
| 33400 | Valvuloplasty, aortic valve; open, with cardiopulmonary bypass | ||
| 33401 | Valvuloplasty, aortic valve; open, with inflow occlusion | ||
| 33403 | Valvuloplasty, aortic valve; using transventricular dilation, with cardiopulmonary bypass | ||
| 33404 | Construction of apical-aortic conduit | ||
| 33405 | Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve | ||
| 33406 | Replacement, aortic valve, open, with cardiopulmonary bypass; with allograft valve (freehand) | ||
| 33410 | Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve | ||
| 33411 | Replacement, aortic valve; with aortic annulus enlargement, noncoronary sinus | ||
| 33413 | Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve (Ross procedure) | ||
| 33416 | Ventriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic stenosis (eg, asymmetric septal hypertrophy) | ||
| 33422 | Valvotomy, mitral valve; open heart, with cardiopulmonary bypass | ||
| 33425 | Valvuloplasty, mitral valve, with cardiopulmonary bypass; | ||
| 33426 | Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring | ||
| 33427 | Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring | ||
| 33430 | Replacement, mitral valve, with cardiopulmonary bypass | ||
| 33460 | Valvectomy, tricuspid valve, with cardiopulmonary bypass | ||
| 33463 | Valvuloplasty, tricuspid valve; without ring insertion | ||
| 33464 | Valvuloplasty, tricuspid valve; with ring insertion | ||
| 33465 | Replacement, tricuspid valve, with cardiopulmonary bypass | ||
| 33475 | Replacement, pulmonary valve | ||
| 33496 | Repair of non-structural prosthetic valve dysfunction with cardiopulmonary bypass (separate procedure) | ||
| 33510 | Coronary artery bypass, vein only; single coronary venous graft | ||
| 33511 | Coronary artery bypass, vein only; 2 coronary venous grafts | ||
| 33512 | Coronary artery bypass, vein only; 3 coronary venous grafts | ||
| 33513 | Coronary artery bypass, vein only; 4 coronary venous grafts | ||
| 33514 | Coronary artery bypass, vein only; 5 coronary venous grafts | ||
| 33516 | Coronary artery bypass, vein only; 6 or more coronary venous grafts | ||
| 33517 | Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (List separately in addition to code for primary procedure) | ||
| 33518 | Coronary artery bypass, using venous graft(s) and arterial graft(s); 2 venous grafts (List separately in addition to code for primary procedure) | ||
| 33519 | Coronary artery bypass, using venous graft(s) and arterial graft(s); 3 venous grafts (List separately in addition to code for primary procedure) | ||
| 33521 | Coronary artery bypass, using venous graft(s) and arterial graft(s); 4 venous grafts (List separately in addition to code for primary procedure) | ||
| 33522 | Coronary artery bypass, using venous graft(s) and arterial graft(s); 5 venous grafts (List separately in addition to code for primary procedure) | ||
| 33523 | Coronary artery bypass, using venous graft(s) and arterial graft(s); 6 or more venous grafts (List separately in addition to code for primary procedure) | ||
| 33530 | Reoperation, coronary artery bypass procedure or valve procedure, more than 1 month after original operation (List separately in addition to code for primary procedure) | ||
| 33533 | Coronary artery bypass, using arterial graft(s); single arterial graft | ||
| 33534 | Coronary artery bypass, using arterial graft(s); 2 coronary arterial grafts | ||
| 33535 | Coronary artery bypass, using arterial graft(s); 3 coronary arterial grafts | ||
| 33536 | Coronary artery bypass, using arterial graft(s); 4 or more coronary arterial grafts | ||
| 33542 | Myocardial resection (eg, ventricular aneurysmectomy) | ||
| 33545 | Repair of postinfarction ventricular septal defect, with or without myocardial resection | ||
| 33548 | Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR, SAVER, Dor procedures) | ||
| 33572 | Coronary 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) | ||
| 35211 | Repair blood vessel, direct; intrathoracic, with bypass | ||
| 35241 | Repair blood vessel with vein graft; intrathoracic, with bypass | ||
| 35271 | Repair blood vessel with graft other than vein; intrathoracic, with bypass | ||
| 35820 | Exploration for postoperative hemorrhage, thrombosis or infection; chest | ||
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.
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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