Procedure Code |
Procedure Description |
Pricing Indicator |
Rate Type |
Mod1 |
Mod2 |
Mod3 |
Mod4 |
Max Fee |
Max Fee Eff. Date |
Max Fee End Date |
PA |
0001A |
ADM SARSCOV2 30MCG/0.3ML 1ST |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0001A |
ADM SARSCOV2 30MCG/0.3ML 1ST |
MAXFEE |
DEF |
|
|
|
|
37.66 |
1/1/2022 |
12/31/2299 |
N |
0001F |
HEART FAILURE COMPOSITE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0002A |
ADM SARSCOV2 30MCG/0.3ML 2ND |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0002A |
ADM SARSCOV2 30MCG/0.3ML 2ND |
MAXFEE |
DEF |
|
|
|
|
37.66 |
1/1/2022 |
12/31/2299 |
N |
0002F |
TOBACCO USE; SMOKING; ASSESS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0003A |
ADM SARSCOV2 30MCG/0.3ML 3RD |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0003A |
ADM SARSCOV2 30MCG/0.3ML 3RD |
MAXFEE |
DEF |
|
|
|
|
37.66 |
1/1/2022 |
12/31/2299 |
N |
0003F |
TOBACCO USE; NON-SMOKING |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0004A |
ADM SARSCOV2 30MCG/0.3ML BST |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0004A |
ADM SARSCOV2 30MCG/0.3ML BST |
MAXFEE |
DEF |
|
|
|
|
37.66 |
1/1/2022 |
12/31/2299 |
N |
0004F |
TOBACCO USE TXMNT COUNSELING |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0005F |
OSTEOARTHRITIS COMPOSITE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0006F |
STATIN THERAPY; PRESCRIBED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0007F |
BETA-BLOCKER THX PRESCRIBED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0008F |
ACE INHIBITOR THX PRESCRIBED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0009F |
ASSESS ANGINAL SYMPTOM/LEVEL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0010F |
ASSESS ANGINAL SYMPTOM/LEVEL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0011A |
ADM SARSCOV2 100MCG/0.5ML1ST |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0011A |
ADM SARSCOV2 100MCG/0.5ML1ST |
MAXFEE |
DEF |
|
|
|
|
37.66 |
1/1/2022 |
12/31/2299 |
N |
0011F |
ORAL ANTIPLAT THX PRESCRIBED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0012A |
ADM SARSCOV2 100MCG/0.5ML2ND |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0012A |
ADM SARSCOV2 100MCG/0.5ML2ND |
MAXFEE |
DEF |
|
|
|
|
37.66 |
1/1/2022 |
12/31/2299 |
N |
0012F |
CAP BACTERIAL ASSESS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0013A |
ADM SARSCOV2 100MCG/0.5ML3RD |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0013A |
ADM SARSCOV2 100MCG/0.5ML3RD |
MAXFEE |
DEF |
|
|
|
|
37.66 |
1/1/2022 |
12/31/2299 |
N |
0014F |
COMP PREOP ASSESS CAT SURG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0015F |
MELAN FOLLOW-UP COMPLETE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0051A |
ADM SARSCV2 30MCG TRS-SUCR 1 |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0051A |
ADM SARSCV2 30MCG TRS-SUCR 1 |
MAXFEE |
DEF |
|
|
|
|
37.66 |
1/3/2022 |
12/31/2299 |
N |
0052A |
ADM SARSCV2 30MCG TRS-SUCR 2 |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0052A |
ADM SARSCV2 30MCG TRS-SUCR 2 |
MAXFEE |
DEF |
|
|
|
|
37.66 |
1/3/2022 |
12/31/2299 |
N |
0053A |
ADM SARSCV2 30MCG TRS-SUCR 3 |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0053A |
ADM SARSCV2 30MCG TRS-SUCR 3 |
MAXFEE |
DEF |
|
|
|
|
37.66 |
1/3/2022 |
12/31/2299 |
N |
0054A |
ADM SARSCV2 30MCG TRS-SUCR B |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0054A |
ADM SARSCV2 30MCG TRS-SUCR B |
MAXFEE |
DEF |
|
|
|
|
37.66 |
1/3/2022 |
12/31/2299 |
N |
0064A |
ADM SARSCOV2 50MCG/0.25MLBST |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0064A |
ADM SARSCOV2 50MCG/0.25MLBST |
MAXFEE |
DEF |
|
|
|
|
37.66 |
1/1/2022 |
12/31/2299 |
N |
0071A |
ADM SARSCV2 10MCG TRS-SUCR 1 |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0071A |
ADM SARSCV2 10MCG TRS-SUCR 1 |
MAXFEE |
DEF |
|
|
|
|
37.66 |
1/1/2022 |
12/31/2299 |
N |
0072A |
ADM SARSCV2 10MCG TRS-SUCR 2 |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0072A |
ADM SARSCV2 10MCG TRS-SUCR 2 |
MAXFEE |
DEF |
|
|
|
|
37.66 |
1/1/2022 |
12/31/2299 |
N |
0073A |
ADM SARSCV2 10MCG TRS-SUCR 3 |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0073A |
ADM SARSCV2 10MCG TRS-SUCR 3 |
MAXFEE |
DEF |
|
|
|
|
37.66 |
1/3/2022 |
12/31/2299 |
N |
0074A |
ADM SARSCV2 10MCG TRS-SUCR B |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0074A |
ADM SARSCV2 10MCG TRS-SUCR B |
MAXFEE |
DEF |
|
|
|
|
37.66 |
5/17/2022 |
12/31/2299 |
N |
0081A |
ADM SARSCV2 3MCG TRS-SUCR 1 |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0081A |
ADM SARSCV2 3MCG TRS-SUCR 1 |
MAXFEE |
DEF |
|
|
|
|
37.66 |
6/17/2022 |
12/31/2299 |
N |
0082A |
ADM SARSCV2 3MCG TRS-SUCR 2 |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0082A |
ADM SARSCV2 3MCG TRS-SUCR 2 |
MAXFEE |
DEF |
|
|
|
|
37.66 |
6/17/2022 |
12/31/2299 |
N |
0083A |
ADM SARSCV2 3MCG TRS-SUCR 3 |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0083A |
ADM SARSCV2 3MCG TRS-SUCR 3 |
MAXFEE |
DEF |
|
|
|
|
37.66 |
6/17/2022 |
12/31/2299 |
N |
0091A |
ADM SARSCOV2 50 MCG/.5 ML1ST |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0091A |
ADM SARSCOV2 50 MCG/.5 ML1ST |
MAXFEE |
DEF |
|
|
|
|
37.66 |
6/17/2022 |
12/31/2299 |
N |
0092A |
ADM SARSCOV2 50 MCG/.5 ML2ND |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0092A |
ADM SARSCOV2 50 MCG/.5 ML2ND |
MAXFEE |
DEF |
|
|
|
|
37.66 |
6/17/2022 |
12/31/2299 |
N |
0093A |
ADM SARSCOV2 50 MCG/.5 ML3RD |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0093A |
ADM SARSCOV2 50 MCG/.5 ML3RD |
MAXFEE |
DEF |
|
|
|
|
37.66 |
6/17/2022 |
12/31/2299 |
N |
0094A |
ADM SARSCOV2 50 MCG/.5 MLBST |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0094A |
ADM SARSCOV2 50 MCG/.5 MLBST |
MAXFEE |
DEF |
|
|
|
|
37.66 |
3/29/2022 |
12/31/2299 |
N |
0111A |
ADM SARSCOV2 25MCG/0.25ML1ST |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0111A |
ADM SARSCOV2 25MCG/0.25ML1ST |
MAXFEE |
DEF |
|
|
|
|
37.66 |
6/17/2022 |
12/31/2299 |
N |
0112A |
ADM SARSCOV2 25MCG/0.25ML2ND |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0112A |
ADM SARSCOV2 25MCG/0.25ML2ND |
MAXFEE |
DEF |
|
|
|
|
37.66 |
6/17/2022 |
12/31/2299 |
N |
0113A |
ADM SARSCOV2 25MCG/0.25ML3RD |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
0113A |
ADM SARSCOV2 25MCG/0.25ML3RD |
MAXFEE |
DEF |
|
|
|
|
37.66 |
8/31/2022 |
12/31/2299 |
N |
0500F |
INITIAL PRENATAL CARE VISIT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0501F |
PRENATAL FLOW SHEET |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0502F |
SUBSEQUENT PRENATAL CARE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0503F |
POSTPARTUM CARE VISIT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0505F |
HEMODIALYSIS PLAN DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0507F |
PERITON DIALYSIS PLAN DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0509F |
URINE INCON PLAN DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0513F |
ELEV BP PLAN OF CARE DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0514F |
CARE PLAN HGB DOCD ESA PT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0516F |
ANEMIA PLAN OF CARE DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0517F |
GLAUCOMA PLAN OF CARE DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0518F |
FALL PLAN OF CARE DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0519F |
PLAND CHEMO DOCD B/4 TXMNT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0520F |
RAD DOS LIMTS B/4 3D RAD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0521F |
PLAN OF CARE 4 PAIN DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0525F |
INITIAL VISIT FOR EPISODE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0526F |
SUBS VISIT FOR EPISODE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0528F |
RCMND FLW-UP 10 YRS DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0529F |
INTRVL 3/>YR PTS CLNSCP DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0535F |
DYSPNEA MNGMNT PLAN DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0540F |
GLUCO MNGMNT PLAN DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0545F |
FOLLOW UP CARE PLAN MDD DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0550F |
CYTOPATH REPORT NONGYN SPCMN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0551F |
CYTOPATH REPORT NON ROUTINE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0555F |
SYMPTOM MGMNT PLAN CARE DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0556F |
PLAN CARE LIPID CONTROL DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0557F |
PLAN CAREMNG ANGNL SYMPTDOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0575F |
HIV RNA PLAN CARE DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0580F |
MULTIDISCIPLINARY CARE PLAN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0581F |
PT TRNSFRD FROM ANESTH TO CC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0582F |
NO TRNSFR FROM ANESTH TO CC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0583F |
TRANSFER CARE CHECKLIST USED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
0584F |
NO TRANSFERCARE CHKLIST USED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1000F |
TOBACCO USE ASSESSED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1001F |
TOBACCO USE; NON-SMOKING |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1002F |
ASSESS ANGINAL SYMPTOM/LEVEL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1003F |
LEVEL OF ACTIVITY ASSESS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1004F |
CLIN SYMP VOL OVRLD ASSESS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1005F |
ASTHMA SYMPTOMS EVALUATE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1006F |
OSTEOARTHRITIS ASSESS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1007F |
ANTI-INFLM/ANLGSC OTC ASSESS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1008F |
GI/RENAL RISK ASSESS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1010F |
SEVERITY ANGINA BY ACTVTY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1011F |
ANGINA PRESENT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1012F |
ANGINA ABSENT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1015F |
COPD SYMPTOMS ASSESS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1018F |
ASSESS DYSPNEA NOT PRESENT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1019F |
ASSESS DYSPNEA PRESENT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1022F |
PNEUMO IMM STATUS ASSESS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1026F |
CO-MORBID CONDITION ASSESS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1030F |
INFLUENZA IMM STATUS ASSESS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1031F |
SMOKING & 2ND HAND ASSESSED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1032F |
SMOKER/EXPOSED 2ND HND SMOKE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1033F |
TOBACCO NONSMOKER NOR 2NDHND |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1034F |
CURRENT TOBACCO SMOKER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1035F |
SMOKELESS TOBACCO USER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1036F |
TOBACCO NON-USER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1038F |
PERSISTENT ASTHMA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1039F |
INTERMITTENT ASTHMA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1040F |
DSM-5 INFO MDD DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1050F |
HISTORY OF MOLE CHANGES |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1052F |
TYPE LOCATION ACTIVITYASSESS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1055F |
VISUAL FUNCT STATUS ASSESS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1060F |
DOC PERM/CONT/PAROX ATR FIB |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1061F |
DOC LACK PERM&CONT&PAROX FIB |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1065F |
ISCHM STROKE SYMP LT3 HRSB/4 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1066F |
ISCHM STROKE SYMP GE3 HRSB/4 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1070F |
ALARM SYMP ASSESSED-ABSENT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1071F |
ALARM SYMP ASSESSED-1+ PRSNT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1080F |
DECIS MKR/ADVNCD PLAN DOC'D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1090F |
PRES/ABSN URINE INCON ASSESS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1091F |
URINE INCON CHARACTERIZED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1100F |
PTFALLS ASSESS-DOCD GE2>/YR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1101F |
PT FALLS ASSESS-DOCD LE1/YR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1110F |
PT LFT INPT FAC W/IN 60 DAYS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1111F |
DSCHRG MED/CURRENT MED MERGE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1116F |
AURIC/PERI PAIN ASSESSED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1118F |
GERD SYMPS ASSESSED 12 MONTH |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1119F |
INIT EVAL FOR CONDITION |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1121F |
SUBS EVAL FOR CONDITION |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1123F |
ACP DISCUSS/DSCN MKR DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1124F |
ACP DISCUSS-NO DSCNMKR DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1125F |
AMNT PAIN NOTED PAIN PRSNT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1126F |
AMNT PAIN NOTED NONE PRSNT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1127F |
NEW EPISODE FOR CONDITION |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1128F |
SUBS EPISODE FOR CONDITION |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1130F |
BK PAIN & FXN ASSESSED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1134F |
EPSD BK PAIN FOR 6 WKS/< |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1135F |
EPSD BK PAIN FOR >6 WKS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1136F |
EPSD BK PAIN FOR 12 WKS/< |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1137F |
EPSD BK PAIN FOR >12 WKS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1150F |
DOC PT RSK DEATH W/IN 1YR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1151F |
DOC NO PT RSK DEATH W/IN 1YR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1152F |
DOC ADVNCD DIS COMFORT 1ST |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1153F |
DOC ADVNCD DIS CMFRT NOT 1ST |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1157F |
ADVNC CARE PLAN IN RCRD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1158F |
ADVNC CARE PLAN TLK DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1159F |
MED LIST DOCD IN RCRD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1160F |
RVW MEDS BY RX/DR IN RCRD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1170F |
FXNL STATUS ASSESSED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1175F |
FUNCTION STAT ASSESSED RVWD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1180F |
THROMBOEMB RISK ASSESSED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1181F |
NEUROPSYCHIA SYMPTS ASSESSED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1182F |
NEUROPSYCHI SYMPT 1+PRESENT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1183F |
NEUROPSYCHIATRIC SYMP ABSENT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1200F |
SEIZURE TYPE& FREQU DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1205F |
EPI ETIOL SYND RVWD AND DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1220F |
PT SCREENED FOR DEPRESSION |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1400F |
PRKNS DIAG RVIEWED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1450F |
SYMPTOMS IMPROVED/CONSIST |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1451F |
SYMPT SHOW CLIN IMPORT DROP |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1460F |
QUAL CARD DIAG PRIOR 12 MONS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1461F |
NO QUAL CARD DIAG PRIOR12MON |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1490F |
DEM SEVERITY CLASSIFIED MILD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1491F |
DEM SEVERITY CLASSIFIED MOD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1493F |
DEM SEVERITY CLASS SEVERE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1494F |
COGNIT ASSESSED AND REVIEWED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1500F |
SYMPTOM&SIGN SYMM POLYNEURO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1501F |
NOT INITIAL EVAL FOR COND |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1502F |
PT QUERIED PAIN FXN W/ INSTR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1503F |
PT QUERIED SYMP RESP INSUFF |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1504F |
PT HAS RESP INSUFFICIENCY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
1505F |
PT HAS NO RESP INSUFFICIENCY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
15853 |
REMOVAL SUTR/STAPL XREQ ANES |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
15853 |
REMOVAL SUTR/STAPL XREQ ANES |
MAXFEE |
DEF |
|
|
|
|
8.24 |
1/1/2023 |
12/31/2299 |
N |
15854 |
REMOVAL SUTR&STAPL XREQ ANES |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
15854 |
REMOVAL SUTR&STAPL XREQ ANES |
MAXFEE |
DEF |
|
|
|
|
11.66 |
1/1/2023 |
12/31/2299 |
N |
2000F |
BLOOD PRESSURE MEASURE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2001F |
WEIGHT RECORD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2002F |
CLIN SIGN VOL OVRLD ASSESS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2003F |
AUSCULTATION HEART PERFORM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2004F |
INITIAL EXAM INVOLVED JOINTS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2010F |
VITAL SIGNS RECORDED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2014F |
MENTAL STATUS ASSESS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2015F |
ASTHMA IMPAIRMENT ASSESSED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2016F |
ASTHMA RISK ASSESSED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2018F |
HYDRATION STATUS ASSESS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2019F |
DILATED MACUL EXAM DONE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2020F |
DILATED FUNDUS EVAL DONE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2021F |
DILAT MACULAR EXAM DONE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2022F |
DILAT RTA XM EVC RTNOPTHY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2024F |
7 FLD RTA PHOTO EVC RTNOPTHY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2026F |
EYE IMG VALID EVC RTNOPTHY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2027F |
OPTIC NERVE HEAD EVAL DONE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2028F |
FOOT EXAM PERFORMED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2029F |
COMPLETE PHYS SKIN EXAM DONE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2030F |
H2O STAT DOCD NORMAL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2031F |
H2O STAT DOCD DEHYDRATED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2035F |
TYMP MEMB MOTION EXAMD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2040F |
BK PN XM ON INIT VISIT DATE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2044F |
DOC MNTL TST B/4 BK TRXMNT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2050F |
WOUND CHAR SIZE ETC DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
2060F |
PT TALK EVAL HLTHWKR RE MDD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3000F |
BLOOD PRESS </= 140/90 MMHG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3002F |
BLOOD PRESSURE > 140/90 MMHG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3006F |
CXR DOC REV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3008F |
BODY MASS INDEX DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3011F |
LIPID PANEL DOC REV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3014F |
SCREEN MAMMO DOC REV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3015F |
CERV CANCER SCREEN DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3016F |
PT SCRND UNHLTHY OH USE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3017F |
COLORECTAL CA SCREEN DOC REV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3018F |
PRE-PRXD RSK ET AL DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3019F |
LVEF ASSESS PLANPOST DSCHRGE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3020F |
LVF ASSESS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3021F |
LVEF MOD/SEVER DEPRS SYST |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3022F |
LVEF >=40% SYSTOLIC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3023F |
SPIROM DOC REV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3025F |
SPIROM FEV/FVC <70% W/COPD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3027F |
SPIROM FEV/FVC>=70%/W/OCOPD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3028F |
O2 SATURATION DOC REV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3035F |
O2 SATURATION<=88%/PAO<=55 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3037F |
O2 SATURATION >88%/PAO>55 HG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3038F |
PULM FX W/IN 12 MON B/4 SURG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3040F |
FEV <40% PREDICTED VALUE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3042F |
FEV >=40% PREDICTED VALUE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3044F |
HG A1C LEVEL LT 7.0% |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3045F |
HG A1C LEVEL 7.0-9.0% |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3046F |
HEMOGLOBIN A1C LEVEL >9.0% |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3047F |
HEMOGLOBIN A1C LEVEL = 9.0% |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3048F |
LDL-C <100 MG/DL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3049F |
LDL-C 100-129 MG/DL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3050F |
LDL-C >= 130 MG/DL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3055F |
LVEF LESS THAN/EQUAL TO 35% |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3056F |
LVEF GREATER THAN 35% |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3060F |
POS MICROALBUMINURIA REV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3061F |
NEG MICROALBUMINURIA REV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3062F |
POS MACROALBUMINURIA REV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3066F |
NEPHROPATHY DOC TX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3072F |
LOW RISK FOR RETINOPATHY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3073F |
PRE-SURG EYE MEASURES DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3074F |
SYST BP LT 130 MM HG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3075F |
SYST BP GE 130 - 139MM HG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3076F |
SYST BP < 140 MM HG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3077F |
SYST BP >= 140 MM HG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3078F |
DIAST BP <80 MM HG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3079F |
DIAST BP 80-89 MM HG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3080F |
DIAST BP >= 90 MM HG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3082F |
KT/V <1.2 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3083F |
KT/V =/> 1.2 & <1.7 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3084F |
KT/V >= 1.7 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3085F |
SUICIDE RISK ASSESSED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3088F |
MDD MILD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3089F |
MDD MODERATE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3090F |
MDD SEVERE W/O PSYCH |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3091F |
MDD SEVERE W/PSYCH |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3092F |
MDD IN REMISSION |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3093F |
DOC NEW DIAG 1ST/ADDL MDD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3095F |
CENTRAL DEXA RESULTS DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3096F |
CENTRAL DEXA ORDERED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3200F |
BARIUM SWALLOW TEST NOT REQ |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3210F |
GRP A STREP TEST PERFORMED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3215F |
PT IMMUNITY TO HEP A DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3216F |
PT IMMUNITY TO HEP B DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3218F |
RNA TSTNG HEP C DOCD DONE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3220F |
HEP C QUANT RNA TSTNG DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3230F |
NOTE HRING TST W/IN 6 MON |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3250F |
NONPRIM LOC ANAT BX SITE TUM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3260F |
PT CAT/PN CAT/HIST GRD DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3265F |
RNA TSTNG HEPC VIR ORD/DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3266F |
HEPC GN TSTNG DOCD B/4TXMNT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3267F |
PATH RPRT W/ PT PN CAT ET AL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3268F |
PSA/T/GLSC DOCD B/4 TXMNT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3269F |
BONE SCN B/4 TXMNT/AFTR DX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3270F |
NO BONE SCN B/4 TXMNT/AFTRDX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3271F |
LOW RISK PROSTATE CANCER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3272F |
MED RISK PROSTATE CANCER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3273F |
HIGH RISK PROSTATE CANCER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3274F |
PROST CNCR RSK NOT LW/MD/HGH |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3278F |
SERUM LVLS CA/IPTH/LPD ORD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3279F |
HGB LVL >= 13 G/DL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3280F |
HGB LVL 11-12.9 G/DL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3281F |
HGB LVL <11 G/DL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3284F |
IOP RED >=15% PRE-NTRV LVL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3285F |
IOP DOWN <15% OF PRE-SVC LVL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3288F |
FALL RISK ASSESSMENT DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3290F |
PT=D(RH)- AND UNSENSITIZED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3291F |
PT=D(RH)+ OR SENSITIZED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3292F |
HIV TSTNG ASKED/DOCD/REVWD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3293F |
ABO RH BLOOD TYPING DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3294F |
GRP B STREP SCREENING DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3300F |
AJCC STAGE DOCD B/4 THXPY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3301F |
CANCER STAGE DOCD METAST |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3302F |
AJCC STAGE 0 DOC'D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3303F |
AJCC STAGE IA DOC'D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3304F |
AJCC STAGE IB DOC'D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3305F |
AJCC STAGE IC DOC'D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3306F |
AJCC STAGE IIA DOC'D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3307F |
AJCC STAGE IIB DOC'D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3308F |
AJCC STAGE IIC DOC'D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3309F |
AJCC STAGE IIIA DOC'D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3310F |
AJCC STAGE IIIB DOC'D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3311F |
AJCC STAGE IIIC DOC'D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3312F |
AJCC STAGE IVA DOC'D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3313F |
AJCC STAGE IVB DOC'D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3314F |
AJCC STAGE IVC DOC'D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3315F |
ER+ OR PR+ BREAST CANCER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3316F |
ER- OR PR- BREAST CANCER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3317F |
PATH RPT MALIG CANCER DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3318F |
PATH RPT MALIG CANCER DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3319F |
X-RAY/CT/ULTRSND ET AL ORD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3320F |
NO XRAY/CT/ ET AL ORDD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3321F |
AJCC CNCR 0/IA MELAN DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3322F |
MELANOMAAJCC STAGE 0 OR IA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3323F |
CLIN NODE STGNG DOCDB/4 SURG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3324F |
MRI CT SCAN ORD RVWD RQSTD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3325F |
PREOP ASSES 4 CATARACT SURG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3328F |
PRFRMNC DOCD 2 WKS B/4 SURG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3330F |
IMAGING STUDY ORDERED (BKP) |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3331F |
BK IMAGING TST NOT ORDERED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3340F |
MAMMO ASSESS INC XRAY DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3341F |
MAMMO ASSESS NEGATIVE DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3342F |
MAMMO ASSESS BENGN DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3343F |
MAMMO PROBABLY BENGN DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3344F |
MAMMO ASSESS SUSP DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3345F |
MAMMO ASSESS HGHLYMALIG DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3350F |
MAMMO BX PROVEN MALIG DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3351F |
NEG SCRN DEP SYMP BY DEPTOOL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3352F |
NO SIG DEP SYMP BY DEP TOOL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3353F |
MILD-MOD DEP SYMP BY DEPTOOL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3354F |
CLIN SIG DEP SYM BY DEP TOOL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3370F |
AJCC BRST CNCR STAGE 0 DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3372F |
AJCC BRST CNCR STAGE 1 DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3374F |
AJCC BRST CNCR STAGE 1 DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3376F |
AJCC BRSTCNCR STAGE 2 DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3378F |
AJCC BRSTCNCR STAGE 3 DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3380F |
AJCC BRSTCNCR STAGE 4 DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3382F |
AJCC CLN CNCR STAGE 0 DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3384F |
AJCC CLN CNCR STAGE 1 DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3386F |
AJCC CLN CNCR STAGE 2 DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3388F |
AJCC CLN CNCR STAGE 3 DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3390F |
AJCC CLN CNCR STAGE 4 DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3394F |
QUANT HER2 IHC EVAL BRST CX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3395F |
QUANT NONHER2 IHC BRST CX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3450F |
DYSPNEA SCRND NO-MILD DYSP |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3451F |
DYSPNEA SCRND MOD-HIGH DYSP |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3452F |
DYSPNEA NOT SCREENED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3455F |
TB SCRNG DONE-INTERPD 6MON |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3470F |
RA DISEASE ACTIVITY LOW |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3471F |
RA DISEASE ACTIVITY MOD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3472F |
RA DISEASE ACTIVITY HIGH |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3475F |
DISEASE PROGN RA POOR DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3476F |
DISEASE PROGN RA GOOD DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3490F |
HISTORY AIDS-DEFINING COND |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3491F |
HIV UNSURE BABY OF HIV+MOMS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3492F |
HISTORY CD4+ CELL COUNT <350 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3493F |
NO HIST CD4+ CELL COUNT <350 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3494F |
CD4+CELL COUNT <200CELLS/MM3 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3495F |
CD4+CELL CNT 200-499 CELLS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3496F |
CD4+ CELL COUNT >= 500 CELLS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3497F |
CD4+ CELL PERCENTAGE <15% |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3498F |
CD4+ CELL >=15% (HIV) |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3500F |
CD4+CELL CNT/% DOCD AS DONE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3502F |
HIV RNA VRL LD <LMTS QUANTIF |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3503F |
HIV RNA VRL LDNOT<LMTS QUNTF |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3510F |
DOC TB SCRNG-RSLTS INTERPD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3511F |
CHLMYD/GONRH TSTS DOCD DONE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3512F |
SYPH SCRNG DOCD AS DONE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3513F |
HEP B SCRNG DOCD AS DONE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3514F |
HEP C SCRNG DOCD AS DONE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3515F |
PT HAS DOCD IMMUN TO HEP C |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3517F |
HBV ASSESS&RESULTS INTRP 1YR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3520F |
CDIFFICILE TESTING PERFORMED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3550F |
LOW RSK THROMBOEMBOLISM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3551F |
INTRMED RSK THROMBOEMBOLISM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3552F |
HGH RISK FOR THROMBOEMBOLISM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3555F |
PT INR MEASUREMENT PERFORMED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3570F |
RPRT BONE SCINT XREF W XRAY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3572F |
PT CONSID POSS RISK FX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3573F |
PT NOT CONSID POSS RISK FX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
36415 |
ROUTINE VENIPUNCTURE |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
36415 |
ROUTINE VENIPUNCTURE |
MAXFEE |
DEF |
|
|
|
|
2.25 |
1/1/2018 |
12/31/2299 |
N |
3650F |
EEG ORDERED RVWD REQSTD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3700F |
PSYCH DISORDERS ASSESSED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3720F |
COGNIT IMPAIRMENT ASSESSED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3725F |
SCREEN DEPRESSION PERFORMED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3750F |
PTNOTRCVNGSTEROID>=10MG/DAY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3751F |
ELECTRODIAG POLYNEURO 6 MN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3752F |
NO ELECTRODIAG POLYNEURO 6MN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3753F |
PT HAS SYMP&SIGNS NEUROPATHY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3754F |
SCREENING TESTS DM DONE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3755F |
COG&BEHAV IMPRMNT SCRNG DONE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3756F |
PT W/PSEUDOBULB AFFECT/ALS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3757F |
PT W/O PSEUDOBULBAFFECT/ALS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3758F |
PT REF PULM FX TEST/PEAKFLOW |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3759F |
PT SCRN DYSPHAG/WT LOSS/NUTR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3760F |
PT W/DYSPHAG/WT LOSS/NUTR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3761F |
PT W/O DYSPHAG/WT LOSS/NUTR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3762F |
PATIENT IS DYSARTHRIC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3763F |
PATIENT IS NOT DYSARTHRIC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3775F |
ADENOMA DETECTED SCREENING |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
3776F |
ADENOMA NOT DETECT SCREENING |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4000F |
TOBACCO USE TXMNT COUNSELING |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4001F |
TOBACCO USE TXMNT PHARMACOL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4002F |
STATIN THERAPY RX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4003F |
PT ED WRITE/ORAL PTS W/ HF |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4004F |
PT TOBACCO SCREEN RCVD TLK |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4005F |
PHARM THX FOR OP RXD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4006F |
BETA-BLOCKER THERAPY RX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4007F |
AREDS/ANITOX VIT/MIN RX'D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4008F |
BETA-BLOCKER THERAPY RXD/TKN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4009F |
ACE/ARB INHIBITOR THERAPY RX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4010F |
ACE/ARB THERAPY RXD/TAKEN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4011F |
ORAL ANTIPLATELET THERAPY RX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4012F |
WARFARIN THERAPY RX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4013F |
STATIN THERAPY/CURRENTLY TKN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4014F |
WRITTEN DISCHARGE INSTR PRVD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4015F |
PERSIST ASTHMA MEDICINE CTRL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4016F |
ANTI-INFLM/ANLGSC AGENT RX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4017F |
GI PROPHYLAXIS FOR NSAID RX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4018F |
THERAPY EXERCISE JOINT RX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4019F |
DOC RECPT COUNSL VIT D/CALC+ |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4025F |
INHALED BRONCHODILATOR RX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4030F |
OXYGEN THERAPY RX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4033F |
PULMONARY REHAB REC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4035F |
INFLUENZA IMM REC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4037F |
INFLUENZA IMM ORDER/ADMIN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4040F |
PNEUMOC VAC/ADMIN/RCVD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4041F |
DOC ORDER CEFAZOLIN/CEFUROX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4042F |
DOC ANTIBIO NOT GIVEN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4043F |
DOC ORDER GIVEN STOP ANTIBIO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4044F |
DOC ORDER GIVEN VTE PROPHYLX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4045F |
EMPIRIC ANTIBIOTIC RX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4046F |
DOC ANTIBIO GIVEN B/4 SURG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4047F |
DOC ANTIBIO GIVEN B/4 SURG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4048F |
DOC ANTIBIO GIVEN B/4 SURG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4049F |
DOC ORDER GIVEN STOP ANTIBIO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4050F |
HT CARE PLAN DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4051F |
REFERRED FOR AN AV FISTULA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4052F |
HEMODIALYSIS VIA AV FISTULA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4053F |
HEMODIALYSIS VIA AV GRAFT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4054F |
HEMODIALYSIS VIA CATHETER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4055F |
PT RCVNG PERITON DIALYSIS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4056F |
APPROP ORAL REHYD RECOMMD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4058F |
PED GASTRO ED GIVEN CAREGVR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4060F |
PSYCH SVCS PROVIDED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4062F |
PT REFERRAL PSYCH DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4063F |
ANTIDEPRES RXTHXPY NOT RXD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4064F |
ANTIDEPRESSANT RX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4065F |
ANTIPSYCHOTIC RX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4066F |
ECT PROVIDED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4067F |
PT REFERRAL FOR ECT DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4069F |
VTE PROPHYLAXIS RCVD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4070F |
DVT PROPHYLX RECVD DAY 2 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4073F |
ORAL ANTIPLAT THX RX DISCHRG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4075F |
ANTICOAG THX RX AT DISCHRG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4077F |
DOC T-PA ADMIN CONSIDERED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4079F |
DOC REHAB SVCS CONSIDERED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4084F |
ASPIRIN RECVD W/IN 24 HRS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4086F |
ASPIRIN/CLOPIDOGREL RXD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4090F |
PT RCVNG EPO THXPY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4095F |
PT NOT RCVNG EPO THXPY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4100F |
BIPHOS THXPY VEIN ORD/RECVD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4110F |
INT MAM ART USED FOR CABG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4115F |
BETA BLCKR ADMIN W/IN 24 HRS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4120F |
ANTIBIOT RXD/GIVEN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4124F |
ANTIBIOT NOT RXD/GIVEN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4130F |
TOPICAL PREP RX AOE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4131F |
SYST ANTIMICROBIAL THX RX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4132F |
NO SYST ANTIMICROBIAL THX RX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4133F |
ANTIHIST/DECONG RX/RECOM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4134F |
NO ANTIHIST/DECONG RX/RECOM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4135F |
SYSTEMIC CORTICOSTEROIDS RX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4136F |
SYST CORTICOSTEROIDS NOT RX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4140F |
INHALED CORTICOSTEROIDS RXD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4142F |
CORTICOSTER SPARNG THRPY RXD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4144F |
ALT LONG-TERM CNTRL MED RXD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4145F |
2+ ANTI-HYPRTNSV AGENTS TKN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4148F |
HEP A VAC INJXN ADMIN/RECVD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4149F |
HEP B VAC INJXN ADMIN/RECVD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4150F |
PT RECVNG ANTIVIR TXMNT HEPC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4151F |
PT NOT RECVNG ANTIV HEP C |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4152F |
DOC'D PEGINTF/RIB THXY CONSD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4153F |
COMBO PEGINTF/RIB RX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4154F |
HEP A VAC SERIES RECOMMENDED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4155F |
HEP A VAC SERIES PREV RECVD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4156F |
HEP B VAC SERIES RECOMMENDED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4157F |
HEP B VAC SERIES PREV RECVD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4158F |
PT EDU RE ALCOH DRNKNG DONE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4159F |
CONTRCP TALK B/4 ANTIV TXMNT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4163F |
PT COUNS 4 TXMNT OPT PROST |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4164F |
ADJV HRMNL THXPY RXD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4165F |
3D-CRT/IMRT RECEIVED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4167F |
HD BED TILTED 1ST DAY VENT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4168F |
PT CARE ICU&VENT W/IN 24HRS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4169F |
NO PT CARE ICU/VENT IN 24HRS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4171F |
PT RCVNG ESA THXPY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4172F |
PT NOT RCVNG ESA THXPY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4174F |
COUNS POTENT GLAUC IMPCT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4175F |
VIS 20/40/> W/IN 90 DAYS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4176F |
TALK RE UV LIGHT PT/CRGVR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4177F |
TALK PT/CRGVR RE AREDS PREV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4178F |
ANTID GLBLN RCVD W/IN 26WKS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4179F |
TAMOXIFEN/AI PRESCRIBED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4180F |
ADJV THXPYRXD/RCVD COLON CA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4181F |
CONFORMAL RADN THXPY RCVD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4182F |
NO CONFORMAL RADN THXPY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4185F |
CONTINUOUS PPI OR H2RA RCVD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4186F |
NO CONT PPI OR H2RA RCVD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4187F |
ANTI RHEUM DRUGTHXPYRXD/GVN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4188F |
APPROP ACE/ARB TSTNG DONE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4189F |
APPROP DIGOXIN TSTNG DONE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4190F |
APPROP DIURETIC TSTNG DONE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4191F |
APPROP ANTICONVULS TSTNG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4192F |
PT NOT RCVNG GLUCOCO THXPY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4193F |
PT RCV <10MG DAILY PREDNISO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4194F |
PT RCV >=10MG DAILY PREDNISO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4195F |
PT RCVNG ANTI-RHEUM THXPY RA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4196F |
PTNOT RCVNG ANTI-RHM THXPYRA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4200F |
EXTERNAL BEAM TO PROST ONLY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4201F |
EXTRNL BEAM OTHER THAN PROST |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4210F |
ACE/ARB THXPY FOR MOS/> |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4220F |
DIGOXIN THXPY FOR 6 MOS/> |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4221F |
DIURETIC THXPY FOR 6 MOS/> |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4230F |
ANTICONV THXPY FOR 6 MOS/> |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4240F |
INSTR XRCZ BACK PAIN 12 WKS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4242F |
SPRVSD XRCZ BACK PN >12 WKS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4245F |
PT INSTR NRML ACTIVITIES |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4248F |
PT INSTR NO BD REST 4 DAYS/> |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4250F |
WRMNG 4 SURG NORMOTHERMIA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4255F |
ANESTH 60 MIN/> AS DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4256F |
ANESTHE <60 MIN AS DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4260F |
WOUND SRFC CULTURETECH USED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4261F |
TECH OTHER THAN SURFC CULTR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4265F |
WET-DRY DRESSINGS RX RECMD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4266F |
NO WET-DRY DRSSINGS RX RECMD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4267F |
COMPRSSION THXPY PRESCRIBED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4268F |
PT ED RE COMP THXPY RCVD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4269F |
APPROPOS MTHD OFFLOADING RXD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4270F |
PT RCVNG ANTI R-VIRAL THXPY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4271F |
PT RCVNG ANTI R-VIRAL THXPY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4274F |
FLU IMMUNO ADMIND RCVD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4275F |
HEP B VAC INJ ADMIN/RCVD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4276F |
POTENT ANTIVIR THXPY RXD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4279F |
PCP PROPHYLAXIS RXD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4280F |
PCP PROPHYLAX RXD 3MON LOW % |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4290F |
PT SCRNED FOR INJ DRUG USE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4293F |
PT SCRND HGH-RISK SEX BEHAV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4300F |
PT RCVNG WARF THXPY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4301F |
PT NOT RCVNG WARF THXPY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4305F |
PT ED RE FT CARE INSPCT RCVD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4306F |
PT TLK PSYCH & RX OPD ADDIC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4320F |
PT TALK PSYCHSOC&RX OH DPND |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4322F |
CRGVR PROV W/ ED ADDL RSRCS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4324F |
PT QUERIED PRKNS COMPLIC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4325F |
MED TXMNT OPTIONS RVWD W/PT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4326F |
PT ASKED RE SYMP AUTO DYSFXN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4328F |
PT ASKED RE SLEEP DISTURB |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4330F |
CNSLNG EPI SPEC SFTY ISSUES |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4340F |
CNSLNG CHLDBRNG WOMEN EPI |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4350F |
CNSLNG PROVIDED SYMP MNGMNT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4400F |
REHAB THXPY OPTIONS W/PT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4450F |
SELF-CARE ED PROVIDED TO PT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4470F |
ICD COUNSELING PROVIDED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4480F |
PT RCVNG ACE/ARB B-BLOCKERTX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4481F |
PT RCVNG ACE/ARB BLKER <3MOS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4500F |
REF TO OUTPT CARD REHAB PROG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4510F |
PREV CARDREHAB QUALCARDEVENT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4525F |
NEUROPSYCHIA INTERVEN ORDER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4526F |
NEUROPSYCHIA INTERVEN RCVD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4540F |
DISEASE MODIF PHARMACOTHXPY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4541F |
PT OFFERED TX FOR PSEUDOBULB |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4550F |
NONINVAS RESP SUPPORT TALK |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4551F |
NUTRITIONAL SUPPORT OFFERED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4552F |
PT REF FOR SPEECH LANG PATH |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4553F |
PT ASST RE END LIFE ISSUES |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4554F |
PT RECVD INHAL ANESTHETIC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4555F |
PT RECVD NO INHAL ANESTHIC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4556F |
PT W/3+ POST-OP NAUSEA&VOM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4557F |
PT W/O 3+ POST-OPNAUSEA&VOM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4558F |
PT RECVD 2 RX ANTI-EMET AGT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4559F |
1 BODYTEMP >=35.5CW/IN 30MIN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4560F |
ANESTH W/O GEN/NEURAX ANESTH |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4561F |
PT W/ CORONARY ARTERY STENT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4562F |
PT W/O CORONARY ARTERY STENT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
4563F |
PT RECVD ASPIRIN W/IN 24 HRS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
5005F |
PT COUNSLD ON EXAM FOR MOLES |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
5010F |
MACUL RESULT PHY/QHP MNG DM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
5015F |
DOC FX & TEST/TXMNT FOR OP |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
5020F |
TXMNTS 2 PHYS/QHP BY 1 MON |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
5050F |
PLAN 2 MAIN DR BY 1 MONTH |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
5060F |
FNDNGS MAMMO 2PT W/IN 3 DAYS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
5062F |
MAMMO RESULT COM TO PT 5 DAY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
5100F |
RSK FX REF W/N 24 HRS XRAY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
5200F |
EVAL APPROS SURG THXPY EPI |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
5250F |
ASTHMA DISCHARGE PLAN PRESNT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
6005F |
CARE LEVEL RATIONALE DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
6010F |
DYSPHAG TEST DONE B/4 EATING |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
6015F |
DYSPHAG TEST DONE B/4 EATING |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
6020F |
NPO (NOTHING-MOUTH) ORDERED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
6030F |
MAX STERILE BARRIERS FLWD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
6040F |
APPRO RAD DS DVCS TECHS DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
6045F |
RADXPS IN END RPRT4FLURO PXD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
6070F |
PT ASKED/CNSLD AED EFFECTS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
6080F |
PT/CAREGIVER QUERIED FALLS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
6090F |
PT/CAREGIVER COUNSEL SAFETY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
6100F |
VERIFY PT SITE PXD DOCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
6101F |
SAFETY COUNSELING DEMENTIA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
6102F |
SAFETY COUNSELING DEM ORDER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
6110F |
COUNSEL PROV DRIVING RISKS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
6150F |
PT NOTRCVNG1ST ANTITNF TXMNT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
7010F |
PT INFO INTO RECALL SYSTEM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
7020F |
MAMMO ASSESS CAT IN DBASE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
7025F |
PT INFOSYS ALARM 4 NXT MAMMO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
81025 |
URINE PREGNANCY TEST |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
81025 |
URINE PREGNANCY TEST |
MAXFEE |
DEF |
|
|
|
|
6.46 |
4/1/2019 |
12/31/2299 |
N |
9001F |
AORTIC ANEURYSM<5CM DIAM CT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
9002F |
AORTIC ANEURYSM 5-5.4CM DIAM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
9003F |
AORTIC ANRYSM5.5-5.9CM DIAM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
9004F |
AORTIC ANRYSM 6/> CM DIAM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
9005F |
ASYMPT CAROT/VRTBRBAS STEN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
9006F |
SYMPT STEN-TIA/STRK<120DAYS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
9007F |
OTHER CAROT STEN 120 DAYS/> |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
90371 |
HEP B IG IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90371 |
HEP B IG IM |
MAXFEE |
DEF |
|
|
|
|
137.58 |
10/1/2023 |
12/31/2299 |
N |
90377 |
RABIES IG HT&SOL HUMAN IM/SC |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90377 |
RABIES IG HT&SOL HUMAN IM/SC |
MAXFEE |
DEF |
|
|
|
|
250.49 |
10/1/2023 |
12/31/2299 |
N |
90460 |
IM ADMIN 1ST/ONLY COMPONENT |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90460 |
IM ADMIN 1ST/ONLY COMPONENT |
MAXFEE |
DEF |
|
|
|
|
15 |
1/1/2016 |
12/31/2299 |
N |
90471 |
IMMUNIZATION ADMIN |
MAXFLT |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90471 |
IMMUNIZATION ADMIN |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90472 |
IMMUNIZATION ADMIN EACH ADD |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90472 |
IMMUNIZATION ADMIN EACH ADD |
MAXFEE |
DEF |
|
|
|
|
9.85 |
1/1/2022 |
12/31/2299 |
N |
90473 |
IMMUNE ADMIN ORAL/NASAL |
MAXFLT |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90473 |
IMMUNE ADMIN ORAL/NASAL |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90474 |
IMMUNE ADMIN ORAL/NASAL ADDL |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90474 |
IMMUNE ADMIN ORAL/NASAL ADDL |
MAXFEE |
DEF |
|
|
|
|
9.85 |
1/1/2022 |
12/31/2299 |
N |
90480 |
ADMN SARSCOV2 VACC 1 DOSE |
MAXFEE |
DEF |
|
|
|
|
39.94 |
9/11/2023 |
12/31/2299 |
N |
90611 |
SMALLPOX&MONKEYPOX VAC 0.5ML |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90611 |
SMALLPOX&MONKEYPOX VAC 0.5ML |
MAXFEE |
DEF |
|
|
|
|
0.01 |
7/26/2022 |
12/31/2299 |
N |
90619 |
MENACWY-TT VACCINE IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90619 |
MENACWY-TT VACCINE IM |
MAXFEE |
VFC |
|
|
|
|
0 |
10/1/2021 |
12/31/2299 |
N |
90619 |
MENACWY-TT VACCINE IM |
MAXFEE |
DEF |
|
|
|
|
150.53 |
10/1/2021 |
12/31/2299 |
N |
90622 |
VACCINIA VRS VAC 0.3 ML PERQ |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90622 |
VACCINIA VRS VAC 0.3 ML PERQ |
MAXFEE |
DEF |
|
|
|
|
0.01 |
7/26/2022 |
12/31/2299 |
N |
90632 |
HEPA VACCINE ADULT IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90632 |
HEPA VACCINE ADULT IM |
MAXFEE |
DEF |
|
|
|
|
70.08 |
10/1/2023 |
12/31/2299 |
N |
90633 |
HEPA VACC PED/ADOL 2 DOSE IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90633 |
HEPA VACC PED/ADOL 2 DOSE IM |
MAXFEE |
VFC |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
90633 |
HEPA VACC PED/ADOL 2 DOSE IM |
MAXFEE |
DEF |
|
|
|
|
76.85 |
10/1/2023 |
12/31/2299 |
N |
90634 |
HEPA VACC PED/ADOL 3 DOSE |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90634 |
HEPA VACC PED/ADOL 3 DOSE |
MAXFEE |
VFC |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
90634 |
HEPA VACC PED/ADOL 3 DOSE |
MAXFEE |
DEF |
|
|
|
|
61.64 |
9/1/2013 |
12/31/2299 |
N |
90644 |
HIB-MENCY VACC 6WK-18M0 IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90644 |
HIB-MENCY VACC 6WK-18M0 IM |
MAXFEE |
VFC |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
90649 |
4VHPV VACCINE 3 DOSE IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90649 |
4VHPV VACCINE 3 DOSE IM |
MAXFEE |
VFC |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
90649 |
4VHPV VACCINE 3 DOSE IM |
MAXFEE |
DEF |
|
|
|
|
144.43 |
9/1/2013 |
12/31/2299 |
N |
90650 |
2VHPV VACCINE 3 DOSE IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90650 |
2VHPV VACCINE 3 DOSE IM |
MAXFEE |
VFC |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
90650 |
2VHPV VACCINE 3 DOSE IM |
MAXFEE |
DEF |
|
|
|
|
136.96 |
9/1/2013 |
12/31/2299 |
N |
90654 |
FLU VACC IIV3 NO PRESERV ID |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90654 |
FLU VACC IIV3 NO PRESERV ID |
MAXFEE |
DEF |
|
|
|
|
18.92 |
11/1/2013 |
12/31/2299 |
N |
90658 |
IIV3 VACCINE SPLT 0.5 ML IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90658 |
IIV3 VACCINE SPLT 0.5 ML IM |
MAXFEE |
VFC |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
90658 |
IIV3 VACCINE SPLT 0.5 ML IM |
MAXFEE |
DEF |
|
|
|
|
10.39 |
9/1/2013 |
12/31/2299 |
N |
90660 |
LAIV3 VACCINE INTRANASAL |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90660 |
LAIV3 VACCINE INTRANASAL |
MAXFEE |
VFC |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
90660 |
LAIV3 VACCINE INTRANASAL |
MAXFEE |
DEF |
|
|
|
|
23.46 |
9/1/2013 |
12/31/2299 |
N |
90670 |
PCV13 VACCINE IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90670 |
PCV13 VACCINE IM |
MAXFEE |
VFC |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
90670 |
PCV13 VACCINE IM |
MAXFEE |
DEF |
|
|
|
|
257.99 |
4/1/2022 |
12/31/2299 |
N |
90671 |
PCV15 VACCINE IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90671 |
PCV15 VACCINE IM |
MAXFEE |
DEF |
|
|
|
|
246.20 |
1/1/2022 |
12/31/2299 |
N |
90677 |
PCV20 VACCINE IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90677 |
PCV20 VACCINE IM |
MAXFEE |
DEF |
|
|
|
|
288.66 |
4/1/2023 |
12/31/2299 |
N |
90680 |
RV5 VACC 3 DOSE LIVE ORAL |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90680 |
RV5 VACC 3 DOSE LIVE ORAL |
MAXFEE |
VFC |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
90681 |
RV1 VACC 2 DOSE LIVE ORAL |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90681 |
RV1 VACC 2 DOSE LIVE ORAL |
MAXFEE |
VFC |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
90696 |
DTAP-IPV VACCINE 4-6 YRS IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90696 |
DTAP-IPV VACCINE 4-6 YRS IM |
MAXFEE |
VFC |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
90697 |
DTAP-IPV-HIB-HEPB VACCINE IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90697 |
DTAP-IPV-HIB-HEPB VACCINE IM |
MAXFEE |
VFC |
|
|
|
|
0 |
10/1/2021 |
12/31/2299 |
N |
90698 |
DTAP-IPV/HIB VACCINE IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90698 |
DTAP-IPV/HIB VACCINE IM |
MAXFEE |
VFC |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
90698 |
DTAP-IPV/HIB VACCINE IM |
MAXFEE |
DEF |
|
|
|
|
85.33 |
11/1/2015 |
12/31/2299 |
N |
90707 |
MMR VACCINE SC |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90707 |
MMR VACCINE SC |
MAXFEE |
VFC |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
90707 |
MMR VACCINE SC |
MAXFEE |
DEF |
|
|
|
|
93.75 |
10/1/2022 |
12/31/2299 |
N |
90710 |
MMRV VACCINE SC |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90710 |
MMRV VACCINE SC |
MAXFEE |
VFC |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
90710 |
MMRV VACCINE SC |
MAXFEE |
DEF |
|
|
|
|
277.53 |
10/1/2023 |
12/31/2299 |
N |
90713 |
POLIOVIRUS IPV SC/IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90713 |
POLIOVIRUS IPV SC/IM |
MAXFEE |
VFC |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
90714 |
TD VACC NO PRESV 7 YRS+ IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90714 |
TD VACC NO PRESV 7 YRS+ IM |
MAXFEE |
VFC |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
90714 |
TD VACC NO PRESV 7 YRS+ IM |
MAXFEE |
DEF |
|
|
|
|
28.65 |
10/1/2023 |
12/31/2299 |
N |
90715 |
TDAP VACCINE 7 YRS/> IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90715 |
TDAP VACCINE 7 YRS/> IM |
MAXFEE |
VFC |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
90715 |
TDAP VACCINE 7 YRS/> IM |
MAXFEE |
DEF |
|
|
|
|
38.67 |
10/1/2023 |
12/31/2299 |
N |
90716 |
VAR VACCINE LIVE SUBQ |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90716 |
VAR VACCINE LIVE SUBQ |
MAXFEE |
VFC |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
90716 |
VAR VACCINE LIVE SUBQ |
MAXFEE |
DEF |
|
|
|
|
170.39 |
10/1/2022 |
12/31/2299 |
N |
90732 |
PPSV23 VACC 2 YRS+ SUBQ/IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90732 |
PPSV23 VACC 2 YRS+ SUBQ/IM |
MAXFEE |
VFC |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
90732 |
PPSV23 VACC 2 YRS+ SUBQ/IM |
MAXFEE |
DEF |
|
|
|
|
133.47 |
1/1/2022 |
12/31/2299 |
N |
90733 |
MPSV4 VACCINE SUBQ |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90733 |
MPSV4 VACCINE SUBQ |
MAXFEE |
VFC |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
90733 |
MPSV4 VACCINE SUBQ |
MAXFEE |
DEF |
|
|
|
|
126.39 |
2/1/2015 |
12/31/2299 |
N |
90734 |
MENACWYD/MENACWYCRM VACC IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90734 |
MENACWYD/MENACWYCRM VACC IM |
MAXFEE |
VFC |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
90734 |
MENACWYD/MENACWYCRM VACC IM |
MAXFEE |
DEF |
|
|
|
|
115.88 |
2/1/2015 |
12/31/2299 |
N |
90736 |
HZV VACCINE LIVE SUBQ |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90736 |
HZV VACCINE LIVE SUBQ |
MAXFEE |
DEF |
|
|
|
|
210.93 |
5/1/2015 |
12/31/2299 |
N |
90740 |
HEPB VACC 3 DOSE IMMUNSUP IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90740 |
HEPB VACC 3 DOSE IMMUNSUP IM |
MAXFEE |
DEF |
|
|
|
|
152.12 |
4/1/2023 |
12/31/2299 |
N |
90746 |
HEPB VACCINE 3 DOSE ADULT IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90746 |
HEPB VACCINE 3 DOSE ADULT IM |
MAXFEE |
DEF |
|
|
|
|
70.38 |
7/1/2022 |
12/31/2299 |
N |
90747 |
HEPB VACC 4 DOSE IMMUNSUP IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90747 |
HEPB VACC 4 DOSE IMMUNSUP IM |
MAXFEE |
DEF |
|
|
|
|
140.75 |
7/1/2023 |
12/31/2299 |
N |
90750 |
HZV VACC RECOMBINANT IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90750 |
HZV VACC RECOMBINANT IM |
MAXFEE |
DEF |
|
|
|
|
149.80 |
1/1/2018 |
12/31/2299 |
N |
90759 |
HEP B VAC 3AG 10MCG 3 DOS IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
90759 |
HEP B VAC 3AG 10MCG 3 DOS IM |
MAXFEE |
VFC |
|
|
|
|
0 |
1/1/2022 |
12/31/2299 |
N |
90759 |
HEP B VAC 3AG 10MCG 3 DOS IM |
MAXFEE |
DEF |
|
|
|
|
73.82 |
10/1/2022 |
12/31/2299 |
N |
90785 |
PSYTX COMPLEX INTERACTIVE |
MAXFEE |
CMH |
|
|
|
|
13.81 |
1/1/2018 |
12/31/2299 |
N |
90785 |
PSYTX COMPLEX INTERACTIVE |
MXPSYA |
CMH |
|
|
|
|
NA |
NA |
NA |
N |
90785 |
PSYTX COMPLEX INTERACTIVE |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
N |
90785 |
PSYTX COMPLEX INTERACTIVE |
MXSUPV |
CMH |
|
|
|
|
NA |
NA |
NA |
N |
90791 |
PSYCH DIAGNOSTIC EVALUATION |
MAXFEE |
CMH |
|
|
|
|
130.72 |
1/1/2018 |
12/31/2299 |
R |
90791 |
PSYCH DIAGNOSTIC EVALUATION |
MXPSYA |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
90791 |
PSYCH DIAGNOSTIC EVALUATION |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
90791 |
PSYCH DIAGNOSTIC EVALUATION |
MXSUPV |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
90792 |
PSYCH DIAG EVAL W/MED SRVCS |
MAXFEE |
CMH |
|
|
|
|
144.35 |
1/1/2018 |
12/31/2299 |
R |
90832 |
PSYTX W PT 30 MINUTES |
MAXFEE |
CMH |
|
|
|
|
63.11 |
1/1/2018 |
12/31/2299 |
N |
90832 |
PSYTX W PT 30 MINUTES |
MXPSYA |
CMH |
|
|
|
|
NA |
NA |
NA |
N |
90832 |
PSYTX W PT 30 MINUTES |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
N |
90832 |
PSYTX W PT 30 MINUTES |
MXSUPV |
CMH |
|
|
|
|
NA |
NA |
NA |
N |
90833 |
PSYTX W PT W E/M 30 MIN |
MAXFEE |
CMH |
|
|
|
|
65.37 |
1/1/2018 |
12/31/2299 |
R |
90833 |
PSYTX W PT W E/M 30 MIN |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
90834 |
PSYTX W PT 45 MINUTES |
MAXFEE |
CMH |
|
|
|
|
82.05 |
1/1/2018 |
12/31/2299 |
R |
90834 |
PSYTX W PT 45 MINUTES |
MXPSYA |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
90834 |
PSYTX W PT 45 MINUTES |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
90834 |
PSYTX W PT 45 MINUTES |
MXSUPV |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
90836 |
PSYTX W PT W E/M 45 MIN |
MAXFEE |
CMH |
|
|
|
|
83.03 |
1/1/2018 |
12/31/2299 |
R |
90836 |
PSYTX W PT W E/M 45 MIN |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
90837 |
PSYTX W PT 60 MINUTES |
MAXFEE |
CMH |
|
|
|
|
120.36 |
1/1/2018 |
12/31/2299 |
R |
90837 |
PSYTX W PT 60 MINUTES |
MXPSYA |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
90837 |
PSYTX W PT 60 MINUTES |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
90837 |
PSYTX W PT 60 MINUTES |
MXSUPV |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
90838 |
PSYTX W PT W E/M 60 MIN |
MAXFEE |
CMH |
|
|
|
|
109.53 |
1/1/2018 |
12/31/2299 |
R |
90838 |
PSYTX W PT W E/M 60 MIN |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
90839 |
PSYTX CRISIS INITIAL 60 MIN |
MAXFEE |
CMH |
|
|
|
|
171.70 |
8/1/2019 |
12/31/2299 |
N |
90839 |
PSYTX CRISIS INITIAL 60 MIN |
MXPSYA |
CMH |
|
|
|
|
NA |
NA |
NA |
N |
90839 |
PSYTX CRISIS INITIAL 60 MIN |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
N |
90839 |
PSYTX CRISIS INITIAL 60 MIN |
MXSUPV |
CMH |
|
|
|
|
NA |
NA |
NA |
N |
90840 |
PSYTX CRISIS EA ADDL 30 MIN |
MAXFEE |
CMH |
|
|
|
|
81.95 |
8/1/2019 |
12/31/2299 |
N |
90840 |
PSYTX CRISIS EA ADDL 30 MIN |
MXPSYA |
CMH |
|
|
|
|
NA |
NA |
NA |
N |
90840 |
PSYTX CRISIS EA ADDL 30 MIN |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
N |
90840 |
PSYTX CRISIS EA ADDL 30 MIN |
MXSUPV |
CMH |
|
|
|
|
NA |
NA |
NA |
N |
90846 |
FAMILY PSYTX W/O PT 50 MIN |
MAXFEE |
CMH |
|
|
|
|
102.28 |
1/1/2018 |
12/31/2299 |
R |
90846 |
FAMILY PSYTX W/O PT 50 MIN |
MXPSYA |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
90846 |
FAMILY PSYTX W/O PT 50 MIN |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
90846 |
FAMILY PSYTX W/O PT 50 MIN |
MXSUPV |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
90847 |
FAMILY PSYTX W/PT 50 MIN |
MAXFEE |
CMH |
|
|
|
|
100.72 |
1/1/2018 |
12/31/2299 |
R |
90847 |
FAMILY PSYTX W/PT 50 MIN |
MXPSYA |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
90847 |
FAMILY PSYTX W/PT 50 MIN |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
90847 |
FAMILY PSYTX W/PT 50 MIN |
MXSUPV |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
90849 |
MULTIPLE FAMILY GROUP PSYTX |
MAXFEE |
CMH |
|
|
|
|
40.66 |
8/1/2019 |
12/31/2299 |
R |
90849 |
MULTIPLE FAMILY GROUP PSYTX |
MXPSYA |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
90849 |
MULTIPLE FAMILY GROUP PSYTX |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
90849 |
MULTIPLE FAMILY GROUP PSYTX |
MXSUPV |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
90853 |
GROUP PSYCHOTHERAPY |
MAXFEE |
CMH |
|
|
|
|
33.09 |
8/1/2019 |
12/31/2299 |
R |
90853 |
GROUP PSYCHOTHERAPY |
MXPSYA |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
90853 |
GROUP PSYCHOTHERAPY |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
90853 |
GROUP PSYCHOTHERAPY |
MXSUPV |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
91300 |
SARSCOV2 VAC 30MCG/0.3ML IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
91300 |
SARSCOV2 VAC 30MCG/0.3ML IM |
MAXFEE |
DEF |
|
|
|
|
0.01 |
12/11/2020 |
12/31/2299 |
N |
91301 |
SARSCOV2 VAC 100MCG/0.5ML IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
91301 |
SARSCOV2 VAC 100MCG/0.5ML IM |
MAXFEE |
DEF |
|
|
|
|
0.01 |
12/18/2020 |
12/31/2299 |
N |
91304 |
SARSCOV2 VAC 5MCG/0.5ML IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
91304 |
SARSCOV2 VAC 5MCG/0.5ML IM |
MAXFEE |
DEF |
|
|
|
|
148.20 |
10/1/2023 |
12/31/2299 |
N |
91305 |
SARSCOV2 VAC 30 MCG TRS-SUCR |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
91305 |
SARSCOV2 VAC 30 MCG TRS-SUCR |
MAXFEE |
DEF |
|
|
|
|
0.01 |
1/3/2022 |
12/31/2299 |
N |
91306 |
SARSCOV2 VAC 50MCG/0.25ML IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
91306 |
SARSCOV2 VAC 50MCG/0.25ML IM |
MAXFEE |
DEF |
|
|
|
|
0.01 |
10/20/2021 |
12/31/2299 |
N |
91307 |
SARSCOV2 VAC 10 MCG TRS-SUCR |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
91307 |
SARSCOV2 VAC 10 MCG TRS-SUCR |
MAXFEE |
DEF |
|
|
|
|
0.01 |
10/29/2021 |
12/31/2299 |
N |
91308 |
SARSCOV2 VAC 3 MCG TRS-SUCR |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
91308 |
SARSCOV2 VAC 3 MCG TRS-SUCR |
MAXFEE |
DEF |
|
|
|
|
0.01 |
6/17/2022 |
12/31/2299 |
N |
91309 |
SARSCOV2 VAC 50MCG/0.5ML IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
91309 |
SARSCOV2 VAC 50MCG/0.5ML IM |
MAXFEE |
DEF |
|
|
|
|
0.01 |
3/29/2022 |
12/31/2299 |
N |
91311 |
SARSCOV2 VAC 25MCG/0.25ML IM |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
91311 |
SARSCOV2 VAC 25MCG/0.25ML IM |
MAXFEE |
DEF |
|
|
|
|
0.01 |
6/17/2022 |
12/31/2299 |
N |
91318 |
SARSCOV2 VAC 3MCG TRS-SUC IM |
MAXFEE |
DEF |
|
|
|
|
65.36 |
10/1/2023 |
12/31/2299 |
N |
91319 |
SARSCV2 VAC 10MCG TRS-SUC IM |
MAXFEE |
DEF |
|
|
|
|
87.78 |
10/1/2023 |
12/31/2299 |
N |
91320 |
SARSCV2 VAC 30MCG TRS-SUC IM |
MAXFEE |
DEF |
|
|
|
|
131.10 |
10/1/2023 |
12/31/2299 |
N |
91321 |
SARSCOV2 VAC 25 MCG/.25ML IM |
MAXFEE |
DEF |
|
|
|
|
145.92 |
10/1/2023 |
12/31/2299 |
N |
91322 |
SARSCOV2 VAC 50 MCG/0.5ML IM |
MAXFEE |
DEF |
|
|
|
|
145.92 |
10/1/2023 |
12/31/2299 |
N |
93000 |
ELECTROCARDIOGRAM COMPLETE |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
93000 |
ELECTROCARDIOGRAM COMPLETE |
MAXFEE |
DEF |
|
|
|
|
15.90 |
9/1/2013 |
12/31/2299 |
N |
93005 |
ELECTROCARDIOGRAM TRACING |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
93005 |
ELECTROCARDIOGRAM TRACING |
MAXFEE |
DEF |
|
|
|
|
6.90 |
12/31/2014 |
12/31/2299 |
N |
93010 |
ELECTROCARDIOGRAM REPORT |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
93010 |
ELECTROCARDIOGRAM REPORT |
MAXFEE |
DEF |
|
|
|
|
7.90 |
1/1/2010 |
12/31/2299 |
N |
96101 |
PSYCHO TESTING BY PSYCH/PHYS |
MAXFEE |
CMH |
|
|
|
|
NA |
|
|
S |
96101 |
PSYCHO TESTING BY PSYCH/PHYS |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
S |
96111 |
DEVELOPMENTAL TEST EXTEND |
MAXFEE |
CMH |
|
|
|
|
NA |
|
|
S |
96111 |
DEVELOPMENTAL TEST EXTEND |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
S |
96112 |
DEVEL TST PHYS/QHP 1ST HR |
MAXFEE |
CMH |
|
|
|
|
56.11 |
1/1/2019 |
12/31/2299 |
S |
96112 |
DEVEL TST PHYS/QHP 1ST HR |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
S |
96113 |
DEVEL TST PHYS/QHP EA ADDL |
MAXFEE |
CMH |
|
|
|
|
28.06 |
1/1/2019 |
12/31/2299 |
S |
96113 |
DEVEL TST PHYS/QHP EA ADDL |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
S |
96116 |
NUBHVL XM PHYS/QHP 1ST HR |
MAXFEE |
CMH |
|
|
|
|
64.10 |
1/1/2018 |
12/31/2299 |
S |
96116 |
NUBHVL XM PHYS/QHP 1ST HR |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
S |
96118 |
NEUROPSYCH TST BY PSYCH/PHYS |
MAXFEE |
CMH |
|
|
|
|
NA |
|
|
S |
96118 |
NEUROPSYCH TST BY PSYCH/PHYS |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
S |
96121 |
NUBHVL XM PHY/QHP EA ADDL HR |
MAXFEE |
CMH |
|
|
|
|
64.10 |
1/1/2019 |
12/31/2299 |
S |
96121 |
NUBHVL XM PHY/QHP EA ADDL HR |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
S |
96130 |
PSYCL TST EVAL PHYS/QHP 1ST |
MAXFEE |
CMH |
|
|
|
|
59.26 |
1/1/2019 |
12/31/2299 |
S |
96130 |
PSYCL TST EVAL PHYS/QHP 1ST |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
S |
96131 |
PSYCL TST EVAL PHYS/QHP EA |
MAXFEE |
CMH |
|
|
|
|
59.26 |
1/1/2019 |
12/31/2299 |
S |
96131 |
PSYCL TST EVAL PHYS/QHP EA |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
S |
96132 |
NRPSYC TST EVAL PHYS/QHP 1ST |
MAXFEE |
CMH |
|
|
|
|
97.37 |
1/1/2019 |
12/31/2299 |
S |
96132 |
NRPSYC TST EVAL PHYS/QHP 1ST |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
S |
96133 |
NRPSYC TST EVAL PHYS/QHP EA |
MAXFEE |
CMH |
|
|
|
|
78.31 |
1/1/2019 |
12/31/2299 |
S |
96133 |
NRPSYC TST EVAL PHYS/QHP EA |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
S |
96136 |
PSYCL/NRPSYC TST PHY/QHP 1ST |
MAXFEE |
CMH |
|
|
|
|
30.86 |
1/1/2019 |
12/31/2299 |
S |
96136 |
PSYCL/NRPSYC TST PHY/QHP 1ST |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
S |
96137 |
PSYCL/NRPSYC TST PHY/QHP EA |
MAXFEE |
CMH |
|
|
|
|
28.39 |
1/1/2019 |
12/31/2299 |
S |
96137 |
PSYCL/NRPSYC TST PHY/QHP EA |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
S |
96372 |
THER/PROPH/DIAG INJ SC/IM |
MAXFEE |
CMH |
|
|
|
|
21.39 |
1/1/2018 |
12/31/2299 |
N |
99201 |
OFFICE/OUTPATIENT VISIT NEW |
MAXFEE |
CMH |
|
|
|
|
49.38 |
1/1/2018 |
12/31/2299 |
N |
99201 |
OFFICE/OUTPATIENT VISIT NEW |
MAXFEE |
FAC |
|
|
|
|
11.56 |
1/1/2016 |
12/31/2299 |
N |
99201 |
OFFICE/OUTPATIENT VISIT NEW |
MAXFEE |
NFF |
|
|
|
|
23.55 |
1/1/2016 |
12/31/2299 |
N |
99202 |
OFFICE O/P NEW SF 15 MIN |
MAXFEE |
CMH |
|
|
|
|
84.67 |
1/1/2018 |
12/31/2299 |
N |
99202 |
OFFICE O/P NEW SF 15 MIN |
MAXFEE |
FAC |
|
|
|
|
20.84 |
1/1/2016 |
12/31/2299 |
N |
99202 |
OFFICE O/P NEW SF 15 MIN |
MAXFEE |
NFF |
|
|
|
|
38.93 |
1/1/2016 |
12/31/2299 |
N |
99203 |
OFFICE O/P NEW LOW 30 MIN |
MAXFEE |
CMH |
|
|
|
|
122.93 |
1/1/2018 |
12/31/2299 |
N |
99203 |
OFFICE O/P NEW LOW 30 MIN |
MAXFEE |
FAC |
|
|
|
|
32.94 |
1/1/2016 |
12/31/2299 |
N |
99203 |
OFFICE O/P NEW LOW 30 MIN |
MAXFEE |
NFF |
|
|
|
|
57.76 |
1/1/2016 |
12/31/2299 |
N |
99204 |
OFFICE O/P NEW MOD 45 MIN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
99205 |
OFFICE O/P NEW HI 60 MIN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
99211 |
OFF/OP EST MAY X REQ PHY/QHP |
MAXFEE |
CMH |
|
|
|
|
22.31 |
1/1/2018 |
12/31/2299 |
N |
99211 |
OFF/OP EST MAY X REQ PHY/QHP |
MAXFEE |
FAC |
|
|
|
|
5.55 |
1/1/2016 |
12/31/2299 |
N |
99211 |
OFF/OP EST MAY X REQ PHY/QHP |
MAXFEE |
NFF |
|
|
|
|
14.50 |
1/1/2016 |
12/31/2299 |
N |
99212 |
OFFICE O/P EST SF 10 MIN |
MAXFEE |
CMH |
|
|
|
|
48.97 |
1/1/2018 |
12/31/2299 |
N |
99212 |
OFFICE O/P EST SF 10 MIN |
MAXFEE |
FAC |
|
|
|
|
12.81 |
1/1/2016 |
12/31/2299 |
N |
99212 |
OFFICE O/P EST SF 10 MIN |
MAXFEE |
NFF |
|
|
|
|
26.73 |
1/1/2016 |
12/31/2299 |
N |
99213 |
OFFICE O/P EST LOW 20 MIN |
MAXFEE |
CMH |
|
|
|
|
82.85 |
1/1/2018 |
12/31/2299 |
N |
99213 |
OFFICE O/P EST LOW 20 MIN |
MAXFEE |
FAC |
|
|
|
|
24.85 |
1/1/2016 |
12/31/2299 |
N |
99213 |
OFFICE O/P EST LOW 20 MIN |
MAXFEE |
NFF |
|
|
|
|
43.61 |
1/1/2016 |
12/31/2299 |
N |
99214 |
OFFICE O/P EST MOD 30 MIN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
99215 |
OFFICE O/P EST HI 40 MIN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
99341 |
HOME/RES VST NEW SF MDM 15 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
99342 |
HOME/RES VST NEW LOW MDM 30 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
99343 |
HOME VISIT NEW PATIENT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
99344 |
HOME/RES VST NEW MOD MDM 60 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
99345 |
HOME/RES VST NEW HIGH MDM 75 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
99347 |
HOME/RES VST EST SF MDM 20 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
99348 |
HOME/RES VST EST LOW MDM 30 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
99349 |
HOME/RES VST EST MOD MDM 40 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
99350 |
HOME/RES VST EST HIGH MDM 60 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
99354 |
PROLNG SVC O/P 1ST HOUR |
MAXFEE |
CMH |
|
|
|
|
NA |
|
|
N |
99354 |
PROLNG SVC O/P 1ST HOUR |
MXPSYA |
CMH |
|
|
|
|
NA |
NA |
NA |
N |
99354 |
PROLNG SVC O/P 1ST HOUR |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
N |
99354 |
PROLNG SVC O/P 1ST HOUR |
MXSUPV |
CMH |
|
|
|
|
NA |
NA |
NA |
N |
99355 |
PROLNG SVC O/P EA ADDL 30 |
MAXFEE |
CMH |
|
|
|
|
NA |
|
|
N |
99355 |
PROLNG SVC O/P EA ADDL 30 |
MXPSYA |
CMH |
|
|
|
|
NA |
NA |
NA |
N |
99355 |
PROLNG SVC O/P EA ADDL 30 |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
N |
99355 |
PROLNG SVC O/P EA ADDL 30 |
MXSUPV |
CMH |
|
|
|
|
NA |
NA |
NA |
N |
99401 |
PREV MED CNSL INDIV APPRX 15 |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
99401 |
PREV MED CNSL INDIV APPRX 15 |
MAXFEE |
FAC |
|
|
|
|
17.69 |
1/1/2014 |
12/31/2299 |
N |
99401 |
PREV MED CNSL INDIV APPRX 15 |
MAXFEE |
NFF |
|
|
|
|
26.21 |
1/1/2014 |
12/31/2299 |
N |
99402 |
PREV MED CNSL INDIV APPRX 30 |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
99402 |
PREV MED CNSL INDIV APPRX 30 |
MAXFEE |
FAC |
|
|
|
|
28.87 |
1/1/2014 |
12/31/2299 |
N |
99402 |
PREV MED CNSL INDIV APPRX 30 |
MAXFEE |
NFF |
|
|
|
|
39.90 |
1/1/2014 |
12/31/2299 |
N |
99406 |
BEHAV CHNG SMOKING 3-10 MIN |
MAXFEE |
CMH |
|
|
|
|
9.43 |
8/1/2019 |
12/31/2299 |
N |
99406 |
BEHAV CHNG SMOKING 3-10 MIN |
MXPSYA |
CMH |
|
|
|
|
NA |
NA |
NA |
N |
99406 |
BEHAV CHNG SMOKING 3-10 MIN |
MXSUPV |
CMH |
|
|
|
|
NA |
NA |
NA |
N |
99406 |
BEHAV CHNG SMOKING 3-10 MIN |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
99407 |
BEHAV CHNG SMOKING > 10 MIN |
MAXFEE |
CMH |
|
|
|
|
19 |
8/1/2019 |
12/31/2299 |
N |
99407 |
BEHAV CHNG SMOKING > 10 MIN |
MXPSYA |
CMH |
|
|
|
|
NA |
NA |
NA |
N |
99407 |
BEHAV CHNG SMOKING > 10 MIN |
MXSUPV |
CMH |
|
|
|
|
NA |
NA |
NA |
N |
99407 |
BEHAV CHNG SMOKING > 10 MIN |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
99415 |
PROLNG CLIN STAFF SVC 1ST HR |
MAXFEE |
CMH |
|
|
|
|
10.94 |
1/1/2022 |
12/31/2299 |
N |
99415 |
PROLNG CLIN STAFF SVC 1ST HR |
PRXOVR |
OPB |
|
|
|
|
NA |
NA |
NA |
N |
99416 |
PROLNG CLIN STAFF SVC EA ADD |
MAXFEE |
CMH |
|
|
|
|
5.62 |
1/1/2022 |
12/31/2299 |
N |
99416 |
PROLNG CLIN STAFF SVC EA ADD |
PRXOVR |
OPB |
|
|
|
|
NA |
NA |
NA |
N |
99417 |
PROLNG OP E/M EACH 15 MIN |
MAXFEE |
CMH |
|
|
|
|
38.53 |
1/1/2022 |
12/31/2299 |
N |
G0312 |
IMMUNIZE COUNS < 21YR 5-15 M |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
G0312 |
IMMUNIZE COUNS < 21YR 5-15 M |
MAXFEE |
DEF |
|
|
|
|
26.21 |
6/8/2022 |
12/31/2299 |
N |
G0313 |
IMMUNIZE COUNS < 21YR 6-30 M |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
G0313 |
IMMUNIZE COUNS < 21YR 6-30 M |
MAXFEE |
DEF |
|
|
|
|
39.90 |
6/8/2022 |
12/31/2299 |
N |
G0396 |
ALCOHOL/SUBS INTERV 15-30MN |
MAXFEE |
CMH |
|
|
|
|
25.05 |
1/1/2018 |
12/31/2299 |
S |
G0396 |
ALCOHOL/SUBS INTERV 15-30MN |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
S |
G0397 |
ALCOHOL/SUBS INTERV >30 MIN |
MAXFEE |
CMH |
|
|
|
|
47.68 |
1/1/2018 |
12/31/2299 |
S |
G0397 |
ALCOHOL/SUBS INTERV >30 MIN |
PRXOVR |
CMH |
|
|
|
|
NA |
NA |
NA |
S |
G0913 |
IMPROVE VISUAL FUNCT |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
G0913 |
IMPROVE VISUAL FUNCT |
MAXFEE |
DEF |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
G0914 |
SURVEY NOT COMPLETE |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
G0914 |
SURVEY NOT COMPLETE |
MAXFEE |
DEF |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
G0915 |
NO IMPROVE VISUAL FUNCT |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
G0915 |
NO IMPROVE VISUAL FUNCT |
MAXFEE |
DEF |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
G0916 |
SATISFY WITH CARE |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
G0916 |
SATISFY WITH CARE |
MAXFEE |
DEF |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
G0917 |
CARE SURVEY NOT COMPLETE |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
G0917 |
CARE SURVEY NOT COMPLETE |
MAXFEE |
DEF |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
G0918 |
NO SATISFY WITH CARE |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
G0918 |
NO SATISFY WITH CARE |
MAXFEE |
DEF |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
G2212 |
PROLONG OUTPT/OFFICE VIS |
MAXFEE |
CMH |
|
|
|
|
38.53 |
1/1/2022 |
12/31/2299 |
N |
G8395 |
LVEF>=40% DOC NORMAL OR MILD |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
G8395 |
LVEF>=40% DOC NORMAL OR MILD |
MAXFEE |
DEF |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
G8396 |
LVEF NOT PERFORMED |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
G8396 |
LVEF NOT PERFORMED |
MAXFEE |
DEF |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
G8397 |
DIL MACULA/FUNDUS EXAM/W DOC |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
G8397 |
DIL MACULA/FUNDUS EXAM/W DOC |
MAXFEE |
DEF |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
G8398 |
DIL MACULAR/FUNDUS NOT PERFO |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
G8398 |
DIL MACULAR/FUNDUS NOT PERFO |
MAXFEE |
DEF |
|
|
|
|
NA |
|
|
N |
G8399 |
PT W/DXA RESULTS DOCUMENT |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
G8399 |
PT W/DXA RESULTS DOCUMENT |
MAXFEE |
DEF |
|
|
|
|
0 |
1/1/2016 |
12/31/2299 |
N |
G8400 |
PT W/DXA NO RESULTS DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8404 |
LOW EXTEMITY NEUR EXAM DOCUM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8405 |
LOW EXTEMITY NEUR NOT PERFOR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8410 |
EVAL ON FOOT DOCUMENTED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8415 |
EVAL ON FOOT NOT PERFORMED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8416 |
PT INELIG FOOTWEAR EVALUATIO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8417 |
CALC BMI ABV UP PARAM F/U |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8418 |
CALC BMI BLW LOW PARAM F/U |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8419 |
CALC BMI OUT NRM PARAM NOF/U |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8420 |
CALC BMI NORM PARAMETERS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8421 |
BMI NOT CALCULATED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8422 |
PT INELIG BMI CALCULATION |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8427 |
DOCREV CUR MEDS BY ELIG CLIN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8428 |
CUR MEDS NOT DOCUMENT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8430 |
DOC MED RSN NO MEDREC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8431 |
POS CLIN DEPRES SCRN F/U DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8432 |
DEP SCR NOT DOC; RNG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8433 |
SCR FOR DEP NOT CPT DOC RSN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8442 |
DOC PAIN AS NT PERF; NOT ELG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8450 |
BETA-BLOC RX PT W/ABN LVEF |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8451 |
PT W/ABN LVEF INELIG B-BLOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8452 |
PT W/ABN LVEF B-BLOC NO RX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8465 |
HIGH RISK RECURRENCE PRO CA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8473 |
ACE/ARB THXPY RX'D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8474 |
ACE/ARB NOT RX'D; DOC REAS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8475 |
ACE/ARB THXPY NOT RX'D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8476 |
BP SYS <140 AND DIAS <90 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8477 |
BP SYS>=140 AND/OR DIAS >=90 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8478 |
BP NOT PERFORMED/DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8482 |
FLU IMMUNIZE ORDER/ADMIN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8483 |
FLU IMM NO ADMIN DOC REA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8484 |
FLU IMMUNIZE NO ADMIN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8506 |
PT REC ACE/ARB |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8509 |
POS PAIN ASSESS NO F/U DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8510 |
SCR DEP NEG; NO PLAN REQD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8511 |
SCR DEP POS; NO PLAN DOC RNG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8535 |
ELD MALTREATMENT NOT DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8536 |
NO DOC ELDER MAL SCRN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8539 |
DOC FUNCT AND CARE PLAN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8540 |
FOA NOT DOC AS BEING PERF |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8541 |
NO DOC CUR FUNCT ASSESS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8542 |
DOC FUNCT NO DEFICIENCIES |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8543 |
CUR FUNCT ASSES; NO CARE PLN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8569 |
PROL INTUBATION REQ |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8570 |
NO PROL INTUB REQ |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8571 |
STER WD IFX 30 D POSTOP |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8572 |
NO STER WD IFX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8573 |
STK CABG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8574 |
NO STRK CABG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8575 |
POSTOP REN FAIL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8576 |
NO POSTOP REN FAIL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8577 |
REOP REQ BLD GRFT OTH |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8578 |
NO REOP REQ BLD GRFT OTH |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8598 |
ASA/ANTIPLAT THER USED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8599 |
NO ASA/ANTIPLAT THER USE RNG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8600 |
TPA INITI W/IN 4.5 HR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8601 |
NO ELIG TPA INIT W/IN 4.5 HR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8602 |
NO TPA INIT W/IN 4.5 HR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8627 |
SURG PROC W/IN 30 DAYS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8628 |
NO SURG PROC W/IN 30 DAYS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8633 |
PHARM THER OSTEO RX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8635 |
NO PHARM THER OSTEO RX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8647 |
RAFSCRS KI SCOR >= 0 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8648 |
RAFSCRS KI SCOR < 0 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8649 |
RAFSCRS KI NO SCOR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8650 |
RAFS CRS KI NO SCOR NO RSN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8651 |
RAFSCRS HI SCOR >=0 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8652 |
RAFSCRS HI SCOR < 0 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8653 |
RAFSCRS HI NO SCOR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8654 |
RAFS CRS HI NO SCOR NO SURV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8655 |
RAFSCRS LLFAI SCOR >= 0 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8656 |
RAFSCRS LLFAI SCOR < 0 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8657 |
RAFSCRS LLFAI NO SCOR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8658 |
RAFSCRS LLFAI NO SCOR + SURV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8659 |
RAFSCRS LBI SCOR >= 0 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8660 |
RAFSCRS LBI SCOR < 0 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8661 |
RAFSCRS LBI NO SCOR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8662 |
RAFS CRS LBI NO SCOR NO SURV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8663 |
RAFSCRS SI SCOR >= 0 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8664 |
RAFSCRS SI SCOR < 0 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8665 |
RAFSCRS SI NO SCOR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8666 |
RAFS CRS SI NO SCOR NO SURV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8667 |
RAFSCRS EWH SCOR >= 0 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8668 |
RAFSCRS EWH SCOR < 0 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8669 |
RAFSCRS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8670 |
RAFS CRS EWH NO SCOR NO SURV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8671 |
RAFSCRS GOI SCOR >= 0 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8672 |
RAFSCRS GOI SCOR < 0 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8673 |
RAFSCRS GOI NO SCOR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8674 |
RAFSCRS NECK; NO MSR/NO FOTO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8694 |
LVEF <=40% |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8708 |
ANTIBIOTIC NOT PRES |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8709 |
URI EP COMPETE DIAG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8710 |
PT PRES ANTIBIOTIC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8711 |
PRES ANTIBX ON/WITHIN 3 DAY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8712 |
NOT PRES ANTIBIOTIC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8721 |
PT; PN; HIST GRADE DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8722 |
MED REAS PT; PN; NOT DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8723 |
SPEC SIT NOT PRIM TUMOR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8724 |
PT; PN; HIST GRADE NOT DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8730 |
PAIN DOC POS AND PLAN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8731 |
PAIN NEG NO PLAN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8732 |
NO DOC OF PAIN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8733 |
DOC POS ELDER MAL SCRN PLAN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8734 |
DOC NEG ELD REQ |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8735 |
ELD MAL SCRN POS NO PLAN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8749 |
NO SIGNS MELANOMA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8752 |
SYS BP LESS 140 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8753 |
SYS BP > OR = 140 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8754 |
DIAS BP LESS 90 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8755 |
DIAS BP > OR = 90 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8756 |
NO BP MEASURE DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8783 |
BP SCRN PERF REC INTERVAL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8785 |
BP SCRN NO PERF AT INTERVAL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8797 |
SPECIMEN SITE NOT ESOPHAGUS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8798 |
SPECIMEN SITE NOT PROSTATE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8806 |
PERF ULTRSND TO LCT PREG DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8807 |
NO TA TV ULTRASND |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8808 |
ULTRASOUND NOT PERF; RNG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8809 |
RH-IMMUNOGLOBULIN ORDER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8810 |
DOC REAS NO RH-IMMUNO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8811 |
NO RH-IMMUNOGLOBULIN ORDER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8815 |
DOC REAS NO STATIN THERAPY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8816 |
STATIN MED PRES AT DISCH |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8817 |
DOC REAS NO STATIN MED DISCH |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8818 |
PT DISCH TO HOME BY DAY#7 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8825 |
PT NOT DISCH TO HOME DAY#7 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8826 |
PT DISCH HOME DAY #2 EVAR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8833 |
PT NOT DISCH HOME DAY#2 EVAR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8834 |
PT DISCH HOME DAY #2 CEA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8838 |
NOT DISCH HOME BY DAY #2 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8839 |
SLEEP APNEA ASSESS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8840 |
DOC REAS NO SLEEP APNEA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8841 |
NO SLEEP APNEA ASSESS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8842 |
AHI OR RDI INITIAL DX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8843 |
DOC REAS NO AHI OR RDI |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8844 |
NO AHI OR RDI INITIAL DX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8845 |
POS AIRWAY PRESS PRESCRIBED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8846 |
MOD OR SEVERE OSA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8849 |
DOC REAS NO POS AIR PRESS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8850 |
NO PAP PRESCRIBED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8851 |
ADHERE TX ASSESS AT LST ANN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8852 |
POS AIR PRESS PRESCRIBE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8854 |
REAS NO ADHERE THERAPY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8855 |
THER NOT ASSESSED ANNUALLY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8856 |
REF FOR OTO EVAL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8857 |
NO ELIG REF FOR OTO EVAL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8858 |
NOT REF FOR OTO EVAL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8861 |
DXA ORDERED FOR OSTEO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8863 |
NO ASSESS BONE LOSS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8864 |
PNEUMOCOCCAL VACCINE ADMIN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8865 |
DOC MED REAS NO PNEUMOCOCCAL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8866 |
DOC PT REAS NO PNEUMOCOCCAL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8867 |
NO PNEUMOCOCCAL ADMIN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8869 |
DOC IMMUNE HEP B ANTITNF |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8872 |
INTRAOP IMAGE CONFIRM EXCISE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8873 |
SPECIMEN NOT INTRAOP IMAGE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8874 |
TISSUE NOT IMAGE INTRAOP |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8875 |
BREAST CANCER DX MIN INVSIVE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8876 |
DOC REAS NO MIN INV DX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8877 |
NO BRST CNCR DX MIN INVASIVE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8878 |
SENT LYMPH NODE BIOPSY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8880 |
SEN LYM P NODE BIOP NOT PERF |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8881 |
BRST CNCR STAGE > T1N0M0 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8882 |
NO SENT LYMPH NODE BIOPSY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8883 |
REV; COMM; TRACK; DOC BIOPSY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8884 |
DOC REAS BIOPSY NOT REVIEW |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8885 |
NO REV; COMM; TRACK BIOPSY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8923 |
LVEF <= 40% OR LVSD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8924 |
SPIR RES DOC FEV1/FVC<70% |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8925 |
SPIR FEV1/FVC>=60% & NO COPD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8926 |
SPIRO NO PERF OR DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8934 |
LVEF <=40% OR DEP LV SYS FCN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8935 |
RX ACE OR ARB THERAPY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8936 |
PT NOT ELIGIBLE ACE/ARB |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8937 |
NO RX ACE/ARB THERAPY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8938 |
BMI DOC ONL FUP NT DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8939 |
PAIN AS DOC POSITIVE; NO F/U |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8941 |
ELD MALTREATMENT DOC AS POS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8942 |
DOC FCN/CARE PLAN W/30 DAYS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8944 |
AJCC MEL CNR STG 0 - IIC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8946 |
MIBM BUT NO DX OF BREAST CA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8950 |
PRE-HTN OR HTN DOC; F/U INDC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8952 |
PRE-HTN/HTN; NO F/U; NOT GVN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8955 |
MOST RECENT ASSESS VOL MGMT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8956 |
PT RCV HEDIA OUTPT DYLS FAC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8958 |
ASSESS VOL MGMT NOT DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8959 |
CLIN TX MDD COMM TO TX CLIN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8960 |
CLIN TX MDD NOT COMM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8961 |
CSIT LOWRISK SURG PTS PREOP |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8962 |
CSIT ON PT ANY REAS 30 DAYS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8963 |
CSI PER ASX PT W/PCI 2 YRS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8964 |
CSI ANY OTHER THAN PCI 2 YR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8965 |
CSIT PERF ON LOW CHD RSK |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8966 |
CSIT PERF SX OR HIGH CHD RSK |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8967 |
WARF OR OTHER FDA DRUG PRESC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8968 |
DOC MED NOT PRESB |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8969 |
DOC PT RSN NO PRESC WARF/FDA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8970 |
NO RSK FAC OR 1 MOD RISK TE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8973 |
MST RCNT HBB < 10G/DL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8974 |
HGB NOT DOC RNS NOT GVN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8975 |
HGB <10G/DL; MED RSN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G8976 |
HGB >= 10 G/DL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9063 |
ONC DX NSCLC STGI NO PROGRES |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9064 |
ONC DX NSCLC STG2 NO PROGRES |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9065 |
ONC DX NSCLC STG3A NO PROGRE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9066 |
ONC DX NSCLC STG3B-4 METASTA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9067 |
ONC DX NSCLC DX UNKNOWN NOS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9068 |
ONC DX SCLC/NSCLC LIMITED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9069 |
ONC DX SCLC/NSCLC EXT AT DX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9070 |
ONC DX SCLC/NSCLC EXT UNKNWN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9071 |
ONC DX BRST STG1-2B HR;NOPRO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9072 |
ONC DX BRST STG1-2 NOPROGRES |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9073 |
ONC DX BRST STG3-HR; NO PRO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9074 |
ONC DX BRST STG3-NOPROGRESS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9075 |
ONC DX BRST METASTIC/ RECUR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9077 |
ONC DX PROSTATE T1NO PROGRES |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9078 |
ONC DX PROSTATE T2NO PROGRES |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9079 |
ONC DX PROSTATE T3B-T4NOPROG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9080 |
ONC DX PROSTATE W/RISE PSA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9083 |
ONC DX PROSTATE UNKNWN NOS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9084 |
ONC DX COLON T1-3;N1-2;NO PR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9085 |
ONC DX COLON T4; N0 W/O PROG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9086 |
ONC DX COLON T1-4 NO DX PROG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9087 |
ONC DX COLON METAS EVID DX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9088 |
ONC DX COLON METAS NOEVID DX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9089 |
ONC DX COLON EXTENT UNKNOWN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9090 |
ONC DX RECTAL T1-2 NO PROGR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9091 |
ONC DX RECTAL T3 N0 NO PROG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9092 |
ONC DX RECTAL T1-3;N1-2NOPRG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9093 |
ONC DX RECTAL T4;N;M0 NO PRG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9094 |
ONC DX RECTAL M1 W/METS PROG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9095 |
ONC DX RECTAL EXTENT UNKNWN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9096 |
ONC DX ESOPHAG T1-T3 NOPROG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9097 |
ONC DX ESOPHAGEAL T4 NO PROG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9098 |
ONC DX ESOPHAGEAL METS RECUR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9099 |
ONC DX ESOPHAGEAL UNKNOWN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9100 |
ONC DX GASTRIC NO RECURRENCE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9101 |
ONC DX GASTRIC P R1-R2NOPROG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9102 |
ONC DX GASTRIC UNRESECTABLE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9103 |
ONC DX GASTRIC RECURRENT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9104 |
ONC DX GASTRIC UNKNOWN NOS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9105 |
ONC DX PANCREATC P R0 RES NO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9106 |
ONC DX PANCREATC P R1/R2 NO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9107 |
ONC DX PANCREATIC UNRESECTAB |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9108 |
ONC DX PANCREATIC UNKNWN NOS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9109 |
ONC DX HEAD/NECK T1-T2NO PRG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9110 |
ONC DX HEAD/NECK T3-4 NOPROG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9111 |
ONC DX HEAD/NECK M1 METS REC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9112 |
ONC DX HEAD/NECK EXT UNKNOWN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9113 |
ONC DX OVARIAN STG1A-B NO PR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9114 |
ONC DX OVARIAN STG1A-B OR 2 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9115 |
ONC DX OVARIAN STG3/4 NOPROG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9116 |
ONC DX OVARIAN RECURRENCE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9117 |
ONC DX OVARIAN UNKNOWN NOS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9123 |
ONC DX CML CHRONIC PHASE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9124 |
ONC DX CML ACCELER PHASE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9125 |
ONC DX CML BLAST PHASE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9126 |
ONC DX CML REMISSION |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9128 |
ONC DX MULTI MYELOMA STAGE I |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9129 |
ONC DX MULT MYELOMA STG2 HIG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9130 |
ONC DX MULTI MYELOMA UNKNOWN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9131 |
ONC DX BRST UNKNOWN NOS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9132 |
ONC DX PROSTATE METS NO CAST |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9133 |
ONC DX PROSTATE CLINICAL MET |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9134 |
ONC NHLSTG 1-2 NO RELAP NO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9135 |
ONC DX NHL STG 3-4 NOT RELAP |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9136 |
ONC DX NHL TRANS TO LG BCELL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9137 |
ONC DX NHL RELAPSE/REFRACTOR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9138 |
ONC DX NHL STG UNKNOWN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9139 |
ONC DX CML DX STATUS UNKNOWN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9188 |
BETA NOT GIVEN NO REASON |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9189 |
BETA PRES OR ALREADY TAKING |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9190 |
MEDICAL REASON FOR NO BETA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9191 |
PT REASON FOR NO BETA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9192 |
SYSTEM REASON FOR NO BETA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9196 |
MED REASON FOR NO CEPH |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9197 |
ORDER FOR CEPH |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9198 |
NO ORDER FOR CEPH NO REASON |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9212 |
DOC OF DSM-IV INIT EVAL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9213 |
NO DOC OF DSM-IV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9223 |
PJP PROPH ORDERED CD4 LOW |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9225 |
NORSN NO FOOT EXAM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9226 |
3 COMP FOOT EXAM COMPLETED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9227 |
FOA DOC; CARE PLAN NOT DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9228 |
GC CHL SYP DOCUMENTED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9229 |
PTRSN NO GC CHL SYP TEST |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9230 |
NORSN FOR GC CHL SYP TEST |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9231 |
DOC ESRD DIA TRANS PREG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9232 |
PTRSN NO COMM COMORBID |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9239 |
DOC RSN HEMOD & CATH ACC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9240 |
DOC PT W CATH MAINT DIA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9241 |
DOC PT W OUT CATH MAINT DIA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9242 |
DOC VIRAL LOAD >=200 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9243 |
DOC VIRAL LOAD <200 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9246 |
NO MED VISIT IN 24MO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9247 |
1 MED VISIT IN 24MO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9250 |
DOC OF PAIN COMFORT 48HR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9251 |
DOC NO PAIN COMFORT 48HR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9254 |
DOC PT DISCHG >2D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9255 |
DOC PT DISCHG <=2D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9256 |
DOC OF PAT DEATH AFTER CAS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9257 |
DOC OF PAT STROKE AFTER CAS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9258 |
DOC OF PAT STROKE AFTER CEA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9259 |
SURVIVE/NO STROKE POST CAS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9260 |
DOC OF PAT DEATH AFTER CEA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9261 |
SURVIVE/NO STROKE POST CEA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9262 |
DOC OF DEATH POST-AAA REPAIR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9263 |
DOC OF DISCH POST-AAA REPAIR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9264 |
DOC RSN HEMOD W/CATH >=90D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9265 |
DOC CATH >90D FOR MAINT DIA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9266 |
NORSN PT CATH >=90D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9267 |
DOC COMP OR MORT W IN 30D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9268 |
DOC COMP OR MORT W IN 90D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9269 |
DOC NO COMP OR MORT W IN 30D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9270 |
DOC NO COMP OR MORT W IN 90D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9273 |
SYS<140 AND DIA<90 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9274 |
BP OUT OF NRML LIMITS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9275 |
DOC OF NON TOBACCO USER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9276 |
DOC OF TOBACCO USER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9277 |
DOC DAILY ASPIRIN OR CONTRA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9278 |
DOC NO DAILY ASPIRIN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9279 |
PNE SCRN DONE DOC VAC DONE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9280 |
PNE NOT GIVEN NORSN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9281 |
PNE SCRN DONE DOC NOT IND |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9282 |
DOC MEDRSN NO HISTO TYPE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9283 |
HIST TYPE DOC ON REPORT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9284 |
NO HIST TYPE DOC ON REPORT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9285 |
SITE NOT SMALL CELL LUNG CA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9286 |
ANTIBIO RX W IN 10D OF SYMPT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9287 |
NO ANTIBIO W IN 10D OF SYMPT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9288 |
DOC MEDRSN NO HIST TYPE RPT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9289 |
DOC TYPE NSM LUNG CA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9290 |
NO DOC TYPE NSM LUNG CA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9291 |
NOT NSM LUNG CA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9292 |
MEDRSN NO PT CATEGORY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9293 |
NO PT CATEGORY ON REPORT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9294 |
PT CAT AND THCK ON REPORT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9295 |
NON CUTANEOUS LOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9296 |
DOC SHARE DEC PRIOR PROC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9297 |
NO DOC SHARE DEC PRIOR PROC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9298 |
EVAL RISK VTE CARD 30D PRIOR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9299 |
NO EVAL RISK VTE CARD PRIOR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9300 |
DOC MEDRSN NO COMPL ANTIBIO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9301 |
DOC COMPL INF ANTIBIO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9302 |
NORSN INCOMP INF ANTIBIO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9303 |
NORSN NO PROS INFO OP RPT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9304 |
PROS INFO OP RPT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9305 |
NO INTERV REQ FOR LEAK |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9306 |
INTERV REQ FOR LEAK |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9307 |
NO RET FOR SURG W IN 30D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9308 |
UNPL RET OR W/COMPL W/IN 30D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9309 |
NO UNPLND HOSP READM IN 30D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9310 |
UNPLND HOSP READM IN 30D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9311 |
NO SURG SITE INFECTION |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9312 |
SURGICAL SITE INFECTION |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9313 |
AMOXIC NOT PRESC AS 1ST LINE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9314 |
NORSN NOT FIRST LINE AMOX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9315 |
AMOX W/WO CLAV RX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9316 |
DOC COMM RISK CALC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9317 |
NO DOC COMM RISK CALC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9318 |
IMAGE STD NOMENCLATURE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9319 |
IMAGE NOT STD NOMENCLATURE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9321 |
DOC COUNT OF CT IN 12MO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9322 |
NO DOC COUNT OF CT IN 12MO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9326 |
CT DONE NO RAD DS INDEX; NRG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9327 |
CT DONE RAD DS INDEX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9329 |
NORSN NO DICOM FORMAT DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9340 |
DICOM FORMAT DOC ON RPT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9341 |
SRCH FOR CT W IN 12 MOS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9342 |
NO SRCH FOR CT IN 12MO NORSN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9344 |
SYSRSN NO DICOM SRCH |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9345 |
FOLLOW UP PULM NOD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9347 |
NO FOLLOW UP PULM NOD NORSN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9348 |
DOC RSN FOR ORD CT SCAN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9349 |
CT WITHIN 28 DAYS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9350 |
NO DOC SINUS CT 28D OR DX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9351 |
DOC >1 SINUS CT W 90D DX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9352 |
NOT >1 SINUS CT W 90D DX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9353 |
MEDRSN >1 SINUS CT W 90D DX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9354 |
1 OR NO CT SINUS W/IN 90D DX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9355 |
NO EARLY IND/DELIVERY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9356 |
EARLY IND/DELIVERY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9357 |
PP EVAL/EDU PERF |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9358 |
PP EVAL/EDU NOT PERF |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9359 |
NEG MGD POS TB NOTACT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9360 |
NO DOC OF NEG OR MAN POS TB |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9361 |
DOC RSN ELECT C-SEC/INDUCT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9364 |
SINUS CAUS BAC INX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9365 |
1HIGH RISK MED ORD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9366 |
1HIGH RISK NO ORD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9367 |
>= 2 SAME HI-RSK MED ORD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9368 |
>= 2 SAME HI-RSK MED NOT ORD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9380 |
OFF ASSIS EOL ISS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9382 |
NO OFF ASSIS EOL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9383 |
RECD SCRN HCV INFEC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9384 |
DOC MED RSN NO HCV SCRN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9385 |
DOC PT REAS NOT REC HCV SRN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9386 |
SCRN HCV INFEC NOT RECD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9389 |
UNPLN RUP POST CAP |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9390 |
NO UNPLN RUP POST CAP |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9393 |
INI PHQ9 >9 REMISS <5 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9394 |
DX BIPOL; DEATH; NHRES; HOSP |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9395 |
INI PHQ9 >9 NO REMISS >=5 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9396 |
INI PHQ9 >9 NOT ASSESS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9399 |
DOC DISC TX CHOICES |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9400 |
DOC REAS NO DISC TX OPT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9401 |
NO DISC TX CHOICES |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9402 |
RECD F/U W/IN 30D DISCH |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9403 |
DOC REAS NO 30 DAY F/U |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9404 |
NO 30 DAY F/U |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9405 |
RECD F/U W/IN 7D DC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9406 |
DOC REAS NO 7D F/U |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9407 |
NO 7D F/U |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9408 |
CARD TAMP W/IN 30D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9409 |
NO CARD TAMP E/IN 30D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9410 |
ADMIT W/IN 180D REQ REMOV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9411 |
NO ADMIT W/IN 180D REQ REMOV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9412 |
ADMIT W/IN 180D REQ SURG REV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9413 |
NO ADMIT REQ SURG REV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9414 |
1DOSE MENIG VAC BTWN 11 & 13 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9415 |
NO 1DOSE MENI VAC BTWN 11&13 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9416 |
PT 1 TDAP BETW 10-13 YRS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9417 |
PT NOT 1 TDAP BETW 10-13 YRS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9418 |
LUNGCX BX RPT DOCS CLASS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9419 |
MED REAS NOT INCL HISTO TYPE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9420 |
SPEC SITE NO LUNG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9421 |
LUNG CX BX RPT NO DOC CLASS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9422 |
RPT DOC CLASS HISTO TYPE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9423 |
MED REAS RPT NO HISTO TYPE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9424 |
SITE NO LUNG OR LUNG CX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9425 |
SPEC RPT NO DOC CLASS HISTO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9426 |
IMPR MED TIME EDARR PAIN MED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9427 |
NO IMPRO MED TIME PAIN MED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9428 |
PATHO RPT INCL PT CTG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9429 |
DOC MED RSN NO PT CAT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9430 |
SPEC SITE NO CUTANEOUS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9431 |
PATHO RPT NO PT CTG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9432 |
ASTH CONTROLLED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9434 |
ASTH NOT CONTROLLED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9448 |
BORN 1945-1965 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9449 |
HX BLD TRANSF B/F 1992 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9450 |
HX INJEC DRUG USE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9451 |
1X SCRN HCV INFECT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9452 |
DOC MED REAS NO HCV TEST |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9453 |
PT REAS NO HCV INFECT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9454 |
NO SCR HCV INF 12 MTH RP |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9455 |
ABD IMAG W/US; CT OR MRI |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9456 |
DOC MED PT REAS NO HCC SCRN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9457 |
PT NO ABD IMG NO DOC RSN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9458 |
TOB USER RECD CESS INTERV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9459 |
TOB NON-USER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9460 |
NO TOB ASSESS OR CESS INTER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9468 |
NO RECD CORTICO>=10MG/D >60D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9469 |
REC CORTICO>90D OR 1RX 900MG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9470 |
NO REC CORTICO>60D 1RX 600MG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9471 |
W/IN 2YR DXA NOT ORDER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9472 |
NO DXA NO MED HX NO RV SX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9497 |
REC INST NO SMOKE DAY SURG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9498 |
ABX REG PRESCRIBED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9500 |
RAD EXPOS IND/EXP TM DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9501 |
RAD EXPOS IND/EXP TM NO DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9502 |
MED REAS NO PERF FOOT EXAM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9503 |
PT TK TAMS HCL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9504 |
DOC RSN HEP B STAT NOT ASSES |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9505 |
ABX PRES W/IN 10 DYS OF SYMP |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9506 |
BIO IMM RESP MOD PRESC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9507 |
DOC REAS ON STATIN OR CONTRA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9508 |
DOC PT NOT ON STATIN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9509 |
ADIT MDD DYS REM 12 MNTHS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9510 |
REMIS12M NOT PHQ-9 SCORE <5 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9511 |
IDX EVT DTE PHQ>9 DOC 12 MO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9512 |
INDIV PDC > 0.8 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9513 |
INDIV PDC NOT > 0.8 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9514 |
REQ RET OR W/IN 90D OF SURG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9515 |
NO REAS; NO RET OR W/IN 90D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9516 |
IMPR VIS ACUIT W/IN 90D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9517 |
NO IMPR VIS ACUIT W/IN 90D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9518 |
DOC ACTIVE INJ DRUG USE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9519 |
FINAL REF +/- 1.0 W/IN 90D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9520 |
REFRACT NOT +/- 1.0 W/IN 90D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9521 |
ER AND IP HOSP <2 IN 12 MOS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9522 |
ER/IP HOSP =/>2 IN 12 MOS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9523 |
D/C HEMO OR PERIT DIALYSIS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9524 |
REFER TO HOSPICE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9525 |
DOC PT REAS NO HOSPICE REFER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9526 |
NO REASON; NO REFER HOSPICE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9529 |
MINOR BLUNT TRAUMA W/HEAD CT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9530 |
PT MBHT HD CT ORD EC PROV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9531 |
PT DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9532 |
PT HD CT ORD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9533 |
INDIC FOR HEAD CT NOT VALID |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9534 |
ADV BRAIN IMAGE NOT ORDERED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9535 |
NORMAL NEURO EXAM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9536 |
DOC MED REAS ADV BRAIN IMAGE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9537 |
IMG HD CLIN TRIAL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9538 |
ADV BRAIN IMAGE ORDERED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9539 |
INTENT POT REMV TIME PLACEMT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9540 |
PT ALIVE 3 MOS POST PROC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9541 |
FILTER REM 3 MON PLMT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9542 |
DOC REASS APPR REMO FILT 3MS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9543 |
DOC 2X RE-ASSESS FILT REMOV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9544 |
NO FILT REMOV W/IN 3MOS PLCM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9547 |
CYS REN LES OR ADREN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9548 |
NO F/U REC IMAGE STUDY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9549 |
DOC MED RSN FOR F/U IMAG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9550 |
IMAG REC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9551 |
IMAG NO LES |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9552 |
INC THYR NODE <1.0 IN RPT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9553 |
PRIOR THYROID DISE DX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9554 |
CT/CTA/MRI/A CHST FOLL REC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9555 |
DOC MED RSN FOR FOLLUP IMAGE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9556 |
CT/CTA/MRI/A NO FOLLUP IMAG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9557 |
CT/CTA/MRI/A NO THYR <1.0CM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9558 |
TX BETA-LACTAM ABX THERAPY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9559 |
DOC MED REAS NO ABX THERAPY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9560 |
NO BETA-LACTAM ABX THER; RNG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9561 |
PRESC OPIATES >6 WKS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9562 |
FOLL-UP EVAL Q3MO OPIOD TX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9563 |
NO F/U EVAL Q3MO OPIOD TX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9573 |
ADL PT MD OR DYS REM 6 MON |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9574 |
ADL PT MD DYS NO REM 6 MON |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9577 |
PRESC OPIATES >6 WKS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9578 |
DOC OPIOID TX 1X DURING THER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9579 |
NO DOC OPIOID TX 1X AT THER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9580 |
DOOR TO PUNC TIME <2HRS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9582 |
DOOR TO PUNC TIME >2HR; NRG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9583 |
PRESC OPIATES >6 WKS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9584 |
EVAL OPIOID USE INSTR/PT INT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9585 |
NO EVAL OPI USE INSTR/INTV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9593 |
LOW PECARN PED HEAD TRAUMA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9594 |
PT MBHT HD CT ORD EC PROV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9595 |
DOC SHNT/TUM/COAG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9596 |
PED PT HD CT ORD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9597 |
NO LOW PECARN PED HEAD TRAUM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9598 |
AOR ANE 5.5-5.9 CM MAX DIAM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9599 |
AOR ANE >=6.0 CM MAX DIAM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9600 |
SYMP AAA URGENT REPAIR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9601 |
PT DCHG HOME POST OP DAY 7 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9602 |
PT NO DCHG HOME POSTOP DAY 7 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9603 |
PT SURV IMPROV BSLINE TX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9604 |
PT SURV RESULTS NOT AVAIL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9605 |
SURV SCORE NO IMPROV W/TX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9606 |
INTRAOP CYST EVAL TRAC INJ |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9607 |
DOC MED RSN NOT PERF CYSTOSC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9608 |
INTRAOP CYST EVAL NOT DONE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9609 |
DOC ORDER ANTI-PLAT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9610 |
DOC MD RSN NO ANTIPLA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9611 |
NO DOC ORDER ANTI-PLAT RNG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9612 |
PHODOC 2 MR CEC LNDMK |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9613 |
DOC POST SURG ANATOMY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9614 |
PHOTODOC < 2 CEC LNDMK |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9615 |
PRE-OP ASST DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9616 |
DOC RSN NO PREOP ASSMT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9617 |
PRE-OP ASST NOT DOC; RNG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9618 |
DOC SCR UTER MAL OR US/SAMP |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9620 |
NO SCR UTR MALIG/US/SAMP RNG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9621 |
SCR UNHEAL ETOH W/COUNSEL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9622 |
NO UNHEAL ETOH USER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9623 |
DOC MED RSN NO SCR ETOH USE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9624 |
PT NOT SCRN OR NO COUNSELING |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9625 |
PT BL SRG 30 DAY PST SRG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9626 |
MED RSN NO RPT BLADDER INJ |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9627 |
PT NO BL SRG 30 DAY PST SRG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9628 |
PT BWLI SRG 30 DAY PST SRG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9629 |
MED RSN NO RPT BOWEL INJ |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9630 |
PT NO BWLI SRG 30 DAY SRG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9631 |
PT UI SRG 30 DAY PST SRG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9632 |
MED RSN FOR NO RPT URET INJ |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9633 |
PT NO UI SRG 30 DAY PST SRG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9634 |
QUAL LIFE TOOL 2X SAME/IMPR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9635 |
NO DOC RSN DO QUAL LIFE ASSM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9636 |
NO LIFE ASST 2X SAME/DECR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9637 |
DOC >1 DOSE REDUC TECH |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9638 |
NO DOC >1 DOSE REDUC TECH |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9639 |
AMP NO REQD IN48H IELER PROC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9640 |
DOC PLAN HYBRID/STAGE PROC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9641 |
AMP REQD W/IN 48H IELER PROC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9642 |
CURRENT SMOKER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9643 |
ELECTIVE SURGERY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9644 |
NO SMOK B/4 ANES DAY OF SURG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9645 |
HAD SMOKE B/4 ANES DAY SURG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9646 |
PT W/90D MRS 0-2 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9647 |
NO MRS SCORE IN 90D FOLLOWUP |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9648 |
PT W/90D MRS >2 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9649 |
PSOR AS DOC SPC BM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9651 |
PSOR AS DOC NO SPC BM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9654 |
MON ANESTH CARE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9655 |
TOC TOOL INCL KEY ELEM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9656 |
PT TRANS FROM ANEST TO PACU |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9658 |
TOC TOOL INCL ELEM NOT USED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9659 |
>=86Y NO HX COLO CA/RSN SCOP |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9660 |
DOC MED RSN SCOPE PT >= 86Y |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9661 |
PT >= 86 W/ HI RISK |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9662 |
PRIOR DX/ACTIVE CLIN ASCVD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9663 |
FAST/DIR LDL >= 190 MG/DL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9664 |
TAKING STATIN OR REC'D ORDER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9665 |
NO STATIN/NO ORDER STATIN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9666 |
FAS/DIR LDL 70-189MG/DL MST |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9674 |
PT W/CLIN ASCVD DX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9675 |
PT W/FAST/DIR LAB LDL-C >190 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9676 |
40-75Y W/TYPE 1/2 W/LDL-C RS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9687 |
HOSPICE ANYTIME MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9688 |
PT W/HOSP ANYTIME MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9689 |
INPT ELECT CAROTID INTERVENT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9690 |
PT IN HOS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9691 |
PT HOSP DUR MSMT PERIOD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9692 |
HOSP RECD BY PT DUR MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9693 |
PT USE HOSP DURING MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9694 |
HOSP SRV USED PT IN MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9695 |
LONG ACT INHAL BRONCHDIL PRE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9696 |
MED RSN NO PRESC BRONCHDIL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9697 |
PT RSN NO PRESC BRONCHDIL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9698 |
SYS RSN NO PRESC BRONCHDIL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9699 |
LONG INHAL BRONCHDIL NO PRES |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9700 |
PT IS W/HOSP DURING MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9701 |
CHILD ANBX 30 PRIOR DX ESTAB |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9702 |
PT USE HOSP DURING MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9703 |
ANBX 30 PRIOR TO EPISODE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9704 |
AJCC BR CA STG I: T1 MIC/T1A |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9705 |
AJCC BR CA STG IB |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9706 |
LOW RECUR PROST CA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9707 |
PT HAD HOSP DUR MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9708 |
BILAT MAST/HX BI /UNILAT MAS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9709 |
HOSP SRV USED PT IN MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9710 |
PT PROV HOSP SRV MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9711 |
PT HX TOT COL OR COLON CA |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9712 |
DOC MED RSN PRESC ANBX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9713 |
PT USE HOSP DURING MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9714 |
PT IS W/HOSP DURING MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9715 |
PT W/HOSP ANYTIME MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9716 |
BMI DOC ONL FUP NOT CMPLTD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9717 |
DOC PT DX BIPOL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9718 |
HOSPICE ANYTIME MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9719 |
PT NOT AMBUL/IMMOB/WC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9720 |
HOSPICE ANYTIME MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9721 |
PT NOT AMBUL/IMMOB/WC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9722 |
DOC HX RENAL FAIL OR CR+ >=4 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9723 |
HOSP RECD BY PT DUR MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9724 |
PT W/DOC USE ANTICOAG MST YR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9725 |
PT W/HOSP ANYTIME MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9726 |
REFUSED TO PARTICIPATE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9727 |
PT UNABLE CMPLT LEPF PROM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9728 |
REFUSED TO PARTICIPATE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9729 |
PT UNBL CMPLT LEPF PROM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9730 |
REFUSED TO PARTICIPATE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9731 |
PT UNBL CMPLT LEPF PROM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9732 |
REFUSED TO PARTICIPATE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9733 |
PT UNBL CMPLT LB FS PROM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9734 |
REFUSED TO PARTICIPATE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9735 |
PT UNBL CMPLT SHLD FS PROM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9736 |
REFUSED TO PARTICIPATE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9737 |
PT UNBL CMPLT EWH FS PROM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9738 |
REFUSED TO PARTICIPATE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9739 |
PT UNBL CMPLT GO FS PROM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9740 |
HOSP SRV TO PT DUR MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9741 |
PT W/HOSP ANYTIME MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9742 |
PSYCH SYMPT ASSESSED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9743 |
PSYCH SYMP NOT ASSESSED; RNS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9744 |
PT NOT ELI D/T ACT DIG HTN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9745 |
DOC RSN NO HBP SCRN OR F/U |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9746 |
MIT STEN; VALVE OR TRANS AF |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9747 |
PALL DIALYSIS WITH CATHETER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9748 |
APP TRANSPL LVG KIDNEY DONOR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9749 |
PALL DIALYSIS WITH CATHETER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9750 |
APP TRANSPL LVG KIDNEY DONOR |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9751 |
PT DIED W/IN 24 MOS RPT TIME |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9752 |
URGENT SURGERY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9753 |
DOC NO DICOM; CT OTHER FAC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9754 |
INCID PULM NODULE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9755 |
DOC MED RSN NO FLLW UP |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9756 |
SURG PROC W/SILICONE OIL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9757 |
SURG PROC W/SILICONE OIL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9758 |
PT IN HOS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9759 |
HX PREOP POST CAP RUP |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9760 |
PT W/HOSP ANYTIME MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9761 |
PT W/HOSP ANYTIME MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9762 |
PT HAD >= 2-3 HPV VACCINES |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9763 |
PT NOT HAVE 2-3 HPV VACCINES |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9764 |
PT TREATD W/ORAL SYST OR BIO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9765 |
DOC PAT DECLINED THERAPY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9766 |
CVA STROKE DX TX TRANSF FAC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9767 |
HOSP NEW DX CVA CONSID EVST |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9768 |
PT W/HOSP ANYTIME MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9769 |
BN DEN 2YR/GOT OST MED/THER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9770 |
PERIP NERVE BLOCK |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9771 |
ANES END; 1 TEMP >35.5(95.9) |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9772 |
DOC MED RSN NO TEMP >= 35.5 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9773 |
1 BOD TEMP >=35.5 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9774 |
PT HAD HYST |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9775 |
RECD 2 ANTI-EMET PRE/INTRAOP |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9776 |
DOC MED RSN NO PROPH ANTIEM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9777 |
PT NO ANTIEMET PRE/INTRAOP |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9778 |
PTS DX W/PREGN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9779 |
PTS BREASTFEEDING |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9780 |
PTS DX W/RHABDOMYOLYSIS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9781 |
DOC RSN NO STATIN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9782 |
HX DX FAM/PURE HYPERCHOLES |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9783 |
DOC DX DM; FAST <70; NO STAT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9784 |
PATH/DERM PROV 2ND BIOP OPIN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9785 |
PATH REPORT SENT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9786 |
PATH REPORT NOT SENT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9787 |
PT ALIVE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9788 |
MOST RCT BP </= 140/90 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9789 |
RECORD BP IP; ER; URG/SELF |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9790 |
MOST RCT BP >/= 140/90 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9791 |
MOST RCT TOB STAT FREE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9792 |
MOST RCT TOB STAT NOT FREE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9793 |
PT ON DAILY ASA/ANTIPLAT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9794 |
DOC MED RSN NO DAILY ASPIRIN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9795 |
PT NO DAILY ASA/ANTIPLAT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9796 |
PT NOT CURRENTLY ON STATIN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9797 |
PT CURRENTLY ON STATIN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9798 |
D/C AMI BTW 7/1-6/30 MEAS PD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9799 |
MED DISP EVT INDIC HX ASTH |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9800 |
PT ID INTOL/ALLEG BETA-BLOCK |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9801 |
NONACUT TRANSF FROM INPT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9802 |
PT W/HOSP ANYTIME MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9803 |
PT PRESC 135 DAY TRMT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9804 |
PT NOT PRESC 135 DAY TRMT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9805 |
PT W/HOSP ANYTIME MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9806 |
PT RECD CERV CYTO/HPV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9807 |
PT NO RECD CERV CYTO/HPV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9808 |
PT NO ASTHM CONT MED MST PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9809 |
PT W/HOSP ANYTIME MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9810 |
PDC 75% W/ASTH CONT MED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9811 |
NO PDC 75% W/ASTH CONT MED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9812 |
PT DIED DURING INPT/30D AFT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9813 |
PT NOT DIED W/IN 30D OF PROC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9814 |
DEATH DURING INDEX HOSP |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9815 |
DEATH NOT DURING INDEX HOSP |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9816 |
DEATH <30 DAY POST DISCHARGE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9817 |
NO DEATH 30-DAYS POST-DISCH |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9818 |
DOC SEX ACTIVITY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9819 |
PT W/HOSP ANYTIME MSMT PER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9820 |
DOC CHLAM SCR TEST W/FOLLOW |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9821 |
NO DOC CHLAM SCR TS W/FOLLOW |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9822 |
ENDO ABL PROC YR PREV IND DT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9823 |
ENDO SMPL/HYST BX RES DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9824 |
ENDO SMPL/HYST BX RES NO DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9825 |
HER-2 NEG;UNDOC/UNKN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9826 |
TRANSF PRACT AFT INIT CHEMO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9827 |
HER-2 TARG THER NO INIT TX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9828 |
HER-2 TARG THER DUR INIT TX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9829 |
BREAST ADJ CHEMO ADMIN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9830 |
HER-2 POS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9831 |
AJCC STG BRT CA DX II OR III |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9832 |
BRT CA DX I; NO T1/T1A/T1B |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9833 |
TRANSF PRACT AFT INIT CHEMO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9834 |
PT MET DIS AT DX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9835 |
TRASTUZ GIVEN W/IN 12 MOS DX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9836 |
RSN NO TRAST GIVEN DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9837 |
TRASTUZ NOT IN 12 MOS DX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9838 |
PT MET DIS AT DX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9839 |
ANTI-EGFR MON ANTI THER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9840 |
GENE TESTING PERFORMED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9841 |
GENE TESTING NOT PERFORMED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9842 |
PT MET DIS AT DX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9843 |
KRAS OR NRAS GENE MUTATION |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9844 |
PT NO RECD ANTI-EGFR THER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9845 |
PT RECD ANTI-EGFR THER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9846 |
PT DIED FROM CANCER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9847 |
PT RECD CHEMO LAST 14D LIFE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9848 |
PT NO CHEMO LAST 14D LIFE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9849 |
PT DIED FROM CANCER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9850 |
1/MORE ED LAST 30D LIFE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9851 |
1/NO ED VISIT LAST 30D LIFE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9852 |
PT DIED FROM CANCER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9853 |
ICU STAY LAST 30D LIFE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9854 |
NO ICU STAY LAST 30D LIFE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9855 |
PT DIED FROM CANCER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9856 |
PT NO HOSPICE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9857 |
PT ADMIT HOSPICE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9858 |
PT ENROLL HOSPICE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9859 |
PT DIED FROM CANCER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9860 |
PT LESS 3D HOSPICE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9861 |
PT MORE THAN 3D HOSPICE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9862 |
DOC RSN NO 10 YR FOLLOW |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9890 |
EM BRIDGE PAYMENT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9891 |
EM SESSION REPORTING |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9892 |
DOC PT RSN NO DIL MAC EXAM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9893 |
NO MAC EXAM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9894 |
ADR DEP THRPY PRESCRIBED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9895 |
DOC MED RSN NO ADR DEP THRPY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9896 |
DOC PT RSN NO ADR DEP THRPY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9897 |
PT NT PRSC ADR DEP THRPY RNG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9898 |
PT 66+ SNP OR LTC POS > 90D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9899 |
SCRN MAM PERF RSLTS DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9900 |
SCRN MAM PERF RSLTS NOT DOC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9901 |
PT 66+ SNP OR LTC POS > 90D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9902 |
PT SCRN TBCO AND ID AS USER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9903 |
PT SCRN TBCO ID AS NON USER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9904 |
DOC MED RSN NO TBCO SCRN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9905 |
NO PT TBCO SCRN RNG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9906 |
PT RECV TBCO CESS INTERV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9907 |
DOC MED RSN NO TBCO INTERV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9908 |
NO PT TBCO CESS INTERV RNG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9909 |
DOC MED RSN NO TBCO INTERV |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9910 |
PT 66+ SNP OR LTC POS > 90D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9911 |
NODE NEG PRE/POST SYST THER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9912 |
HBV STATUS ASSESED AND INT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9913 |
NO HBV STATUS ASSESD AND INT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9914 |
PT INITIATED ANTI-TNF AGENT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9915 |
NO DOCUMNTD HBV RESULTS RCD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9916 |
FUNCT STATUS PAST 12 MONTHS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9917 |
ADV DEM CRGVR LIMITED |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9918 |
NO FUNCT STAT PERF; RSN NOS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9919 |
SCRN ND POS ND PROV OF REC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9920 |
SCRNING PERF AND NEGATIVE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9921 |
NO OR PART SCRN ND RNG OR OS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9922 |
SFTY CNCRNS SCRN ND MIT RECS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9923 |
SAFTY CNCRNS SCRN AND NEG |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9924 |
DOC MED RSN NO SCRN OR RECS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9925 |
NO SCRN PROV RSN NOS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9926 |
SFTY CNCRNS SCRN BUT NO RECS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9927 |
DOC NO WARF /FDA PT TRIAL |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9928 |
NO WARF OR FDA DRUG PRESC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9929 |
TRS/REV AF |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9930 |
COM CARE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9931 |
NO CHAD OR CHAD SCR 0 OR 1 |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9932 |
DOC PT RSN NO TB SCRN RECRDS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9933 |
CANC DETECTD DURING COL SCRN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9934 |
DOC RSN NOT DETECTING CANCER |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9935 |
CANC NOT DETECTD DURING SRCN |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9936 |
PMH PLYP/NEO CO/RECT/JUN/ANS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9937 |
DIG OR SURV COLSCO |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9938 |
PT 66+ SNP OR LTC POS > 90D |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9939 |
SAME PATH/DERM PERF BIOPSY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9940 |
DOC REAS NO STATIN THERAPY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9941 |
PRE AND POST VAS WTHN 3 MOS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9942 |
ADTL SPINE PROC ON SAME DATE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9943 |
BK PN NT MSR VAS SCL PRE/PST |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9944 |
VAS 3 MON PRE AND 1 YR POST |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9945 |
PT W/CANCER SCOLIOSIS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9946 |
BK PAIN NO VAS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9947 |
PRE AND POST VAS WTHN 3 MOS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9948 |
ADTL SPINE PROC ON SAME DATE |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9949 |
LEG PAIN NO VAS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9954 |
PT >2 RSK FAC POST-OP VOMIT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9955 |
INHLNT ANESTH ONLY FOR INDUC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9956 |
COMBO THRPY OF >= 2 PROPHLY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9957 |
DOC MED RSN NO COMBO THRPY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9958 |
NO COMBO PROHPYL THRP FOR PT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9959 |
SYSTEMIC ANTIMICRO NOT PRESC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9960 |
MED RSN SYS ANTIMI NT RX |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9961 |
SYSTEMIC ANTIMICRO PRESC |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9962 |
EMBOLIZATION DOC SEPARATLY |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9963 |
EMBOLIZATION NOT DOC SEPARAT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9964 |
PT RECV >=1 WELL-CHLD VISIT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9965 |
NO WELL-CHLD VIST RECV BY PT |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9966 |
SCRN; INTER; REPORT CHILD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9967 |
NO SCRN; INTER; REPRT CHILD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9968 |
PT REFRD 2 PVDR/SPCLST IN PP |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9969 |
PVDR RFRD PT RPRT RCVD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9970 |
PVDR RFRD PT NO RPRT RCVD |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9974 |
MAC EXAM PERF |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9975 |
DOC MED RSN NO DIL MAC EXAM |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9976 |
DOC PAT RSN NO MAC EXM PERF |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
G9977 |
DIL MAC EXAM NO PERF RSN NOS |
Error! |
|
|
|
|
|
NA |
NA |
NA |
N |
H0036 |
COMM PSY FACE-FACE PER 15MIN |
TIERED |
CMH |
|
|
|
|
NA |
NA |
NA |
R |
H0036 |
COMM PSY FACE-FACE PER 15MIN |
TIERED |
MHG |
|
|
|
|
NA |
NA |
NA |
R |
H0038 |
SELF-HELP/PEER SVC PER 15MIN |
MAXFEE |
CMH |
|
|
|
|
15.51 |
1/1/2018 |
12/31/2299 |
N |
H0038 |
SELF-HELP/PEER SVC PER 15MIN |
MAXFEE |
MHG |
|
|
|
|
1.94 |
1/1/2018 |
12/31/2299 |
N |
H0040 |
ASSERT COMM TX PGM PER DIEM |
MAXFEE |
AHM |
|
|
|
|
159.24 |
1/1/2018 |
12/31/2299 |
N |
H0040 |
ASSERT COMM TX PGM PER DIEM |
MAXFEE |
ACN |
|
|
|
|
352.75 |
1/1/2018 |
12/31/2299 |
N |
H0040 |
ASSERT COMM TX PGM PER DIEM |
MAXFEE |
AHN |
|
|
|
|
199.70 |
1/1/2018 |
12/31/2299 |
N |
H0040 |
ASSERT COMM TX PGM PER DIEM |
MAXFEE |
AHO |
|
|
|
|
251.91 |
1/1/2018 |
12/31/2299 |
N |
H0040 |
ASSERT COMM TX PGM PER DIEM |
MAXFEE |
AAM |
|
|
|
|
615.64 |
1/1/2018 |
12/31/2299 |
N |
H2000 |
COMP MULTIDISIPLN EVALUATION |
MAXFEE |
A03 |
|
|
|
|
170.43 |
1/1/2023 |
12/31/2299 |
N |
H2000 |
COMP MULTIDISIPLN EVALUATION |
MAXFEE |
A01 |
|
|
|
|
527.25 |
1/1/2023 |
12/31/2299 |
N |
H2000 |
COMP MULTIDISIPLN EVALUATION |
MAXFEE |
A04 |
|
|
|
|
165 |
1/1/2023 |
12/31/2299 |
N |
H2000 |
COMP MULTIDISIPLN EVALUATION |
MAXFEE |
A05 |
|
|
|
|
147.72 |
1/1/2023 |
12/31/2299 |
N |
H2000 |
COMP MULTIDISIPLN EVALUATION |
MAXFEE |
A02 |
|
|
|
|
324.67 |
1/1/2023 |
12/31/2299 |
N |
H2012 |
BEHAV HLTH DAY TREAT; PER HR |
MAXFEE |
HQ1 |
|
|
|
|
48.71 |
8/1/2019 |
12/31/2299 |
N |
H2012 |
BEHAV HLTH DAY TREAT; PER HR |
MAXFEE |
HQ2 |
|
|
|
|
36.49 |
8/1/2019 |
12/31/2299 |
N |
H2012 |
BEHAV HLTH DAY TREAT; PER HR |
MAXFEE |
HQ3 |
|
|
|
|
32.13 |
8/1/2019 |
12/31/2299 |
N |
H2017 |
PSYSOC REHAB SVC; PER 15 MIN |
MAXFEE |
OF1 |
|
|
|
|
22.54 |
1/1/2018 |
12/31/2299 |
N |
H2017 |
PSYSOC REHAB SVC; PER 15 MIN |
MAXFEE |
HC2 |
|
|
|
|
20.32 |
1/1/2018 |
12/31/2299 |
N |
H2017 |
PSYSOC REHAB SVC; PER 15 MIN |
TIERED |
OF2 |
|
|
|
|
NA |
NA |
NA |
N |
H2017 |
PSYSOC REHAB SVC; PER 15 MIN |
MAXFEE |
HC1 |
|
|
|
|
29.13 |
1/1/2018 |
12/31/2299 |
N |
H2019 |
THER BEHAV SVC; PER 15 MIN |
TIERED |
HQD |
|
|
|
|
NA |
NA |
NA |
N |
H2019 |
THER BEHAV SVC; PER 15 MIN |
TIERED |
OF2 |
|
|
|
|
NA |
NA |
NA |
N |
H2019 |
THER BEHAV SVC; PER 15 MIN |
MAXFEE |
OF1 |
|
|
|
|
31.92 |
1/1/2018 |
12/31/2299 |
N |
H2019 |
THER BEHAV SVC; PER 15 MIN |
TIERED |
HQC |
|
|
|
|
NA |
NA |
NA |
N |
H2019 |
THER BEHAV SVC; PER 15 MIN |
TIERED |
HQB |
|
|
|
|
NA |
NA |
NA |
N |
H2019 |
THER BEHAV SVC; PER 15 MIN |
MAXFEE |
HC2 |
|
|
|
|
25.46 |
1/1/2018 |
12/31/2299 |
N |
H2019 |
THER BEHAV SVC; PER 15 MIN |
MAXFEE |
HC1 |
|
|
|
|
41 |
1/1/2018 |
12/31/2299 |
N |
H2019 |
THER BEHAV SVC; PER 15 MIN |
MAXFEE |
HQA |
|
|
|
|
13.83 |
8/1/2019 |
12/31/2299 |
N |
H2019 |
THER BEHAV SVC; PER 15 MIN |
TIERED |
OF3 |
|
|
|
|
NA |
NA |
NA |
N |
H2019 |
THER BEHAV SVC; PER 15 MIN |
MAXFEE |
HC3 |
|
|
|
|
28.59 |
1/1/2018 |
12/31/2299 |
N |
H2020 |
THER BEHAV SVC; PER DIEM |
MAXFEE |
UK1 |
|
|
|
|
135.92 |
8/1/2019 |
12/31/2299 |
S |
H2020 |
THER BEHAV SVC; PER DIEM |
MAXFEE |
HK1 |
|
|
|
|
182.66 |
8/1/2019 |
12/31/2299 |
S |
H2020 |
THER BEHAV SVC; PER DIEM |
MAXFEE |
HN1 |
|
|
|
|
135.92 |
8/1/2019 |
12/31/2299 |
S |
H2020 |
THER BEHAV SVC; PER DIEM |
MAXFEE |
HO1 |
|
|
|
|
152.17 |
8/1/2019 |
12/31/2299 |
S |
H2023 |
SUPPORTED EMPLOY; PER 15 MIN |
MAXFEE |
CMH |
|
|
|
|
19.53 |
1/1/2018 |
12/31/2299 |
N |
H2025 |
SUPP MAINT EMPLOY; 15 MIN |
MAXFEE |
CMH |
|
|
|
|
19.53 |
1/1/2018 |
12/31/2299 |
N |
H2033 |
MULTISYS THER/JUVENILE 15MIN |
MAXFEE |
CMH |
|
|
|
|
42.24 |
3/1/2022 |
12/31/2299 |
S |
H2033 |
MULTISYS THER/JUVENILE 15MIN |
MAXFEE |
OTH |
|
|
|
|
41.10 |
3/1/2022 |
12/31/2299 |
S |
J0400 |
ARIPIPRAZOLE INJECTION |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
J0400 |
ARIPIPRAZOLE INJECTION |
MAXFEE |
DEF |
|
|
|
|
0.76 |
7/1/2016 |
12/31/2299 |
N |
J0401 |
INJ ARIPIPRAZOLE EXT REL 1MG |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
J0401 |
INJ ARIPIPRAZOLE EXT REL 1MG |
MAXFEE |
DEF |
|
|
|
|
6.82 |
10/1/2023 |
12/31/2299 |
N |
J0515 |
INJ BENZTROPINE MESYLATE |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
J0515 |
INJ BENZTROPINE MESYLATE |
MAXFEE |
DEF |
|
|
|
|
22.28 |
10/1/2023 |
12/31/2299 |
N |
J1200 |
DIPHENHYDRAMINE HCL INJECTIO |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
J1200 |
DIPHENHYDRAMINE HCL INJECTIO |
MAXFEE |
DEF |
|
|
|
|
0.85 |
10/1/2023 |
12/31/2299 |
N |
J1630 |
HALOPERIDOL INJECTION |
MAXFEE |
DEF |
|
|
|
|
1.24 |
10/1/2023 |
12/31/2299 |
N |
J1631 |
HALOPERIDOL DECANOATE INJ |
MAXFEE |
DEF |
|
|
|
|
8.04 |
10/1/2023 |
12/31/2299 |
N |
J2060 |
LORAZEPAM INJECTION |
MAXFEE |
DEF |
|
|
|
|
1.01 |
10/1/2023 |
12/31/2299 |
N |
J2212 |
METHYLNALTREXONE INJECTION |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
J2212 |
METHYLNALTREXONE INJECTION |
MAXFEE |
DEF |
|
|
|
|
0.53 |
9/1/2013 |
12/31/2299 |
N |
J2358 |
OLANZAPINE LONG-ACTING INJ |
MAXFEE |
DEF |
|
|
|
|
2.92 |
10/1/2022 |
12/31/2299 |
N |
J2426 |
INJ; INVEGA SUSTENNA; 1 MG |
MAXFEE |
DEF |
|
|
|
|
14.34 |
10/1/2023 |
12/31/2299 |
N |
J2427 |
INJ; INVEGA HAFYERA/TRINZA |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
J2427 |
INJ; INVEGA HAFYERA/TRINZA |
MAXFEE |
DEF |
|
|
|
|
12.20 |
10/1/2023 |
12/31/2299 |
N |
J2680 |
FLUPHENAZINE DECANOATE 25 MG |
MAXFEE |
DEF |
|
|
|
|
9.87 |
10/1/2023 |
12/31/2299 |
N |
J2794 |
INJ RISPERDAL CONSTA; 0.5 MG |
MAXFEE |
DEF |
|
|
|
|
12.15 |
10/1/2023 |
12/31/2299 |
N |
J3360 |
DIAZEPAM INJECTION |
MAXFEE |
DEF |
|
|
|
|
7.48 |
10/1/2023 |
12/31/2299 |
N |
K1034 |
COVID TEST SELF-ADMN/COLLECT |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
N |
K1034 |
COVID TEST SELF-ADMN/COLLECT |
MAXFEE |
DEF |
|
|
|
|
12 |
4/4/2022 |
12/31/2299 |
N |
S9482 |
FAMILY STABILIZATION 15 MIN |
MAXFEE |
A03 |
|
|
|
|
30.92 |
7/1/2022 |
12/31/2299 |
S |
S9482 |
FAMILY STABILIZATION 15 MIN |
MAXFEE |
A01 |
|
|
|
|
34.95 |
7/1/2022 |
12/31/2299 |
S |
S9482 |
FAMILY STABILIZATION 15 MIN |
MAXFEE |
A04 |
|
|
|
|
24.77 |
7/1/2022 |
12/31/2299 |
S |
S9482 |
FAMILY STABILIZATION 15 MIN |
MAXFEE |
A02 |
|
|
|
|
34.01 |
7/1/2022 |
12/31/2299 |
S |
S9484 |
CRISIS INTERVENTION PER HOUR |
MAXFEE |
A03 |
|
|
|
|
125.25 |
7/1/2022 |
12/31/2299 |
N |
S9484 |
CRISIS INTERVENTION PER HOUR |
MAXFEE |
A01 |
|
|
|
|
139.32 |
7/1/2022 |
12/31/2299 |
N |
S9484 |
CRISIS INTERVENTION PER HOUR |
MAXFEE |
A04 |
|
|
|
|
102.89 |
7/1/2022 |
12/31/2299 |
N |
S9484 |
CRISIS INTERVENTION PER HOUR |
MAXFEE |
A02 |
|
|
|
|
136.49 |
7/1/2022 |
12/31/2299 |
N |
S9485 |
CRISIS INTERVENTION MENTAL H |
MAXFEE |
A03 |
|
|
|
|
432.63 |
7/1/2022 |
12/31/2299 |
N |
S9485 |
CRISIS INTERVENTION MENTAL H |
MAXFEE |
A01 |
|
|
|
|
476.64 |
7/1/2022 |
12/31/2299 |
N |
S9485 |
CRISIS INTERVENTION MENTAL H |
MAXFEE |
A04 |
|
|
|
|
365.55 |
7/1/2022 |
12/31/2299 |
N |
S9485 |
CRISIS INTERVENTION MENTAL H |
MAXFEE |
A02 |
|
|
|
|
466.34 |
7/1/2022 |
12/31/2299 |
N |
T1016 |
CASE MANAGEMENT |
MAXFEE |
CMH |
|
|
|
|
19 |
8/1/2016 |
12/31/2299 |
N |
T1023 |
PROGRAM INTAKE ASSESSMENT |
PRXOVR |
DEF |
|
|
|
|
NA |
NA |
NA |
S |
T1023 |
PROGRAM INTAKE ASSESSMENT |
MAXFEE |
DEF |
|
|
|
|
30 |
7/1/2021 |
12/31/2299 |
S |