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Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis

HCPCS code

Medical Policies and Guidelines for Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis

Related policies from health plans

Acupuncture - (CPG024)
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Similar Codes


ICD10CM codes

Z40.9 - Encounter for prophylactic surgery, unspecified
T81.49XA - Infection following a procedure, other surgical site, initial encounter
Z40.8 - Encounter for other prophylactic surgery
T81.41 - Infection following a procedure, superficial incisional surgical site
T81.43XA - Infection following a procedure, organ and space surgical site, initial encounter
Z29.9 - Encounter for prophylactic measures, unspecified
T81.41XA - Infection following a procedure, superficial incisional surgical site, initial encounter
T81.49 - Infection following a procedure, other surgical site
Y62.9 - Failure of sterile precautions during unspecified surgical and medical care
T81.42XA - Infection following a procedure, deep incisional surgical site, initial encounter

HCPCS codes

G8918 - Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis
G8917 - Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibio
G8916 - Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibio
G9311 - No surgical site infection
G8712 - Antibiotic not prescribed or dispensed
G9196 - Documentation of medical reason(s) for not ordering a first or second generation cephalosporin for a
G9198 - Order for first or second generation cephalosporin for antimicrobial prophylaxis was not documented,
G9560 - Patient not treated with a beta-lactam antibiotic as definitive therapy, reason not given
G9197 - Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis
G9313 - Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of dia

CPT4 codes

4042F - Documentation that prophylactic antibiotics were neither given within 4 hours prior to surgical inci
4049F - Documentation that order was given to discontinue prophylactic antibiotics within 24 hours of surgic
4046F - Documentation that prophylactic antibiotics were given within 4 hours prior to surgical incision or
4132F - Systemic antimicrobial therapy not prescribed (AOE)
4047F - Documentation of order for prophylactic parenteral antibiotics to be given within 1 hour (if fluoroq
4124F - Antibiotic neither prescribed nor dispensed (URI, PHAR), (A-BRONCH)
4048F - Documentation that administration of prophylactic parenteral antibiotic was initiated within 1 hour
4558F - Patient received at least 2 prophylactic pharmacologic anti-emetic agents of different classes preop
4041F - Documentation of order for cefazolin OR cefuroxime for antimicrobial prophylaxis (PERI 2)
4131F - Systemic antimicrobial therapy prescribed (AOE)