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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__
- Blood count; complete (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 and 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) – if performed
- Cyanocobalamin (vitamin B-12)
- Hepatitis B surface antibody (HBsAb)
- Infectious agent antigen detection by immunoassay technique, (e.g. enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA] qualitative or semiquantitative, multiple-step method; hepatitis B surface antigen (HBsAg)
- Sedimentation rate, erythrocyte
Immunization
Influenza vaccine
- Vaccine IIV4 (influenza inactivated, quadrivalent) VAXIGRIP
-
Vaccine IIV4 (influenza inactivated, quadrivalent) FLUZONE
- TDaP boosters
- Vaccine Tdap (tetanus, diphtheria, reduced acellular pertussis)
Referrals
- Referral obstetrics and gynecology screening
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__
- Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed
- Blood count; complete (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 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
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
- Vaccine, varicella zoster recombinant glycoprotein E (SHINGRIX) injection
- Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician
- Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision
- 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
- Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)
Referrals
- Referral obstetrics and gynecology screening, pap smear and exam
- 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__
- Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed
- Blood count; complete (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 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
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
- Vaccine, varicella zoster recombinant glycoprotein E (SHINGRIX) injection
- Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician
- Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision
- 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
Referrals
- Referral obstetrics and gynecology screening, pap smear and exam
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__
- Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed
- Bone mineral density study, 1 or more sites, axial skeleton (e.g. hips, pelvis, spine)
- Blood count; complete (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)
- Thyroid-stimulating hormone (TSH), T3 free, T4 free
- HBA1C
- ESR
- C-reactive protein
- Lipid panel
- Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy
- Cyanocobalamin (vitamin B-12)
- Vitamin D hydroxyl level
- Hepatitis B surface antibody (HBsAb)
- Hepatitis B surface antigen (HBsAg)
Immunization
Influenza vaccine
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 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
- Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician
- Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision
- Blood, occult, by peroxidase activity (e.g. guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening
- FIT test screening for GI bleeding
- Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)
Referrals
- Referral obstetrics and gynecology screening, pap smear and exam
- 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
- Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed __SPLIT__
- Bone mineral density study, 1 or more sites, axial skeleton (e.g. hips, pelvis, spine)
- Blood count; complete (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)
- Thyroid-stimulating hormone (TSH), T3 free, T4 free
- HBA1C
- ESR
- C-reactive protein
- Lipid panel
- Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy
- Cyanocobalamin (vitamin B-12)
- Vitamin D hydroxyl level
- Hepatitis B surface antibody (HBsAb)
- Hepatitis B surface antigen (HBsAg)
Immunization
Influenza vaccine
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 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
- Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician
- Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision
- Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening
- FIT test screening for GI bleeding
Referrals
- Referral obstetrics and gynecology screening, pap smear and exam
