Unique Plan Description: Cardio General Clinic
Plan Selection Display: Cardio General Clinic
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-11-09 09:09:12
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-08 08:32:50
Available at all facilities: Yes

Cardio General Clinic
Laboratory
	Basic Metabolic Panel
		T;N, Routine, spec type = Blood
	Lipid Panel
		T;N, Routine, spec type = Blood
	ALT
		T;N, Routine, spec type = Blood
	Comprehensive Metabolic Panel
		T;N, Routine, spec type = Blood
	BNP-Pro
		T;N, Routine, spec type = Blood
	B-Type Natriuretic Peptide - FH
		T;N, Routine, spec type = Blood
	INR - MH/WH/JE
		T;N, Routine, spec type = Blood
	Prothrombin Time (PT) - FH
		T;N, Routine
	PTT - MH/WH/JE
		T;N, Routine, spec type = Blood
	Partial Thromboplastin Time (PTT) - FH
		T;N, Routine, spec type = Diagnostic Blood
	hs Troponin I - FH
		T;N, Routine, spec type = Blood
	CBC with Diff
		T;N, Routine, spec type = Blood
	Hemogram (CBC no Diff)
		T;N, Routine, spec type = Blood
	TSH
		T;N, Routine, spec type = Blood
	Free T4
		T;N, Routine, spec type = Blood
	hsCRP
		T;N, Routine, spec type = Blood
	Hemoglobin A1C
		T;N, Routine, spec type = Blood
Diagnostic Tests
	Echo Stress
		T;N, Routine
	Echo w Doppler resting
		T;N, Routine
	Echo w Doppler resting w Contrast
		T;N, Routine
	Nuclear Stress Treadmill
		T;N
	Carotid Artery Duplex Bil
		T;N, Routine
	Holter Monitor (24 Hr Only)
		T;N, Routine
	Event Monitor
		T;N, Routine
	TEE Transesophageal Echocardiogram
		T;N, Routine
	Chest 2 View
		T;N, Routine
	CTA Aorta Runoff
		T;N, Routine
	CTA Chest
		T;N, Routine
	CTA Neck
		T;N, Routine
	CTA Abd
		T;N, Routine
	CTA Pelvis
		T;N, Routine
	Aortography Abd w Runoffs
		T;N, Routine
	Venous Duplex Bil Upper or Lower
		T;N, Routine
	Segmental Arterial Pressures
		T;N, Routine
	Segmental Arterial Pressures Upper
		T;N, Routine
	Segmental Arterial Pressure Exercise
		T;N, Routine
	Native Artery Duplex Bil Lower
		T;N, Routine
	Native Artery Duplex Unilat Lower
		T;N, Routine
	CTA Chest Pulmonary Arteries
		T;N, Routine
Consults/Follow-up
	Follow-up Appointment
		Follow Up Visit, 1 week
		Follow Up Visit, 2 weeks
		Follow Up Visit, 1 month
		Follow Up Visit, 2 months
		Follow Up Visit, 3 months
		Follow Up Visit, 6 months
		Follow Up Visit, 1 year
		Follow Up Visit, PRN
		Follow Up Visit, See Special Instructions, 5 days after testing
	Return to Clinic Specialist
		Future Order In Approximately 1 week(s) Grace Period (+/-) 2 Day(s), 2, Day(s), 1, week(s), In Approximately
		Future Order In Approximately 2 week(s) Grace Period (+/-) 2 Day(s), 2, Day(s), 2, week(s), In Approximately
		Future Order In Approximately 3 week(s) Grace Period (+/-) 3 Day(s), 3, Day(s), 3, week(s), In Approximately
		Future Order In Approximately 6 week(s) Grace Period (+/-) 7 Day(s), 7, Day(s), 6, week(s), In Approximately
		Future Order In Approximately 1 month(s) Grace Period (+/-) 7 Day(s), 7, Day(s), 1, month(s), In Approximately
		Future Order In Approximately 2 month(s) Grace Period (+/-) 7 Day(s), 7, Day(s), 2, month(s), In Approximately
		Future Order In Approximately 3 month(s) Grace Period (+/-) 7 Day(s), 7, Day(s), 3, month(s), In Approximately
		Future Order In Approximately 4 week(s) Grace Period (+/-) 7 Day(s), 7, Day(s), 4, week(s), In Approximately
		Future Order In Approximately 6 month(s) Grace Period (+/-) 7 Day(s), 7, Day(s), 6, month(s), In Approximately
		Future Order In Approximately 12 month(s) Grace Period (+/-) 14 Day(s), 14, Day(s), 12, month(s), In Approximately
	Surgery to Schedule
		
	Communication to CLINIC Nurse
		
	Consult Endocrinologist
		
	Consult Primary Care Provider
		
	Consult Neurologist
		Refer to/Consult with: Dr. Chen
Charges/Supplies
	ECG w/ interpretation and report
		
	ECG interp and report ONLY
		
	93923 Comp Bilat Segmental Arterial Pressures
		
	93925 Art US Lower Extremity Bilat
		
	93978 Abdominal Aorta/Iliac Artery Sizing
		
New Pt Visit
	zz99201 EVM-New Pt Visit Problem focused 10m
		
	99202 EVM - OP VISIT NEW PATIENT, STRAIGHTFORWARD 15 MIN
		
	99203 EVM - OP VISIT NEW PATIENT, LOW LEVEL 30 MIN
		
	99204 EVM - OP VISIT NEW PATIENT, MODERATE LEVEL 45 MIN
		
	99205 EVM - OP VISIT NEW PATIENT, HIGH LEVEL 60 MIN
		
Est. Pt Visit
	99211 EVM - OP visit estab patient, minimal care < 10 min
		
	99212 EVM - OP VISIT ESTAB PATIENT, STRAIGHTFORWARD 10 MIN
		
	99213 EVM - OP VISIT ESTAB PATIENT, LOW LEVEL 20 MIN
		
	99214 EVM - OP VISIT ESTAB PATIENT, MODERATE 30 MIN
		
	99215 EVM - OP VISIT ESTAB PATIENT, HIGH LEVEL 40 MIN
		
No Charge / Follow Up
	99213C EVM - MPC CLINIC AUDIT BY CODER
		
	99024 EVM - Post Op Visit
		
	99211n EVM - No Charge Professional Service

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase