Consults

  • Comprehensive history: comprehensive exam and medical decision-making of high complexity. Counseling and/or coordination of care with other physicians, other QHCPs or agencies consistent with the nature of the problem(s) and the patient’s and/or family’s needs
  • Conduct screening for depression
    • Conduct screening for generalized anxiety disorder (GAD 7 anxiety scale)
    • Conduct screening for unhealthy use of alcohol
  • Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report
  • CT thorax W/O contrast
  • __SPLIT__
  • Complete blood count (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count
  • Hemoglobin; glycosylated (A1C)
  • Comprehensive metabolic panel; this panel must include the following: U&E, albumin, bilirubin, calcium, glucose, alkaline phosphatase, protein, transferase, alanine amino (ALT) (SGPT) transferase, aspartate amino (AST) (SGOT)
  • Lipid panel: cholesterol, serum, lipoprotein, direct measurement, high-density cholesterol (HDL cholesterol) triglycerides
  • Thyroid stimulating hormone (TSH), T3 free, T4 free
  • C-reactive protein
  • Urinalysis, by dip stick or tablet reagent (bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen)
  • Vitamin D: 25 hydroxyl, includes fraction(s)
  • Cyanocobalamin (vitamin B-12)
  • Hepatitis B surface antibody (HBsAb)
  • Hepatitis B surface antigen (HBsAg)
  • Sedimentation rate, erythrocyte; automated

Immunization

Influenza vaccine

Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (list separately in addition to code for primary procedure)

  • Vaccine IIV4 (influenza inactivated, quadrivalent) VAXIGRIP
  • Vaccine IIV4 (influenza inactivated, quadrivalent) FLUZONE
    • TDaP boosters
  • Vaccine Tdap (tetanus, diphtheria, reduced acellular pertussis)

Consults

  • Office or other outpatient visit E/M of a new patient, 3 key components: comprehensive history; comprehensive exam; and medical decision-making of high complexity. Counseling and/or coordination of care with other physicians, other QHCPs or agencies consistent with the nature of the problem(s) and the patient’s and/or family’s needs
  • Conduct screening for depression
    • Conduct screening for generalized anxiety disorder (GAD 7 anxiety scale)
    • Conduct screening for unhealthy use of alcohol
  • Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report
  • CT thorax W/O contrast
  • __SPLIT__
  • Complete blood count (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count
  • Comprehensive metabolic panel; this panel must include the following: U&E, albumin, bilirubin, calcium, glucose, alkaline phosphatase, protein, transferase, alanine amino (ALT) (SGPT) transferase, aspartate amino (AST) (SGOT)
  • Lipid panel: cholesterol, serum, lipoprotein, direct measurement, high-density cholesterol (HDL cholesterol) triglycerides
  • Thyroid-stimulating hormone (TSH), T3 free, T4 free
  • HBA1C
  • C-reactive proteins
  • Urinalysis by dip stick or tablet reagent (bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen)
  • Vitamin D: 25 hydroxyl, includes fraction(s), if performed
  • Cyanocobalamin (vitamin B-12)
  • Hepatitis B surface antibody (HBsAb)
  • Hepatitis B surface antigen (HBsAg)
  • Sedimentation rate, erythrocyte; automated
  • Blood, occult, by peroxidase activity (e.g., guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening
  • Fit test for GI bleeding

Immunization

Influenza vaccine

Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (list separately in addition to code for primary procedure)

  • Vaccine IIV4 (Influenza inactivated, quadrivalent) VAXIGRIP
  • Vaccine IIV4 (Influenza inactivated, quadrivalent) FLUZONE
    • TDa Booster
  • Vaccine Tdap (tetanus, diphtheria, reduced acellular pertussis)
    • Vaccine HepB adult
    • Pneumococcal
    • Shingles
  • Varicella booster recombinant glycoprotein E (SHINGRIX) injection
  • Prostate-specific antigen (PSA)
  • Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)

Referrals

  • Referral medicine, gastroenterology, screening for colonoscopy
  • Referral anesthesiology for colonoscopy clearance

Consults

  • Office or other outpatient visit E/M of a new patient, 3 key components: comprehensive history; comprehensive exam; and medical decision-making of high complexity. Counseling and/or coordination of care with other physicians, other QHCPs or agencies consistent with the nature of the problem(s) and the patient’s and/or family’s needs
  • Conduct screening for depression
    • Conduct screening for generalized anxiety disorder (GAD 7 anxiety scale)
    • Conduct screening for unhealthy use of alcohol
  • Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report
  • CT thorax W/O contrast
  • __SPLIT__
  • Complete blood count (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count
  • Comprehensive metabolic panel; this panel must include the following: U&E, albumin, bilirubin, calcium, glucose, alkaline phosphatase, protein, transferase, alanine amino (ALT) (SGPT) transferase, aspartate amino (AST) (SGOT)
  • Lipid panel: cholesterol, serum, lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) triglycerides
  • Thyroid-stimulating hormone (TSH), T3 free, T4 free
  • HBA1C
  • C-reactive proteins
  • Urinalysis by dip stick or tablet reagent (bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen)
  • Vitamin D: 25 hydroxyl, includes fraction(s), if performed
  • Cyanocobalamin (vitamin B-12)
  • Hepatitis B surface antibody (HBsAb)
  • Hepatitis B surface antigen (HBsAg)
  • Sedimentation rate, erythrocyte; automated
  • Blood, occult, by peroxidase activity (e.g. guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening
  • Fit test for GI bleeding

Immunization

Influenza vaccine

Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure.)

  • Vaccine IIV4 (influenza inactivated, quadrivalent) VAXIGRIP
  • Vaccine IIV4 (influenza inactivated, quadrivalent) FLUZONE
    • TDa booster
  • Vaccine Tdap (tetanus, diphtheria, reduced acellular pertussis)
    • Vaccine HepB adult
    • Pneumococcal
    • Shingles
  • Varicella booster recombinant glycoprotein E (SHINGRIX) injection
  • Prostate-specific antigen (PSA)

Consults

  • Comprehensive history: comprehensive exam and medical decision-making of high complexity. Counseling and/or coordination of care with other physicians, other QHCPs or agencies consistent with the nature of the problem(s) and the patient’s and/or family’s needs
  • Conduct screening for depression
    • Conduct screening for generalized anxiety disorder (GAD 7 anxiety scale)
    • Conduct screening for unhealthy use of alcohol
  • Electrocardiogram, routine ECG with at least 12 leads, with interpretation and report
  • __SPLIT__
  • CT thorax w/o contrast
  • Complete blood count (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count
  • Comprehensive metabolic panel; this panel must include the following: U&E, albumin, bilirubin, calcium, glucose, alkaline phosphatase, protein, transferase, alanine amino (ALT) (SGPT) transferase, aspartate amino (AST) (SGOT)
  • Hemoglobin: glycosylated (A1C)
  • Lipid panel: cholesterol, serum, lipoprotein, direct measurement, high-density cholesterol (HDL cholesterol) triglycerides
  • Thyroid-stimulating hormone (TSH) T3 free, T4 free
  • C-reactive protein
  • Urinalysis (bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen)
  • Vitamin D: 25 hydroxy, includes fraction(s)
  • Cyanocobalamin (Vitamin B-12)
  • Hepatitis B surface antibody (HBsAb)
  • Hepatitis B surface antigen (HBsAg)
  • FIT test screening for GI bleeding
  • Sedimentation rate, erythrocyte; automated
  • Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening

Immunization

Influenza vaccine

Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); vaccine (single or combination vaccine/toxoid):

  • Vaccine IIV4 (influenza inactivated, quadrivalent) VAXIGRIP
  • Vaccine IIV4 (influenza inactivated, quadrivalent) FLUZONE
    • TDa booster
  • Vaccine Tdap (tetanus, diphtheria, reduced acellular pertussis)
    • Vaccine HepB adult
    • Pneumococcal
    • Shingles
  • Vaccine, varicella zoster recombinant glycoprotein E (SHINGRIX) injection
  • Prostate-specific antigen (PSA); total immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)
  • Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure)
  • Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)

Referrals

  • Referral medicine, gastroenterology, screening for colonoscopy
  • Referral anesthesiology for colonoscopy clearance

Consults

  • Comprehensive history: comprehensive exam and medical decision-making of high complexity. Counseling and/or coordination of care with other physicians, other QHCPs or agencies consistent with the nature of the problem(s) and the patient’s and/or family’s needs
  • Conduct screening for depression
    • Conduct screening for generalized anxiety disorder (GAD 7 anxiety scale)
    • Conduct screening for unhealthy use of alcohol
  • Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report
  • CT thorax w/o contrast
  • __SPLIT__
  • Complete blood count (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count
  • Comprehensive metabolic panel; this panel must include the following: U&E, albumin, bilirubin, calcium, glucose, alkaline phosphatase, protein, transferase, alanine amino (ALT) (SGPT) transferase, aspartate amino (AST) (SGOT)
  • Hemoglobin: glycosylated (A1C)
  • Lipid panel: cholesterol, serum, lipoprotein, direct measurement, high-density cholesterol (HDL cholesterol) triglycerides
  • Thyroid-stimulating hormone (TSH) T3 free, T4 free
  • C-reactive protein
  • Urinalysis (bilirubin, glucose, aemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen)
  • Vitamin D: 25 hydroxy, includes fraction(s)
  • Cyanocobalamin (Vitamin B-12)
  • Hepatitis B surface antibody (HBsAb)
  • Hepatitis B surface antigen (HBsAg)
  • FIT test screening for GI bleeding
  • Sedimentation rate, erythrocyte; automated
  • Blood, occult, by peroxidase activity (e.g., guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening

Immunization

Influenza vaccine

Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); vaccine (single or combination vaccine/toxoid):

  • Vaccine IIV4 (influenza inactivated, quadrivalent) VAXIGRIP
  • Vaccine IIV4 (influenza inactivated, quadrivalent) FLUZONE
    • TDa booster
  • Vaccine Tdap (tetanus, diphtheria, reduced acellular pertussis)
    • Vaccine HepB adult
    • Pneumococcal
    • Shingles
  • Vaccine, varicella zoster recombinant glycoprotein E (SHINGRIX) injection
  • Prostate-specific antigen (PSA); total immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)
  • Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)

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