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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, patien...

HCPCS code

Similar Codes


ICD10CM codes

Z29.8 - Encounter for other specified prophylactic measures
Z29.9 - Encounter for prophylactic measures, unspecified
T36.1X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter
T36.1X6A - Underdosing of cephalosporins and other beta-lactam antibiotics, initial encounter
Z40.9 - Encounter for prophylactic surgery, unspecified
T36.1X5D - Adverse effect of cephalosporins and other beta-lactam antibiotics, subsequent encounter
Z29 - Encounter for other prophylactic measures
T36.95XA - Adverse effect of unspecified systemic antibiotic, initial encounter
T36.1X6D - Underdosing of cephalosporins and other beta-lactam antibiotics, subsequent encounter
T36.96XA - Underdosing of unspecified systemic antibiotic, initial encounter

HCPCS codes

G9196 - Documentation of medical reason(s) for not ordering a first or second generation cephalosporin for a
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,
G9712 - Documentation of medical reason(s) for prescribing or dispensing antibiotic (e.g., intestinal infect
G9313 - Amoxicillin, with or without clavulanate, not prescribed as first line antibiotic at the time of dia
G8968 - Documentation of medical reason(s) for not prescribing warfarin or another fda-approved anticoagulan
G9315 - Documentation amoxicillin, with or without clavulanate, prescribed as a first line antibiotic at the
G9560 - Patient not treated with a beta-lactam antibiotic as definitive therapy, reason not given
G8709 - Patient prescribed or dispensed antibiotic for documented medical reason(s) within three days after
G8969 - Documentation of patient reason(s) for not prescribing warfarin or another fda-approved oral anticoa

CPT4 codes

4041F - Documentation of order for cefazolin OR cefuroxime for antimicrobial prophylaxis (PERI 2)
4049F - Documentation that order was given to discontinue prophylactic antibiotics within 24 hours of surgic
4047F - Documentation of order for prophylactic parenteral antibiotics to be given within 1 hour (if fluoroq
4042F - Documentation that prophylactic antibiotics were neither given within 4 hours prior to surgical inci
4046F - Documentation that prophylactic antibiotics were given within 4 hours prior to surgical incision or
4048F - Documentation that administration of prophylactic parenteral antibiotic was initiated within 1 hour
4132F - Systemic antimicrobial therapy not prescribed (AOE)
80170 - Gentamicin
4131F - Systemic antimicrobial therapy prescribed (AOE)
4045F - Appropriate empiric antibiotic prescribed (CAP), (EM)