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Table 3 Top 25 Surgical Procedures among 153,097 VA Outpatient Surgeries from FY16–17 with and without Prolonged Prophylactic Antimicrobials*

From: Facility type and surgical specialty are associated with suboptimal surgical antimicrobial prophylaxis practice patterns: a multi-center, retrospective cohort study

Surgical Specialty

Procedure and CPT Codes

N (% of Total Surgeries)

With Prolonged Antimicrobial Exposure, n (%)

Eye

CPT: 67028, injection eye drug

23,987 (16%)

46 (0%)

Eye

CPT: 66984–66,983, cataract surgery w/iol 1 stage

19,995 (13%)

39 (0%)

Genitourinary

CPT: 52214–52,332, cystoscopy and treatment

13,965 (9%)

2283 (16%)

Genitourinary

CPT: 55700–55,705, biopsy of prostate

6583 (4%)

795 (12%)

ENT

CPT: 69220–69,222, clean out mastoid cavity

5128 (3%)

46 (1%)

General Surgery

CPT: 49505–49,507, 49,520–49,525, 49,550–49,553, 49,650–49,651, inguinal hernia repair

4824 (3%)

35 (1%)

Eye

CPT: 66982, cataract surgery complex

4761 (3%)

1 (0%)

Eye

CPT: 66821, after cataract laser surgery

3731 (2%)

5 (0%)

Orthopedic

CPT: 29850–29,886, knee arthroscopy/surgery

3219 (2%)

135 (4%)

Genitourinary

CPT: 52353, 52,356, cystoureteroscopy w/ lithotripsy

2357 (2%)

472 (20%)

Genitourinary

CPT: 52204, cystoscopy w/biopsy(s)

2261 (1%)

369 (16%)

General Surgery

CPT: 47562–47,564, laparoscopic cholecystectomy

2208 (1%)

6 (0%)

Orthopedic

CPT: 20680–20,670, removal of support implant

1904 (1%)

146 (8%)

Orthopedic

CPT: 29806–29,825, shoulder arthroscopy/surgery

1888 (1%)

27 (1%)

Genitourinary

CPT: 51102, drain bl w/cath insertion

1792 (1%)

43 (2%)

Eye

CPT: 65855, trabeculoplasty laser surgery

1745 (1%)

2 (0%)

General Surgery

CPT: 49561–49,566, 49,652–49,656, ventral hernia repair

1634 (1%)

4 (0%)

Eye

CPT: 15823–15,822, 67,880–67,882, 67,961–67,966, revision of eyelid, upper or lower

1628 (1%)

64 (4%)

ENT

CPT: 31510, 31,535–31,536, 31,576, laryngoscopy w/ biopsy

1592 (1%)

45 (3%)

Eye

CPT: 66761–66,762, revision of iris

1493 (1%)

4 (0%)

Eye

CPT: 67800–67,808, 67,840, remove eyelid lesion(s)

1449 (1%)

9 (1%)

General Surgery

CPT: 49585–49,586, umbilical hernia repair

1401 (1%)

3 (0%)

ENT

CPT: 38500–38,525, biopsy/removal lymph nodes

1289 (1%)

27 (2%)

Genitourinary

CPT: 52601, prostatectomy (TURP)

1283 (1%)

62 (5%)

Orthopedic

CPT: 20220–20,225, bone biopsy trocar/needle

1003 (1%)

12 (1%)

  1. Note, top 25 surgeries represent 74% of total surgeries and 61% of surgeries with prolonged prophylactic antimicrobials in sample