QPP Information

Year: 2017 2018 2019 2020 2021 2022 2023 2024 2025

QPP Measure #021

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin

Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial prophylaxis

Submission Methods: Claims, Registry

Measure Sets: Orthopedic Surgery, Otolaryngology, Plastic Surgery, Vascular Surgery, General Surgery, Thoracic Surgery, Neurosurgical

The following codes apply for this QPP measure:

Code	Description
CPT Codes
0236T	CPT Code
15733	CPT Code
15734	CPT Code
15736	CPT Code
15738	CPT Code
15830	CPT Code
15832	CPT Code
15833	CPT Code
15834	CPT Code
15835	CPT Code
15836	CPT Code
15837	CPT Code
19260	CPT Code
19271	CPT Code
19272	CPT Code
19300	CPT Code
19301	CPT Code
19302	CPT Code
19303	CPT Code
19304	CPT Code
19305	CPT Code
19306	CPT Code
19307	CPT Code
19316	CPT Code
19318	CPT Code
19324	CPT Code
19325	CPT Code
19328	CPT Code
19330	CPT Code
19340	CPT Code
19342	CPT Code
19350	CPT Code
19355	CPT Code
19357	CPT Code
19361	CPT Code
19364	CPT Code
19366	CPT Code
19367	CPT Code
19368	CPT Code
19369	CPT Code
19370	CPT Code
19371	CPT Code
19380	CPT Code
21627	CPT Code
21632	CPT Code
21740	CPT Code
21750	CPT Code
21825	CPT Code
22325	CPT Code
22510	CPT Code
22511	CPT Code
22513	CPT Code
22514	CPT Code
22551	CPT Code
22554	CPT Code
22558	CPT Code
22586	CPT Code
22600	CPT Code
22612	CPT Code
22630	CPT Code
22633	CPT Code
22800	CPT Code
22802	CPT Code
22804	CPT Code
23470	CPT Code
23472	CPT Code
23473	CPT Code
23474	CPT Code
23616	CPT Code
24363	CPT Code
24370	CPT Code
24371	CPT Code
27080	CPT Code
27125	CPT Code
27130	CPT Code
27132	CPT Code
27134	CPT Code
27137	CPT Code
27138	CPT Code
27158	CPT Code
27202	CPT Code
27235	CPT Code
27236	CPT Code
27244	CPT Code
27245	CPT Code
27269	CPT Code
27280	CPT Code
27282	CPT Code
27440	CPT Code
27441	CPT Code
27442	CPT Code
27443	CPT Code
27445	CPT Code
27446	CPT Code
27447	CPT Code
27702	CPT Code
27703	CPT Code
27704	CPT Code
27758	CPT Code
27759	CPT Code
27766	CPT Code
27769	CPT Code
27792	CPT Code
27814	CPT Code
27880	CPT Code
27881	CPT Code
27882	CPT Code
27884	CPT Code
27886	CPT Code
27888	CPT Code
28192	CPT Code
28193	CPT Code
28291	CPT Code
28415	CPT Code
28420	CPT Code
28445	CPT Code
28465	CPT Code
28485	CPT Code
28505	CPT Code
28525	CPT Code
28531	CPT Code
28555	CPT Code
28585	CPT Code
28615	CPT Code
28645	CPT Code
28675	CPT Code
28705	CPT Code
28715	CPT Code
28725	CPT Code
28730	CPT Code
28735	CPT Code
28737	CPT Code
31400	CPT Code
31420	CPT Code
31760	CPT Code
31766	CPT Code
31770	CPT Code
31775	CPT Code
31786	CPT Code
31805	CPT Code
32096	CPT Code
32097	CPT Code
32098	CPT Code
32100	CPT Code
32110	CPT Code
32120	CPT Code
32124	CPT Code
32140	CPT Code
32141	CPT Code
32150	CPT Code
32215	CPT Code
32220	CPT Code
32225	CPT Code
32310	CPT Code
32320	CPT Code
32440	CPT Code
32442	CPT Code
32445	CPT Code
32480	CPT Code
32482	CPT Code
32484	CPT Code
32486	CPT Code
32488	CPT Code
32491	CPT Code
32505	CPT Code
32506	CPT Code
32507	CPT Code
32800	CPT Code
32810	CPT Code
32815	CPT Code
32900	CPT Code
32905	CPT Code
32906	CPT Code
32940	CPT Code
33020	CPT Code
33025	CPT Code
33030	CPT Code
33031	CPT Code
33050	CPT Code
33120	CPT Code
33130	CPT Code
33140	CPT Code
33141	CPT Code
33202	CPT Code
33250	CPT Code
33251	CPT Code
33256	CPT Code
33261	CPT Code
33300	CPT Code
33305	CPT Code
33310	CPT Code
33315	CPT Code
33320	CPT Code
33321	CPT Code
33322	CPT Code
33335	CPT Code
33361	CPT Code
33362	CPT Code
33363	CPT Code
33364	CPT Code
33365	CPT Code
33366	CPT Code
33390	CPT Code
33391	CPT Code
33404	CPT Code
33405	CPT Code
33406	CPT Code
33410	CPT Code
33411	CPT Code
33413	CPT Code
33416	CPT Code
33422	CPT Code
33425	CPT Code
33426	CPT Code
33427	CPT Code
33430	CPT Code
33460	CPT Code
33463	CPT Code
33464	CPT Code
33465	CPT Code
33475	CPT Code
33496	CPT Code
33510	CPT Code
33511	CPT Code
33512	CPT Code
33513	CPT Code
33514	CPT Code
33516	CPT Code
33530	CPT Code
33533	CPT Code
33534	CPT Code
33535	CPT Code
33536	CPT Code
33542	CPT Code
33545	CPT Code
33548	CPT Code
33877	CPT Code
33880	CPT Code
33881	CPT Code
33883	CPT Code
33886	CPT Code
33889	CPT Code
33891	CPT Code
34051	CPT Code
34701	CPT Code
34702	CPT Code
34703	CPT Code
34704	CPT Code
34705	CPT Code
34706	CPT Code
34707	CPT Code
34708	CPT Code
34710	CPT Code
34812	CPT Code
34820	CPT Code
34830	CPT Code
34831	CPT Code
34832	CPT Code
34833	CPT Code
34834	CPT Code
34841	CPT Code
34842	CPT Code
34843	CPT Code
34844	CPT Code
34845	CPT Code
34846	CPT Code
34847	CPT Code
34848	CPT Code
35011	CPT Code
35013	CPT Code
35021	CPT Code
35081	CPT Code
35082	CPT Code
35091	CPT Code
35092	CPT Code
35102	CPT Code
35103	CPT Code
35131	CPT Code
35141	CPT Code
35142	CPT Code
35151	CPT Code
35152	CPT Code
35206	CPT Code
35211	CPT Code
35216	CPT Code
35241	CPT Code
35246	CPT Code
35266	CPT Code
35271	CPT Code
35276	CPT Code
35301	CPT Code
35311	CPT Code
35363	CPT Code
35371	CPT Code
35372	CPT Code
35512	CPT Code
35521	CPT Code
35522	CPT Code
35523	CPT Code
35525	CPT Code
35526	CPT Code
35533	CPT Code
35537	CPT Code
35538	CPT Code
35539	CPT Code
35540	CPT Code
35556	CPT Code
35558	CPT Code
35565	CPT Code
35566	CPT Code
35570	CPT Code
35571	CPT Code
35572	CPT Code
35583	CPT Code
35585	CPT Code
35587	CPT Code
35601	CPT Code
35606	CPT Code
35612	CPT Code
35616	CPT Code
35621	CPT Code
35623	CPT Code
35626	CPT Code
35631	CPT Code
35632	CPT Code
35633	CPT Code
35634	CPT Code
35636	CPT Code
35637	CPT Code
35638	CPT Code
35642	CPT Code
35645	CPT Code
35646	CPT Code
35647	CPT Code
35650	CPT Code
35654	CPT Code
35656	CPT Code
35661	CPT Code
35663	CPT Code
35665	CPT Code
35666	CPT Code
35671	CPT Code
36830	CPT Code
36902	CPT Code
36905	CPT Code
37224	CPT Code
37225	CPT Code
37226	CPT Code
37227	CPT Code
37228	CPT Code
37229	CPT Code
37230	CPT Code
37231	CPT Code
37246	CPT Code
37248	CPT Code
37616	CPT Code
37617	CPT Code
38100	CPT Code
38101	CPT Code
38115	CPT Code
38120	CPT Code
38381	CPT Code
38571	CPT Code
38572	CPT Code
38700	CPT Code
38720	CPT Code
38724	CPT Code
38740	CPT Code
38745	CPT Code
38746	CPT Code
38747	CPT Code
38760	CPT Code
38765	CPT Code
38770	CPT Code
38780	CPT Code
39000	CPT Code
39010	CPT Code
39200	CPT Code
39220	CPT Code
39501	CPT Code
39540	CPT Code
39541	CPT Code
39545	CPT Code
39560	CPT Code
39561	CPT Code
43020	CPT Code
43030	CPT Code
43045	CPT Code
43100	CPT Code
43101	CPT Code
43107	CPT Code
43108	CPT Code
43112	CPT Code
43113	CPT Code
43116	CPT Code
43117	CPT Code
43118	CPT Code
43121	CPT Code
43122	CPT Code
43123	CPT Code
43124	CPT Code
43130	CPT Code
43135	CPT Code
43279	CPT Code
43280	CPT Code
43281	CPT Code
43282	CPT Code
43300	CPT Code
43305	CPT Code
43310	CPT Code
43312	CPT Code
43313	CPT Code
43314	CPT Code
43320	CPT Code
43325	CPT Code
43327	CPT Code
43328	CPT Code
43330	CPT Code
43331	CPT Code
43332	CPT Code
43333	CPT Code
43334	CPT Code
43335	CPT Code
43336	CPT Code
43337	CPT Code
43340	CPT Code
43341	CPT Code
43351	CPT Code
43352	CPT Code
43360	CPT Code
43361	CPT Code
43400	CPT Code
43401	CPT Code
43405	CPT Code
43410	CPT Code
43415	CPT Code
43420	CPT Code
43425	CPT Code
43496	CPT Code
43500	CPT Code
43501	CPT Code
43502	CPT Code
43510	CPT Code
43520	CPT Code
43605	CPT Code
43610	CPT Code
43611	CPT Code
43620	CPT Code
43621	CPT Code
43622	CPT Code
43631	CPT Code
43632	CPT Code
43633	CPT Code
43634	CPT Code
43640	CPT Code
43641	CPT Code
43644	CPT Code
43645	CPT Code
43651	CPT Code
43652	CPT Code
43653	CPT Code
43770	CPT Code
43771	CPT Code
43772	CPT Code
43773	CPT Code
43774	CPT Code
43775	CPT Code
43800	CPT Code
43810	CPT Code
43820	CPT Code
43825	CPT Code
43830	CPT Code
43832	CPT Code
43840	CPT Code
43843	CPT Code
43845	CPT Code
43846	CPT Code
43847	CPT Code
43848	CPT Code
43850	CPT Code
43855	CPT Code
43860	CPT Code
43865	CPT Code
43870	CPT Code
43880	CPT Code
43886	CPT Code
43887	CPT Code
43888	CPT Code
44005	CPT Code
44010	CPT Code
44020	CPT Code
44021	CPT Code
44050	CPT Code
44055	CPT Code
44100	CPT Code
44120	CPT Code
44125	CPT Code
44126	CPT Code
44127	CPT Code
44130	CPT Code
44132	CPT Code
44133	CPT Code
44135	CPT Code
44136	CPT Code
44140	CPT Code
44141	CPT Code
44143	CPT Code
44144	CPT Code
44145	CPT Code
44146	CPT Code
44147	CPT Code
44150	CPT Code
44151	CPT Code
44155	CPT Code
44156	CPT Code
44157	CPT Code
44158	CPT Code
44160	CPT Code
44180	CPT Code
44186	CPT Code
44187	CPT Code
44188	CPT Code
44202	CPT Code
44204	CPT Code
44205	CPT Code
44206	CPT Code
44207	CPT Code
44208	CPT Code
44210	CPT Code
44211	CPT Code
44212	CPT Code
44227	CPT Code
44300	CPT Code
44310	CPT Code
44312	CPT Code
44314	CPT Code
44316	CPT Code
44320	CPT Code
44322	CPT Code
44340	CPT Code
44345	CPT Code
44346	CPT Code
44602	CPT Code
44603	CPT Code
44604	CPT Code
44605	CPT Code
44615	CPT Code
44620	CPT Code
44625	CPT Code
44626	CPT Code
44640	CPT Code
44650	CPT Code
44660	CPT Code
44661	CPT Code
44680	CPT Code
44700	CPT Code
44800	CPT Code
44820	CPT Code
44850	CPT Code
44900	CPT Code
44950	CPT Code
44955	CPT Code
44960	CPT Code
44970	CPT Code
45000	CPT Code
45020	CPT Code
45110	CPT Code
45111	CPT Code
45112	CPT Code
45113	CPT Code
45114	CPT Code
45116	CPT Code
45119	CPT Code
45120	CPT Code
45121	CPT Code
45123	CPT Code
45126	CPT Code
45130	CPT Code
45135	CPT Code
45136	CPT Code
45150	CPT Code
45160	CPT Code
45171	CPT Code
45172	CPT Code
45395	CPT Code
45397	CPT Code
45400	CPT Code
45402	CPT Code
45540	CPT Code
45541	CPT Code
45550	CPT Code
45560	CPT Code
45562	CPT Code
45563	CPT Code
45800	CPT Code
45805	CPT Code
45820	CPT Code
45825	CPT Code
47100	CPT Code
47120	CPT Code
47122	CPT Code
47125	CPT Code
47130	CPT Code
47140	CPT Code
47141	CPT Code
47142	CPT Code
47350	CPT Code
47370	CPT Code
47371	CPT Code
47380	CPT Code
47381	CPT Code
47400	CPT Code
47420	CPT Code
47425	CPT Code
47460	CPT Code
47480	CPT Code
47562	CPT Code
47563	CPT Code
47564	CPT Code
47570	CPT Code
47600	CPT Code
47605	CPT Code
47610	CPT Code
47612	CPT Code
47620	CPT Code
47700	CPT Code
47701	CPT Code
47711	CPT Code
47712	CPT Code
47715	CPT Code
47720	CPT Code
47721	CPT Code
47740	CPT Code
47741	CPT Code
47760	CPT Code
47765	CPT Code
47780	CPT Code
47785	CPT Code
47800	CPT Code
47801	CPT Code
47802	CPT Code
47900	CPT Code
48000	CPT Code
48001	CPT Code
48020	CPT Code
48100	CPT Code
48102	CPT Code
48105	CPT Code
48120	CPT Code
48140	CPT Code
48145	CPT Code
48146	CPT Code
48148	CPT Code
48150	CPT Code
48152	CPT Code
48153	CPT Code
48154	CPT Code
48155	CPT Code
48500	CPT Code
48510	CPT Code
48520	CPT Code
48540	CPT Code
48545	CPT Code
48547	CPT Code
48548	CPT Code
48554	CPT Code
48556	CPT Code
49000	CPT Code
49002	CPT Code
49010	CPT Code
49020	CPT Code
49040	CPT Code
49060	CPT Code
49203	CPT Code
49204	CPT Code
49205	CPT Code
49215	CPT Code
49220	CPT Code
49250	CPT Code
49320	CPT Code
49321	CPT Code
49322	CPT Code
49323	CPT Code
49405	CPT Code
49406	CPT Code
49407	CPT Code
49505	CPT Code
49507	CPT Code
49568	CPT Code
50320	CPT Code
50340	CPT Code
50360	CPT Code
50365	CPT Code
50370	CPT Code
50380	CPT Code
57267	CPT Code
58150	CPT Code
58152	CPT Code
58180	CPT Code
58200	CPT Code
58210	CPT Code
58240	CPT Code
58260	CPT Code
58262	CPT Code
58263	CPT Code
58267	CPT Code
58270	CPT Code
58275	CPT Code
58280	CPT Code
58285	CPT Code
58290	CPT Code
58291	CPT Code
58292	CPT Code
58293	CPT Code
58294	CPT Code
58951	CPT Code
58953	CPT Code
58954	CPT Code
58956	CPT Code
60505	CPT Code
61154	CPT Code
61312	CPT Code
61313	CPT Code
61315	CPT Code
61510	CPT Code
61512	CPT Code
61518	CPT Code
61548	CPT Code
61697	CPT Code
61700	CPT Code
61750	CPT Code
61751	CPT Code
61867	CPT Code
62223	CPT Code
62230	CPT Code
63015	CPT Code
63020	CPT Code
63030	CPT Code
63042	CPT Code
63045	CPT Code
63046	CPT Code
63047	CPT Code
63056	CPT Code
63075	CPT Code
63081	CPT Code
63267	CPT Code
63276	CPT Code
64746	CPT Code
HCPCS Codes
Code	Description
G9196	Documentation of medical reason(s) for not ordering a first or second generation cephalosporin for antimicrobial prophylaxis (e.g., patients enrolled in clinical trials, patients with documented infection prior to surgical procedure of interest, patients who were receiving antibiotics more than 24 hours prior to surgery [except colon surgery patients taking oral prophylactic antibiotics], patients who were receiving antibiotics within 24 hours prior to arrival [except colon surgery patients taking oral prophylactic antibiotics], other medical reason(s))
G9197	Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis
G9198	Order for first or second generation cephalosporin for antimicrobial prophylaxis was not documented, reason not given

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QPP Measure #021

CPT Codes

HCPCS Codes