Unique Plan Description: Peds Diarrhea Vomiting Clinic
Plan Selection Display: Peds Diarrhea Vomiting Clinic
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-02-13 14:41:51
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-01-24 13:46:48
Available at all facilities: Yes

Peds Diarrhea Vomiting Clinic
Laboratory
	CBC with Diff
		T;N, Routine, spec type = Blood
	Hemogram (CBC no Diff)
		T;N, Routine, spec type = Blood
	Electrolytes
		T;N, Routine, spec type = Blood
	Glucose Level
		T;N, Routine, spec type = Blood
	Urogram
		T;N, Routine, Routine, spec type = Urine
	UA
		T;N, Routine, Routine, spec type = Urine
	UA (Culture Pos)
		T;N, Routine, Routine, spec type = Urine
Stool Studies
	Stool Pathogen Panel (PCR)
		T;N, Routine, spec type = Stool
		Includes targets for: Campylobacter, Salmonella, Shigella, Vibrio, Yersinia enterocolitica, Shiga Toxins 1 and 2, Norovirus and Rotavirus.(NOTE)*
	Toxigenic Clostridioides Difficile by EIA Reflex to PCR
		T;N, Routine, spec type = Stool
	Fat Qualitative Stool
		T;N, Routine, spec type = Stool
	Occult Blood Stool (Single Specimen) - PC
		T;N, Routine, spec type = Stool
	Occult Blood Stool - PC
		T;N, Routine, spec type = Stool
	Immunochemical Fecal Occult Blood-PC/FH
		T;N, Routine, spec type = Stool
	Giardia/Cryptosporidium Antigen Screen
		T;N, Routine, spec type = Stool
	Fecal Lactoferrin
		T;N, Routine, spec type = Stool
Point of Care
	82962 Blood Glucose POC - PC
		T;N, Blood
	Hemoccult POC - PC
		T;N, Stool
	Urine Dipstick POC - PC
		T;N, Urine
Diagnostic Tests

	Abd
		T;N, Routine
	Upper GI & Small Bowel
		T;N, Routine
Ultrasound
	US Abd Complete
		T;N, Routine
	US Abd Limited
		T;N, Routine
Medications

	Ondansetron oral disintegrating tablet, 4 mg (Zofran ODT) (In Office)
		4 mg, Tablet-Disintegrating, By Mouth, Once, NOW
		8 mg, Tablet-Disintegrating, By Mouth, Once, NOW
		mg, Tablet-Disintegrating, By Mouth, Once, NOW
Consults/Follow-up
	Follow-up Appointment
		Follow Up Visit, See Special Instructions
		Follow Up Visit, 1 week
		Follow Up Visit, 2 weeks
		Follow Up Visit, 3 weeks
		Follow Up Visit, 6 weeks
		Follow Up Visit, 1 month
		Follow Up Visit, 3 months
		Follow Up Visit, 6 months
		Follow Up Visit, 1 year
		Follow Up Visit, PRN
	Communication to CLINIC Nurse
		Admit to hospital
		Send to ER
	Consult Gastroenterologist
		
Charges/Supplies
Est. Pt Visit
	99211 EVM - OP visit estab patient, minimal care < 10 min
		T;N
	99212 EVM - OP VISIT ESTAB PATIENT, STRAIGHTFORWARD 10 MIN
		T;N
	99213 EVM - OP VISIT ESTAB PATIENT, LOW LEVEL 20 MIN
		T;N
	99214 EVM - OP VISIT ESTAB PATIENT, MODERATE 30 MIN
		T;N
	99215 EVM - OP VISIT ESTAB PATIENT, HIGH LEVEL 40 MIN
		T;N
New Pt Visit
	zz99201 EVM-New Pt Visit Problem focused 10m
		T;N
	99202 EVM - OP VISIT NEW PATIENT, STRAIGHTFORWARD 15 MIN
		T;N
	99203 EVM - OP VISIT NEW PATIENT, LOW LEVEL 30 MIN
		T;N
	99204 EVM - OP VISIT NEW PATIENT, MODERATE LEVEL 45 MIN
		T;N
	99205 EVM - OP VISIT NEW PATIENT, HIGH LEVEL 60 MIN
		T;N
No Charge / Follow Up
	99211n EVM - No Charge Professional Service
		T;N
	99213C EVM - MPC CLINIC AUDIT BY CODER
		T;N
	99024 EVM - Post Op Visit
		T;N

*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