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)
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)
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)
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)
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.)
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)
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, 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)
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):
Care of the Critically Ill Surgical Patient (CCrISP) is a two-day, interactive course, which includes mandatory, pre-course e-learning. It covers the practical skills and knowledge that health care professionals need to effectively care for surgical patients, including those who are deteriorating or at risk of doing so.
