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PQRS Measure

#45Perioperative Care: Discontinuation of Prophylactic Antibiotics (Cardiac Procedures)
 Report via: Claim, Registry

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
33120N/AN/AExcision of intracardiac tumor, resection with cardiopulmonary bypass
33130N/AN/AResection of external cardiac tumor
33140N/AN/ATransmyocardial laser revascularization, by thoracotomy; (separate procedure)
33141N/AN/ATransmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List separately in addition to code for primary procedure)
33250N/AN/AOperative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); without cardiopulmonary bypass
33251N/AN/AOperative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); with cardiopulmonary bypass
33256N/AN/AOperative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass
33261N/AN/AOperative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass
33305N/AN/ARepair of cardiac wound; with cardiopulmonary bypass
33315N/AN/ACardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass
33332N/AN/AInsertion of graft, aorta or great vessels; with shunt bypass
33335N/AN/AInsertion of graft, aorta or great vessels; with cardiopulmonary bypass
33400N/AN/AValvuloplasty, aortic valve; open, with cardiopulmonary bypass
33401N/AN/AValvuloplasty, aortic valve; open, with inflow occlusion
33403N/AN/AValvuloplasty, aortic valve; using transventricular dilation, with cardiopulmonary bypass
33404N/AN/AConstruction of apical-aortic conduit
33405N/AN/AReplacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve
33406N/AN/AReplacement, aortic valve, open, with cardiopulmonary bypass; with allograft valve (freehand)
33410N/AN/AReplacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve
33411N/AN/AReplacement, aortic valve; with aortic annulus enlargement, noncoronary sinus
33413N/AN/AReplacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve (Ross procedure)
33416N/AN/AVentriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic stenosis (eg, asymmetric septal hypertrophy)
33422N/AN/AValvotomy, mitral valve; open heart, with cardiopulmonary bypass
33425N/AN/AValvuloplasty, mitral valve, with cardiopulmonary bypass;
33426N/AN/AValvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring
33427N/AN/AValvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring
33430N/AN/AReplacement, mitral valve, with cardiopulmonary bypass
33460N/AN/AValvectomy, tricuspid valve, with cardiopulmonary bypass
33463N/AN/AValvuloplasty, tricuspid valve; without ring insertion
33464N/AN/AValvuloplasty, tricuspid valve; with ring insertion
33465N/AN/AReplacement, tricuspid valve, with cardiopulmonary bypass
33475N/AN/AReplacement, pulmonary valve
33496N/AN/ARepair of non-structural prosthetic valve dysfunction with cardiopulmonary bypass (separate procedure)
33510N/AN/ACoronary artery bypass, vein only; single coronary venous graft
33511N/AN/ACoronary artery bypass, vein only; 2 coronary venous grafts
33512N/AN/ACoronary artery bypass, vein only; 3 coronary venous grafts
33513N/AN/ACoronary artery bypass, vein only; 4 coronary venous grafts
33514N/AN/ACoronary artery bypass, vein only; 5 coronary venous grafts
33516N/AN/ACoronary artery bypass, vein only; 6 or more coronary venous grafts
33517N/AN/ACoronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (List separately in addition to code for primary procedure)
33518N/AN/ACoronary artery bypass, using venous graft(s) and arterial graft(s); 2 venous grafts (List separately in addition to code for primary procedure)
33519N/AN/ACoronary artery bypass, using venous graft(s) and arterial graft(s); 3 venous grafts (List separately in addition to code for primary procedure)
33521N/AN/ACoronary artery bypass, using venous graft(s) and arterial graft(s); 4 venous grafts (List separately in addition to code for primary procedure)
33522N/AN/ACoronary artery bypass, using venous graft(s) and arterial graft(s); 5 venous grafts (List separately in addition to code for primary procedure)
33523N/AN/ACoronary artery bypass, using venous graft(s) and arterial graft(s); 6 or more venous grafts (List separately in addition to code for primary procedure)
33530N/AN/AReoperation, coronary artery bypass procedure or valve procedure, more than 1 month after original operation (List separately in addition to code for primary procedure)
33533N/AN/ACoronary artery bypass, using arterial graft(s); single arterial graft
33534N/AN/ACoronary artery bypass, using arterial graft(s); 2 coronary arterial grafts
33535N/AN/ACoronary artery bypass, using arterial graft(s); 3 coronary arterial grafts
33536N/AN/ACoronary artery bypass, using arterial graft(s); 4 or more coronary arterial grafts
33542N/AN/AMyocardial resection (eg, ventricular aneurysmectomy)
33545N/AN/ARepair of postinfarction ventricular septal defect, with or without myocardial resection
33548N/AN/ASurgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR, SAVER, Dor procedures)
33572N/AN/ACoronary 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)
4043F1PN/ADocumentation that an order was given to discontinue prophylactic antibiotics within 48 hours of surgical end time, cardiac procedures (PERI 2)
4043F8PN/ADocumentation that an order was given to discontinue prophylactic antibiotics within 48 hours of surgical end time, cardiac procedures (PERI 2)
4043FN/AN/ADocumentation that an order was given to discontinue prophylactic antibiotics within 48 hours of surgical end time, cardiac procedures (PERI 2)
4043F8PN/ADocumentation that an order was given to discontinue prophylactic antibiotics within 48 hours of surgical end time, cardiac procedures (PERI 2)
4043FN/AN/ADocumentation that an order was given to discontinue prophylactic antibiotics within 48 hours of surgical end time, cardiac procedures (PERI 2)

HCPCS Codes

CodeModifierPOSDescription
G8702N/AN/ADocumentation that prophylactic antibiotics were given within 4 hours prior to surgical incision or intraoperatively
G8703N/AN/ADocumentation that prophylactic antibiotics were neither given within 4 hours prior to surgical incision nor intraoperatively
G8702N/AN/ADocumentation that prophylactic antibiotics were given within 4 hours prior to surgical incision or intraoperatively
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).
GPRO IThis measure can be submitted via Group Practice Reporting Option 1.
GPRO IIThis measure can be submitted via Group Practice Reporting Option 2.

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