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PQRS Measure

#45Perioperative Care: Discontinuation of Prophylactic Antibiotics (Cardiac Procedures)
 Description  Data Collection Sheet  Coding Specifications Registry OK.

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
4046FDocumentation that prophylactic antibiotics were given within 4 hours prior to surgical incision or given intraoperatively (PERI 2)
4043F1PDocumentation that an order was given to discontinue prophylactic antibiotics within 48 hours of surgical end time, cardiac procedures (PERI 2)
4043FDocumentation that an order was given to discontinue prophylactic antibiotics within 48 hours of surgical end time, cardiac procedures (PERI 2)
4043F8PDocumentation that an order was given to discontinue prophylactic antibiotics within 48 hours of surgical end time, cardiac procedures (PERI 2)
4042FDocumentation that prophylactic antibiotics were neither given within 4 hours prior to surgical incision nor given intraoperatively (PERI 2)
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)
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
33305Repair of cardiac wound; with cardiopulmonary bypass
33315Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); 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)
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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