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Patient prescribed or dispensed antibiotic for documented medical reason(s) within three days after the initial diagnosis of uri (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis...

HCPCS code

Similar Codes


ICD10CM codes

Z79.2 - Long term (current) use of antibiotics
T36.95XD - Adverse effect of unspecified systemic antibiotic, subsequent encounter
T36.8X5D - Adverse effect of other systemic antibiotics, subsequent encounter
T36.95XA - Adverse effect of unspecified systemic antibiotic, initial encounter
T36.8X5A - Adverse effect of other systemic antibiotics, initial encounter
R82.71 - Bacteriuria
Z87.440 - Personal history of urinary (tract) infections
T36.96XD - Underdosing of unspecified systemic antibiotic, subsequent encounter
T37.8X5A - Adverse effect of other specified systemic anti-infectives and antiparasitics, initial encounter
T83.518A - Infection and inflammatory reaction due to other urinary catheter, initial encounter

HCPCS codes

G8709 - Patient prescribed or dispensed antibiotic for documented medical reason(s) within three days after
G9712 - Documentation of medical reason(s) for prescribing or dispensing antibiotic (e.g., intestinal infect
G8711 - Prescribed or dispensed antibiotic
G9315 - Documentation amoxicillin, with or without clavulanate, prescribed as a first line antibiotic at the
G9196 - Documentation of medical reason(s) for not ordering a first or second generation cephalosporin for a
G9313 - Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of dia
G9558 - Patient treated with a beta-lactam antibiotic as definitive therapy
G8712 - Antibiotic not prescribed or dispensed
G9197 - Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis
G8916 - Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibio

CPT4 codes

4120F - Antibiotic prescribed or dispensed (URI, PHAR), (A-BRONCH)
4124F - Antibiotic neither prescribed nor dispensed (URI, PHAR), (A-BRONCH)
4047F - Documentation of order for prophylactic parenteral antibiotics to be given within 1 hour (if fluoroq
4049F - Documentation that order was given to discontinue prophylactic antibiotics within 24 hours of surgic
4048F - Documentation that administration of prophylactic parenteral antibiotic was initiated within 1 hour
4046F - Documentation that prophylactic antibiotics were given within 4 hours prior to surgical incision or
4041F - Documentation of order for cefazolin OR cefuroxime for antimicrobial prophylaxis (PERI 2)
4045F - Appropriate empiric antibiotic prescribed (CAP), (EM)
4131F - Systemic antimicrobial therapy prescribed (AOE)
80170 - Gentamicin