Unique Plan Description: GYNONC New Patient Cancer Clinic
Plan Selection Display: GYNONC New Patient Cancer Clinic
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2011-11-21 14:50:49
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-06 09:11:43
Available at all facilities: Yes

GYNONC New Patient Cancer Clinic
Laboratory
	CBC with Diff
		T;N, Routine, spec type = Blood
	Comprehensive Metabolic Panel
		T;N, Routine, spec type = Blood
	CA 125
		T;N, Routine, spec type = Blood
	CA 19-9
		T;N, Routine, spec type = Blood
	CEA
		T;N, Routine, spec type = Blood
	PTT - MH/WH/JE
		T;N, Routine, spec type = Blood
	Partial Thromboplastin Time (PTT) - FH
		T;N, Routine, spec type = Diagnostic Blood
	INR - MH/WH/JE
		T;N, Routine, spec type = Blood
	Prothrombin Time (PT) - FH
		T;N, Routine
	Inhibin A
		T;N, Routine, spec type = Blood
	Inhibin B
		T;N, Routine, spec type = Blood
	Beta-HCG Quantitative - Pregnancy
		T;N, Routine, spec type = Blood
Diagnostic Tests
Diagnostics
	ECG
		T;N, Routine
	Chest 2 View
		T;N, Routine
CT
	CT Abd Pelvis w Contrast
		T;N, Routine
	CT Chest w Contrast
		T;N, Routine
PET/CT
	PET CT Skull Base Thigh Study
		T;N, Routine
Ultrasound
	US Pelvis Complete Non OB
		T;N, Routine
	US Transvaginal
		T;N, Routine
Medications

	megestrol 40 mg oral tablet
		2 TAB, By Mouth, BID, # 60 TAB
Consults/Follow-up
	Consult PCP
		
	Consult Hematologist/Oncologist
		
	Consult Radiation Oncologist
		
	Consult General Surgery
		
	Consult Pulmonologist
		
	Consult Cardiologist
		
Charges/Supplies
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
	99213C EVM - MPC CLINIC AUDIT BY CODER
		T;N
	99211n EVM - No Charge Professional Service
		T;N
Procedures in Office
		Vaginal/Vulva(NOTE)*
	57100 Biopsy vaginal mucosa simple
		
	56605 Biopsy vulva or perineum, 1 lesion
		
	56606 Biopsy vulva or perineum, ea addl
		
		Cervix(NOTE)*
	57500 Cervical Biopsy/Polypectomy
		
		Uterus(NOTE)*
	58100 Endometrial bx wo cervical dilation

*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