Unique Plan Description: LCC Lung Mass Clinic
Plan Selection Display: LCC Lung Mass Clinic
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-02-15 19:10:10
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-06-19 10:30:58
Available at all facilities: Yes

LCC Lung Mass Clinic
Laboratory
	CBC with Diff
		T;N, Routine, spec type = Blood
	Comprehensive Metabolic Panel
		T;N, Routine, spec type = Blood
	INR - MH/WH/JE
		T;N, Routine, spec type = Blood
	PTT - MH/WH/JE
		T;N, Routine, spec type = Blood
Diagnostic Tests
	Complete pre and post PFT's
		T;N
	CTA Chest
		T;N, Routine
	Abdomen/Pelvis w/Contrast CT
		T;N, Routine
	CT Bx Guided Only
		T;N, Routine
Diagnostics
	Venous Duplex Unilat Upper or Lower
		T;N
	Venous Duplex Bil Upper or Lower
		T;N
	Echo w Doppler resting
		T;N
	Echo Stress
		T;N
	Chest 2 View
		T;N, Routine
PET/CT
	CT Chest w Contrast
		T;N, Routine
	PET CT Limited Study
		T;N, Routine
	PET CT Whole Body Study
		T;N, Routine
MRI
	MRI Brain w & w/o Contrast
		T;N, Routine
	MRI Brain w Contrast
		T;N, Routine
	MRI Brain w/o Contrast
		T;N, Routine
Consults/Follow-up

	Follow-up Appointment
		Follow Up Visit, 6 months
	Procedure to Schedule
		
	Consult Oncologist
		
	Consult Radiation Oncologist
		
	Consult Cardio-Thoracic Surgery
		
	Consult Interventional Radiologist
		
	Consult Primary Care Provider
		Reason for Referral: Pre-Op H&P
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
	99386 EVM - Prev Med New Patient 40-64 yrs
		T;N
	99387 EVM - Prev Med New Patient > 65 yrs
		T;N
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
	99396 EVM - Prev Med Estab Patient 40-64 yrs
		T;N
	99397 EVM - Prev Med Estab Patient > 65 yrs
		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