{"aaData": [["1995 VISIT TYPE CODES (V2.1)", "
TOOL KIT
\n", "
0
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
1
\n", "", "", "", ""], ["FUTURE APPTS - ALL (V2.1)", "
TOOL KIT
\n", "
141
\n", "
0
\n", "
50
\n", "
7
\n", "
SOLID LINE
\n", "
FUTURE APPOINTMENTS
\n", "
CR
\n", "
All future appointments
\n", "
10
\n", "", "", "", ""], ["SC CONDITIONS (V2.1 MST)", "
TOOL KIT
\n", "
0
\n", "
0
\n", "
91
\n", "
12
\n", "
SOLID LINE
\n", "
SERVICE CONNECTED CONDITIONS
\n", "
RC
\n", "
SC conditions,indicators,classifications (includes MST),no classif applicable
\n", "
44
\n", "", "", "", ""], ["HEADER", "
NATIONAL CLC FY15-Q1
\n", "
1
\n", "
51
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["VISIT TYPE CODES", "
NATIONAL CLC FY15-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CLC FY15-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CLC FY15-Q1
\n", "
19
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL CLC FY15-Q1
\n", "
26
\n", "
0
\n", "
133
\n", "
284
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CLIN PHARM FY15-Q1
\n", "
1
\n", "
57
\n", "
28
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL CLIN PHARM FY15-Q1
\n", "
25
\n", "
0
\n", "
132
\n", "
25
\n", "
SOLID LINE
\n", "
USE AS SECONDARY DIAGNOSIS ONLY
\n", "
UBRC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATIONAL CLIN PHARM FY15-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
PRIMARY DIAGNOSIS FOR COUMADIN CLINIC
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CLIN PHARM FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CLIN PHARM FY15-Q1
\n", "
7
\n", "
0
\n", "
133
\n", "
7
\n", "
SOLID LINE
\n", "
MANAGEMENT OF MEDICATION THERAPY
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["SC/MST CLASSIFICATION", "
TOOL KIT
\n", "
0
\n", "
0
\n", "
70
\n", "
7
\n", "
SOLID LINE
\n", "
SC AND MST CLASSIFICATION QUESTIONS
\n", "
CR
\n", "
SC/MST classifications for visit - scannable
\n", "
45
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CRITICAL CARE FY15-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL CRITICAL CARE FY15-Q1
\n", "
66
\n", "
0
\n", "
133
\n", "
544
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CRITICAL CARE FY15-Q1
\n", "
1
\n", "
56
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CRITICAL CARE FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CRITICAL CARE FY15-Q1
\n", "
21
\n", "
0
\n", "
133
\n", "
44
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DERMATOLOGY FY15-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DERMATOLOGY FY15-Q1
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DERMATOLOGY FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL DERMATOLOGY FY15-Q1
\n", "
271
\n", "
0
\n", "
132
\n", "
274
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DERMATOLOGY FY15-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
253
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["BASIC DEMOGRAPHICS (V3.0)", "
TOOL KIT
\n", "
0
\n", "
0
\n", "
47
\n", "
12
\n", "
SOLID LINE
\n", "", "
BUC
\n", "
Data fields - contains patient name,dob,sex,pid,SC conditions (includes MST)
\n", "
46
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIABETES FY15-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIABETES FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL DIABETES FY15-Q1
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIABETES FY15-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
29
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATIONAL DIABETES FY15-Q1
\n", "
46
\n", "
0
\n", "
133
\n", "
87
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HT CLINICIAN FY15-Q1
\n", "
1
\n", "
49
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT CLINICIAN FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL HT CLINICIAN FY15-Q1
\n", "
48
\n", "
0
\n", "
132
\n", "
212
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HT CLINICIAN FY15-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL HT CLINICIAN FY15-Q1
\n", "
38
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION (V3.0)", "
TOOL KIT
\n", "
0
\n", "
0
\n", "
52
\n", "
18
\n", "
SOLID LINE
\n", "", "
BUC
\n", "
Name,sex,DOB,PID,eligibilty,address,telephone
\n", "
47
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT CLINICIAN FY15-Q1
\n", "
18
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HT NURSE FY15-Q1
\n", "
1
\n", "
49
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT NURSE FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HT NURSE FY15-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT NURSE FY15-Q1
\n", "
14
\n", "
0
\n", "
132
\n", "
16
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL HT NURSE FY15-Q1
\n", "
31
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL HT NURSE FY15-Q1
\n", "
41
\n", "
0
\n", "
132
\n", "
212
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INFECTIOUS DX FY15-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL INFECTIOUS DX FY15-Q1
\n", "
1
\n", "
56
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INFECTIOUS DX FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["GAF HAND PRINT V3.0", "
TOOL KIT
\n", "
0
\n", "
0
\n", "
44
\n", "
18
\n", "
SOLID LINE
\n", "
GAF SCORE
\n", "
CR
\n", "
Previous GAF Score and Hand Print
\n", "
48
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL INFECTIOUS DX FY15-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
13
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL INFECTIOUS DX FY15-Q1
\n", "
31
\n", "
0
\n", "
133
\n", "
129
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INPATIENT FY15-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL INPATIENT FY15-Q1
\n", "
36
\n", "
0
\n", "
133
\n", "
214
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL INPATIENT FY15-Q1
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INPATIENT FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL INPATIENT FY15-Q1
\n", "
26
\n", "
0
\n", "
133
\n", "
9
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MED FOSTER HOME FY15-Q1
\n", "
1
\n", "
56
\n", "
28
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MED FOSTER HOME FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL MED FOSTER HOME FY15-Q1
\n", "
6
\n", "
0
\n", "
133
\n", "
39
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["GAF DISPLAY V3.0", "
TOOL KIT
\n", "
0
\n", "
0
\n", "
44
\n", "
9
\n", "
SOLID LINE
\n", "
GAF SCORE
\n", "
CR
\n", "
Previous GAF Score Display Only
\n", "
49
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATL MED FOSTER HOME FY15-Q1
\n", "
45
\n", "
0
\n", "
133
\n", "
729
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL MEDICINE FY15-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MEDICINE FY15-Q1
\n", "
1
\n", "
56
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MEDICINE FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MEDICINE FY15-Q1
\n", "
16
\n", "
0
\n", "
133
\n", "
74
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL MEDICINE FY15-Q1
\n", "
90
\n", "
0
\n", "
133
\n", "
729
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL MH MHICM FY15-Q1
\n", "
28
\n", "
0
\n", "
132
\n", "
72
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MH MHICM FY15-Q1
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH MHICM FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL MH MHICM FY15-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
21
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["GAF SCORE MULT CHOICE V3.0", "
TOOL KIT
\n", "
0
\n", "
0
\n", "
44
\n", "
27
\n", "
SOLID LINE
\n", "
GAF SCORE
\n", "
CR
\n", "
Previous and New GAF Score
\n", "
50
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL MH MHICM FY15-Q1
\n", "
101
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL MH NURSE FY15-Q1
\n", "
14
\n", "
0
\n", "
132
\n", "
33
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MH NURSE FY15-Q1
\n", "
1
\n", "
49
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH NURSE FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATIONAL MH NURSE FY15-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL MH NURSE FY15-Q1
\n", "
48
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL MH PHARM FY15-Q1
\n", "
1
\n", "
57
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH PHARM FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATIONAL MH PHARM FY15-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
ALWAYS USE AS PRIMARY DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MH PHARM FY15-Q1
\n", "
7
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
MANAGEMENT OF MEDICATION THERAPY
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY DIAGNOSIS CODES", "
NATIONAL CARD CATH/INTERV RAD
\n", "
0
\n", "
0
\n", "
132
\n", "
108
\n", "
INVISIBLE
\n", "", "
CR
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL MH PHARM FY15-Q1
\n", "
25
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL MH PSYCHIATRIST FY15-Q1
\n", "
41
\n", "
0
\n", "
132
\n", "
47
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MH PSYCHIATRIST FY15-Q1
\n", "
1
\n", "
55
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MH PSYCHIATRIST FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATL MH PSYCHIATRIST FY15-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL MH PSYCHIATRIST FY15-Q1
\n", "
89
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL MH PSYCHOLOGIST FY15-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MH PSYCHOLOGIST FY15-Q1
\n", "
1
\n", "
49
\n", "
37
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MH PSYCHOLOGIST FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL MH PSYCHOLOGIST FY15-Q1
\n", "
51
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATIONAL CARD CATH/INTERV RAD
\n", "
18
\n", "
0
\n", "
132
\n", "
120
\n", "
INVISIBLE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
EPS PROCEDURES
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEPHROLOGY FY15-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEPHROLOGY FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL NEPHROLOGY FY15-Q1
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATIONAL NEPHROLOGY FY15-Q1
\n", "
61
\n", "
0
\n", "
133
\n", "
154
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL NEPHROLOGY FY15-Q1
\n", "
36
\n", "
0
\n", "
133
\n", "
24
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SWS ED FY15-Q1
\n", "
1
\n", "
49
\n", "
51
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SWS ED FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL SWS ED FY15-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
23
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL SWS ED FY15-Q1
\n", "
31
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL SWS MH FY15-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
24
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATIONAL CARDIOLOGY
\n", "
10
\n", "
0
\n", "
132
\n", "
27
\n", "
INVISIBLE
\n", "", "
CR
\n", "
CARDIOLOGY PROCEDURES
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SWS MH FY15-Q1
\n", "
1
\n", "
55
\n", "
44
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SWS MH FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL SWS MH FY15-Q1
\n", "
31
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TELEDERM FY15-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TELEDERM FY15-Q1
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEDERM FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELEDERM FY15-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL TELEDERM FY15-Q1
\n", "
25
\n", "
0
\n", "
132
\n", "
274
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["HEADER", "
NATL TELEHLTH-PT SITE FY15-Q1
\n", "
1
\n", "
49
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL TELEHLTH-PT SITE FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["FUTURE APPTS - SAME DAY (V2.1)", "
TOOL KIT
\n", "
152
\n", "
0
\n", "
50
\n", "
7
\n", "
SOLID LINE
\n", "
TODAY'S LATTER APPOINTMENTS
\n", "
CR
\n", "
Latter appointments same day
\n", "
11
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CARDIOLOGY
\n", "
0
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL TELEHLTH-PT SITE FY15-Q1
\n", "
14
\n", "
0
\n", "
132
\n", "
146
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL TELEHLTH-PT SITE FY15-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TELEPHONE FY15-Q1
\n", "
1
\n", "
59
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES", "
NATIONAL TELEPHONE FY15-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
FILL IN BUBBLE FOR TELEPHONE CALL PERFORMED
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEPHONE FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL TELEPHONE FY15-Q1
\n", "
15
\n", "
0
\n", "
132
\n", "
25
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELERETINAL FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL TELERETINAL FY15-Q1
\n", "
1
\n", "
49
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELERETINAL FY15-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL TELERETINAL FY15-Q1
\n", "
16
\n", "
0
\n", "
133
\n", "
424
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["CARDIOLOGY DIAGNOSIS CODES", "
NATIONAL CARDIOLOGY
\n", "
38
\n", "
0
\n", "
132
\n", "
109
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT
\n", "
CR
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL UROLOGY FY15-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
54
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL UROLOGY FY15-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL UROLOGY FY15-Q1
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL UROLOGY FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL UROLOGY FY15-Q1
\n", "
71
\n", "
0
\n", "
132
\n", "
119
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["WOMEN'S CLINIC PROCEDURES", "
NATIONAL WOMENS HEALTH FY15-Q1
\n", "
20
\n", "
0
\n", "
132
\n", "
55
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
WOMEN'S CLINIC PROCEDURES
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL WOMENS HEALTH FY15-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL WOMENS HEALTH FY15-Q1
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATIONAL WOMENS HEALTH FY15-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
114
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL WOMENS HEALTH FY15-Q1
\n", "
2
\n", "
52
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL DERMATOLOGY
\n", "
159
\n", "
0
\n", "
132
\n", "
80
\n", "
INVISIBLE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL ADDICTION FY15-Q2
\n", "
51
\n", "
0
\n", "
132
\n", "
29
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ADDICTION FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ADDICTION FY15-Q2
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL ADDICTION FY15-Q2
\n", "
81
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL ADDICTION FY15-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ALLERGY FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL ALLERGY FY15-Q2
\n", "
46
\n", "
0
\n", "
133
\n", "
54
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ALLERGY FY15-Q2
\n", "
1
\n", "
56
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ALLERGY FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ALLERGY FY15-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
28
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DERMATOLOGY
\n", "
0
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ANESTHESIA FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ANESTHESIA FY15-Q2
\n", "
13
\n", "
0
\n", "
132
\n", "
77
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ANESTHESIA FY15-Q2
\n", "
1
\n", "
54
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ANESTHESIA FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSES CODES", "
NATIONAL ANESTHESIA FY15-Q2
\n", "
91
\n", "
0
\n", "
132
\n", "
44
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL AUDIO FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
3
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["AUDIOLOGY DIAGNOSIS CODES", "
NATIONAL AUDIO FY15-Q2
\n", "
91
\n", "
0
\n", "
132
\n", "
94
\n", "
SOLID LINE
\n", "
AUDIOLOGY DIAGNOSIS TREATED THIS VISIT
\n", "
C
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL AUDIO FY15-Q2
\n", "
1
\n", "
54
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL AUDIO FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["AUDIOLOGY CPT CODES", "
NATIONAL AUDIO FY15-Q2
\n", "
9
\n", "
0
\n", "
132
\n", "
81
\n", "
SOLID LINE
\n", "
AUDIOLOGY PROCEDURES PERFORMED THIS VISIT
\n", "
C
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DERMATOLOGY
\n", "
9
\n", "
0
\n", "
132
\n", "
110
\n", "
INVISIBLE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATIONAL BLIND REHAB FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
4
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["SECONDARY DIAGNOSES CODES", "
NATIONAL BLIND REHAB FY15-Q2
\n", "
45
\n", "
0
\n", "
132
\n", "
40
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT
\n", "
BC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL BLIND REHAB FY15-Q2
\n", "
1
\n", "
56
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL BLIND REHAB FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DIAGNOSIS CODES", "
NATIONAL BLIND REHAB FY15-Q2
\n", "
37
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
PRIMARY DIAGNOSIS
\n", "
UC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL BLIND REHAB FY15-Q2
\n", "
11
\n", "
0
\n", "
132
\n", "
25
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATL CARDIOLOGY/CATH FY15-Q2
\n", "
17
\n", "
0
\n", "
132
\n", "
233
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
EPS PROCEDURES
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CARDIOLOGY/CATH FY15-Q2
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CARDIOLOGY/CATH FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CARDIOLOGY DIAGNOSIS CODES", "
NATL CARDIOLOGY/CATH FY15-Q2
\n", "
251
\n", "
0
\n", "
132
\n", "
169
\n", "
SOLID LINE
\n", "
CARDIOLOGY DIAGNOSES
\n", "
CR
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CPT-TYPE OF VISIT (V2.1)", "
NATIONAL ONCOLOGY
\n", "
0
\n", "
0
\n", "
133
\n", "
16
\n", "
SOLID LINE
\n", "
E & M VISIT TYPE (Select only ONE for this visit)
\n", "
CRUB
\n", "
Type of Visit
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CARDIOLOGY/CATH FY15-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL CLC FY15-Q2
\n", "
1
\n", "
51
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["VISIT TYPE CODES", "
NATIONAL CLC FY15-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CLC FY15-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CLC FY15-Q2
\n", "
21
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL CLC FY15-Q2
\n", "
28
\n", "
0
\n", "
133
\n", "
294
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CRITICAL CARE FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL CRITICAL CARE FY15-Q2
\n", "
66
\n", "
0
\n", "
133
\n", "
544
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CRITICAL CARE FY15-Q2
\n", "
1
\n", "
56
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CRITICAL CARE FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSISLW (V2.1)", "
NATIONAL ONCOLOGY
\n", "
95
\n", "
0
\n", "
133
\n", "
58
\n", "
INVISIBLE
\n", "", "
CRUB
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CRITICAL CARE FY15-Q2
\n", "
21
\n", "
0
\n", "
133
\n", "
44
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DAY SURGERY FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DAY SURGERY FY15-Q2
\n", "
1
\n", "
55
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DAY SURGERY FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL DAY SURGERY FY15-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
104
\n", "
SOLID LINE
\n", "", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS", "
NATIONAL DAY SURGERY FY15-Q2
\n", "
121
\n", "
0
\n", "
132
\n", "
224
\n", "
SOLID LINE
\n", "", "
RC
\n", "
ICD-9
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DEMENTIA FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DEMENTIA FY15-Q2
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DEMENTIA FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS DEMENTIA", "
NATIONAL DEMENTIA FY15-Q2
\n", "
26
\n", "
0
\n", "
133
\n", "
28
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATIONAL ONCOLOGY
\n", "
17
\n", "
0
\n", "
133
\n", "
25
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL DEMENTIA FY15-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DERMATOLOGY FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DERMATOLOGY FY15-Q2
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DERMATOLOGY FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL DERMATOLOGY FY15-Q2
\n", "
271
\n", "
0
\n", "
132
\n", "
274
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DERMATOLOGY FY15-Q2
\n", "
17
\n", "
0
\n", "
132
\n", "
253
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIABETES FY15-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIABETES FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL DIABETES FY15-Q2
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIABETES FY15-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
29
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ORTHOPEDICS
\n", "
333
\n", "
0
\n", "
133
\n", "
71
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATIONAL DIABETES FY15-Q2
\n", "
46
\n", "
0
\n", "
133
\n", "
87
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIALYSIS FY15-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIALYSIS FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL DIALYSIS FY15-Q2
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATIONAL DIALYSIS FY15-Q2
\n", "
101
\n", "
0
\n", "
133
\n", "
154
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIALYSIS FY15-Q2
\n", "
21
\n", "
0
\n", "
132
\n", "
79
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ED FY15-Q2
\n", "
13
\n", "
0
\n", "
133
\n", "
147
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ED FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ED FY15-Q2
\n", "
1
\n", "
56
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ED FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ORTHOPEDICS
\n", "
0
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL ED FY15-Q2
\n", "
161
\n", "
0
\n", "
133
\n", "
729
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL EMP HEALTH FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL EMP HEALTH FY15-Q2
\n", "
46
\n", "
0
\n", "
133
\n", "
79
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EMP HEALTH FY15-Q2
\n", "
1
\n", "
56
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EMP HEALTH FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EMP HEALTH FY15-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
28
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ENDOCRINOLOGY FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ENDOCRINOLOGY FY15-Q2
\n", "
15
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSES CODES", "
NATIONAL ENDOCRINOLOGY FY15-Q2
\n", "
26
\n", "
0
\n", "
132
\n", "
129
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ENDOCRINOLOGY FY15-Q2
\n", "
1
\n", "
54
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["FUTURE APPTS IN CLINIC (V2.1)", "
TOOL KIT
\n", "
161
\n", "
0
\n", "
50
\n", "
7
\n", "
SOLID LINE
\n", "
CLINIC'S FUTURE APPOINTMENTS
\n", "
CR
\n", "
Clinic's future appointments
\n", "
12
\n", "", "", "", ""], ["DIAGNOSIS (V2.1) PAGE 4", "
NATIONAL ORTHOPEDICS
\n", "
253
\n", "
0
\n", "
132
\n", "
60
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ENDOCRINOLOGY FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL ENT FY15-Q2
\n", "
17
\n", "
0
\n", "
132
\n", "
26
\n", "
SOLID LINE
\n", "
FILL IN BUBBLES FOR ALL PROCEDURES PERFORMED THIS VISIT
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL ENT FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ENT FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ENT FY15-Q2
\n", "
1
\n", "
48
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL ENT FY15-Q2
\n", "
44
\n", "
0
\n", "
132
\n", "
163
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EYE TECH FY15-Q2
\n", "
1
\n", "
54
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EYE TECH FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EYE TECH FY15-Q2
\n", "
7
\n", "
0
\n", "
133
\n", "
26
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL EYE TECH FY15-Q2
\n", "
34
\n", "
0
\n", "
133
\n", "
434
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL ORTHOPEDICS
\n", "
19
\n", "
0
\n", "
133
\n", "
71
\n", "
INVISIBLE
\n", "", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL EYE FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EYE FY15-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
84
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EYE FY15-Q2
\n", "
1
\n", "
60
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EYE FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL EYE FY15-Q2
\n", "
101
\n", "
0
\n", "
133
\n", "
434
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL GEN SURG FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL GEN SURG FY15-Q2
\n", "
15
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL GEN SURG FY15-Q2
\n", "
1
\n", "
54
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL GEN SURG FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS", "
NATIONAL GEN SURG FY15-Q2
\n", "
46
\n", "
0
\n", "
132
\n", "
224
\n", "
SOLID LINE
\n", "", "
RC
\n", "
ICD-9
\n", "", "", "", "", ""], ["DIAGNOSES (V2.1) PAGE 2", "
NATIONAL ORTHOPEDICS
\n", "
93
\n", "
0
\n", "
133
\n", "
67
\n", "
INVISIBLE
\n", "", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL GERIATRICS FY15-Q2
\n", "
1
\n", "
51
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["E&M CODES OUTPNT BRAD'S", "
NATIONAL GERIATRICS FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL GERIATRICS FY15-Q2
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL GERIATRICS FY15-Q2
\n", "
18
\n", "
0
\n", "
132
\n", "
12
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL GERIATRICS FY15-Q2
\n", "
31
\n", "
0
\n", "
133
\n", "
294
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL GI/HEPATOLOGY FY15-Q2
\n", "
15
\n", "
0
\n", "
132
\n", "
95
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL GI/HEPATOLOGY FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL GI/HEPATOLOGY FY15-Q2
\n", "
1
\n", "
54
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL GI/HEPATOLOGY FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL GI/HEPATOLOGY FY15-Q2
\n", "
111
\n", "
0
\n", "
132
\n", "
109
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSES (V2.1) PAGE 3", "
NATIONAL ORTHOPEDICS
\n", "
173
\n", "
0
\n", "
132
\n", "
59
\n", "
INVISIBLE
\n", "", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC CLIN FY15-Q2
\n", "
1
\n", "
58
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC CLIN FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HBPC CLIN FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
TYPE OF HOME VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC CLIN FY15-Q2
\n", "
15
\n", "
0
\n", "
133
\n", "
39
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATL HBPC CLIN FY15-Q2
\n", "
55
\n", "
0
\n", "
133
\n", "
729
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL HBPC NURSING FY15-Q2
\n", "
1
\n", "
46
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HOME VISIT CODES", "
NATL HBPC NURSING FY15-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF HOME VISIT - PER 15 MINUTES
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC NURSING FY15-Q2
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURE CODES", "
NATL HBPC NURSING FY15-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
29
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURE CODES PERFORMED AT THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATL HBPC NURSING FY15-Q2
\n", "
46
\n", "
0
\n", "
132
\n", "
134
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["POST OP & F/U DX", "
NATIONAL ORTHOPEDICS
\n", "
10
\n", "
0
\n", "
133
\n", "
15
\n", "
INVISIBLE
\n", "", "
CR
\n", "
Common V-Code Secondary Only ICD-9 codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSES", "
NATIONAL HEMATOLOGY FY15-Q2
\n", "
81
\n", "
0
\n", "
133
\n", "
109
\n", "
SOLID LINE
\n", "", "
CRUB
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATIONAL HEMATOLOGY FY15-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
63
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL HEMATOLOGY FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL HEMATOLOGY FY15-Q2
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL HEMATOLOGY FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATL HOSP/PALL INPT FY15-Q2
\n", "
21
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HOSP/PALL INPT FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HOSP/PALL INPT FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HOSP/PALL INPT FY15-Q2
\n", "
1
\n", "
48
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL HOSP/PALL INPT FY15-Q2
\n", "
29
\n", "
0
\n", "
132
\n", "
75
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT
\n", "
UC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PM&R
\n", "
81
\n", "
0
\n", "
133
\n", "
15
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATL HOSP/PALL OTPT FY15-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HOSP/PALL OTPT FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HOSP/PALL OTPT FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HOSP/PALL OTPT FY15-Q2
\n", "
1
\n", "
48
\n", "
43
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL HOSP/PALL OTPT FY15-Q2
\n", "
31
\n", "
0
\n", "
132
\n", "
75
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT
\n", "
UC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["HEADER", "
NATL HT CLINICIAN FY15-Q2
\n", "
1
\n", "
49
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT CLINICIAN FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL HT CLINICIAN FY15-Q2
\n", "
48
\n", "
0
\n", "
132
\n", "
212
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HT CLINICIAN FY15-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL HT CLINICIAN FY15-Q2
\n", "
38
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL PM&R
\n", "
161
\n", "
0
\n", "
132
\n", "
79
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT CLINICIAN FY15-Q2
\n", "
18
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HT NURSE FY15-Q2
\n", "
1
\n", "
49
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT NURSE FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HT NURSE FY15-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT NURSE FY15-Q2
\n", "
14
\n", "
0
\n", "
132
\n", "
16
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL HT NURSE FY15-Q2
\n", "
31
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL HT NURSE FY15-Q2
\n", "
41
\n", "
0
\n", "
132
\n", "
212
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["HEADER", "
NATL HT SWS FY15-Q2
\n", "
1
\n", "
49
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT SWS FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT SWS FY15-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
16
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PM&R
\n", "
0
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL HT SWS FY15-Q2
\n", "
24
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATL HT SWS FY15-Q2
\n", "
34
\n", "
0
\n", "
133
\n", "
179
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INFECTIOUS DX FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL INFECTIOUS DX FY15-Q2
\n", "
1
\n", "
56
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INFECTIOUS DX FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL INFECTIOUS DX FY15-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
13
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL INFECTIOUS DX FY15-Q2
\n", "
31
\n", "
0
\n", "
133
\n", "
134
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL IR FY15-Q2
\n", "
1
\n", "
49
\n", "
33
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL IR FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSES - 1", "
NATIONAL IR FY15-Q2
\n", "
65
\n", "
0
\n", "
132
\n", "
192
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SURG MINOR PROCEDS
\n", "
0
\n", "
0
\n", "
132
\n", "
9
\n", "
INVISIBLE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL IR FY15-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
48
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL IR FY15-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL MEDICINE FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MEDICINE FY15-Q2
\n", "
1
\n", "
56
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MEDICINE FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MEDICINE FY15-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
84
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL MEDICINE FY15-Q2
\n", "
101
\n", "
0
\n", "
133
\n", "
729
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL MH MHICM FY15-Q2
\n", "
28
\n", "
0
\n", "
132
\n", "
87
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MH MHICM FY15-Q2
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH MHICM FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL SURG MINOR PROCEDS
\n", "
15
\n", "
0
\n", "
132
\n", "
100
\n", "
INVISIBLE
\n", "", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL MH MHICM FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
21
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL MH MHICM FY15-Q2
\n", "
116
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL MH PSYCHIATRIST FY15-Q2
\n", "
41
\n", "
0
\n", "
132
\n", "
47
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MH PSYCHIATRIST FY15-Q2
\n", "
1
\n", "
55
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MH PSYCHIATRIST FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATL MH PSYCHIATRIST FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL MH PSYCHIATRIST FY15-Q2
\n", "
89
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL MH PSYCHOLOGIST FY15-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MH PSYCHOLOGIST FY15-Q2
\n", "
1
\n", "
49
\n", "
37
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MH PSYCHOLOGIST FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HIDDEN CLASSICATIONS (V2.1)", "
TOOL KIT
\n", "
172
\n", "
0
\n", "
46
\n", "
2
\n", "
INVISIBLE
\n", "", "
UC
\n", "
Classifications for visit - not scannable
\n", "
13
\n", "", "", "", ""], ["DIAGNOSIS", "
NATIONAL SURG MINOR PROCEDS
\n", "
161
\n", "
0
\n", "
132
\n", "
69
\n", "
INVISIBLE
\n", "", "
RC
\n", "
ICD-9
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL MH PSYCHOLOGIST FY15-Q2
\n", "
51
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL MOVE! FY15-Q2
\n", "
1
\n", "
59
\n", "
14
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES", "
NATIONAL MOVE! FY15-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
18
\n", "
SOLID LINE
\n", "
FILL IN BUBBLE FOR PROCEDURES PERFORMED
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL MOVE! FY15-Q2
\n", "
35
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MOVE! FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL MOVE! FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEPHROLOGY FY15-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEPHROLOGY FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL NEPHROLOGY FY15-Q2
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL NEPHROLOGY FY15-Q2
\n", "
36
\n", "
0
\n", "
133
\n", "
24
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSES2", "
NATIONAL SURG MINOR PROCEDS
\n", "
116
\n", "
0
\n", "
132
\n", "
71
\n", "
INVISIBLE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATIONAL NEPHROLOGY FY15-Q2
\n", "
61
\n", "
0
\n", "
133
\n", "
154
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEUROLOGY FY15-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "", "
CRU
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL NEUROLOGY FY15-Q2
\n", "
81
\n", "
0
\n", "
132
\n", "
99
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSES FROM THIS VISIT
\n", "
BC
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL NEUROLOGY FY15-Q2
\n", "
2
\n", "
55
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEUROLOGY FY15-Q2
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL NEUROLOGY FY15-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
64
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL NURSING CLINIC FY15-Q2
\n", "
1
\n", "
46
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL NURSING CLINIC FY15-Q2
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL NURSING CLINIC FY15-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL NURSING CLINIC FY15-Q2
\n", "
14
\n", "
0
\n", "
133
\n", "
91
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SURGERY CLINIC
\n", "
0
\n", "
0
\n", "
132
\n", "
7
\n", "
INVISIBLE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATL NURSING CLINIC FY15-Q2
\n", "
106
\n", "
0
\n", "
132
\n", "
134
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATL ONC/CHEMO INF FY15-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
129
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL ONC/CHEMO INF FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL ONC/CHEMO INF FY15-Q2
\n", "
1
\n", "
44
\n", "
39
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL ONC/CHEMO INF FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSES", "
NATL ONC/CHEMO INF FY15-Q2
\n", "
146
\n", "
0
\n", "
133
\n", "
209
\n", "
SOLID LINE
\n", "", "
CRUB
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PAIN FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL PAIN FY15-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
44
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PAIN FY15-Q2
\n", "
1
\n", "
49
\n", "
13
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PAIN FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL SURGERY CLINIC
\n", "
241
\n", "
0
\n", "
132
\n", "
18
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSES CODES", "
NATIONAL PAIN FY15-Q2
\n", "
61
\n", "
0
\n", "
132
\n", "
70
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST INPT FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST INPT FY15-Q2
\n", "
21
\n", "
0
\n", "
133
\n", "
39
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATL PHYSIATRIST INPT FY15-Q2
\n", "
81
\n", "
0
\n", "
132
\n", "
163
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST INPT FY15-Q2
\n", "
1
\n", "
58
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST INPT FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DX-TBI", "
NATL PHYSIATRIST INPT FY15-Q2
\n", "
61
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
PRIMARY DX IF TBI
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST OTPT FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST OTPT FY15-Q2
\n", "
1
\n", "
58
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST OTPT FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSES2", "
NATIONAL SURGERY CLINIC
\n", "
9
\n", "
0
\n", "
132
\n", "
71
\n", "
INVISIBLE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATL PHYSIATRIST OTPT FY15-Q2
\n", "
81
\n", "
0
\n", "
132
\n", "
163
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["PRIMARY DX-TBI", "
NATL PHYSIATRIST OTPT FY15-Q2
\n", "
61
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
PRIMARY DX IF TBI
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST OTPT FY15-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
44
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PLASTIC SURG FY15-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PLASTIC SURG FY15-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PLASTIC SURG FY15-Q2
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSES (V2.1)", "
NATIONAL PLASTIC SURG FY15-Q2
\n", "
272
\n", "
0
\n", "
132
\n", "
80
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL PLASTIC SURG FY15-Q2
\n", "
18
\n", "
0
\n", "
132
\n", "
253
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PODIATRY FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL PODIATRY FY15-Q2
\n", "
201
\n", "
0
\n", "
133
\n", "
154
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS", "
NATIONAL SURGERY CLINIC
\n", "
81
\n", "
0
\n", "
132
\n", "
69
\n", "
INVISIBLE
\n", "", "
RC
\n", "
ICD-9
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL PODIATRY FY15-Q2
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PODIATRY FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PODIATRY FY15-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
183
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL POD NAIL NURS FY15-Q2
\n", "
14
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL POD NAIL NURS FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL POD NAIL NURS FY15-Q2
\n", "
1
\n", "
58
\n", "
37
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL POD NAIL NURS FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL POD NAIL NURS FY15-Q2
\n", "
23
\n", "
0
\n", "
133
\n", "
154
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL POLYTRAUMA FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL POLYTRAUMA FY15-Q2
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL PROSTHETIC
\n", "
0
\n", "
0
\n", "
132
\n", "
80
\n", "
INVISIBLE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL POLYTRAUMA FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL POLYTRAUMA FY15-Q2
\n", "
66
\n", "
0
\n", "
133
\n", "
64
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL POLYTRAUMA FY15-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
49
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PREVENTIVE HEALTH FY15-Q2
\n", "
1
\n", "
49
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PREVENTIVE HEALTH FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PREVENTIVE HEALTH FY15-Q2
\n", "
7
\n", "
0
\n", "
133
\n", "
24
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATL PREVENTIVE HEALTH FY15-Q2
\n", "
32
\n", "
0
\n", "
133
\n", "
619
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PRIMARY CARE FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PRIMARY CARE FY15-Q2
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PRIMARY CARE FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL PROSTHETIC
\n", "
89
\n", "
0
\n", "
132
\n", "
9
\n", "
INVISIBLE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PRIMARY CARE FY15-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
74
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL PRIMARY CARE FY15-Q2
\n", "
91
\n", "
0
\n", "
133
\n", "
729
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL PULMONARY FY15-Q2
\n", "
14
\n", "
0
\n", "
132
\n", "
36
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PULMONARY FY15-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL PULMONARY FY15-Q2
\n", "
51
\n", "
0
\n", "
132
\n", "
159
\n", "
SOLID LINE
\n", "", "
BC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PULMONARY FY15-Q2
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PULMONARY FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATL RADIATION ONC FY15-Q2
\n", "
1
\n", "
47
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL RADIATION ONC FY15-Q2
\n", "
54
\n", "
0
\n", "
132
\n", "
137
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
BUC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["EVALUATION/MANAGEMENT - MED", "
NATL RADIATION ONC FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
EVALUATION/MANAGEMENT
\n", "
UBC
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PROSTHETIC
\n", "
0
\n", "
0
\n", "
132
\n", "
6
\n", "
INVISIBLE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURE", "
NATL RADIATION ONC FY15-Q2
\n", "
17
\n", "
0
\n", "
132
\n", "
36
\n", "
SOLID LINE
\n", "
RADIATION THERAPY PROCEDURES
\n", "
BUC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL RADIATION ONC FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL REHAB-PT/OT/KT FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REHAB-PT/OT/KT FY15-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
74
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REHAB-PT/OT/KT FY15-Q2
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REHAB-PT/OT/KT FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL REHAB-PT/OT/KT FY15-Q2
\n", "
91
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
PRIMARY DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATL REHAB-PT/OT/KT FY15-Q2
\n", "
101
\n", "
0
\n", "
132
\n", "
74
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL RESP THERAPY FY15-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
PLEASE MARK PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL RESP THERAPY FY15-Q2
\n", "
1
\n", "
43
\n", "
47
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL ADDICTION FY13-Q2
\n", "
31
\n", "
0
\n", "
132
\n", "
153
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL RESP THERAPY FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL RESP THERAPY FY15-Q2
\n", "
38
\n", "
0
\n", "
132
\n", "
159
\n", "
SOLID LINE
\n", "", "
BC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL SCI FY15-Q2
\n", "
1
\n", "
52
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SCI FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL SCI FY15-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
68
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL SCI FY15-Q2
\n", "
86
\n", "
0
\n", "
133
\n", "
114
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SCI FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL SLEEP MED FY15-Q2
\n", "
17
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
PLEASE MARK PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL SLEEP MED FY15-Q2
\n", "
48
\n", "
0
\n", "
132
\n", "
57
\n", "
SOLID LINE
\n", "
PLEASE MARK DIAGNOSIS TREATED THIS VISIT
\n", "
CR
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SLEEP MED FY15-Q2
\n", "
1
\n", "
49
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["NEW PROBLEMS (V2.1)", "
TOOL KIT
\n", "
183
\n", "
0
\n", "
80
\n", "
12
\n", "
SOLID LINE
\n", "
OTHER PROBLEMS
\n", "
CR
\n", "
Used to add problems to Problem List
\n", "
14
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL ADDICTION FY13-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
24
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SLEEP MED FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SLEEP MED FY15-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SWS ED FY15-Q2
\n", "
1
\n", "
49
\n", "
51
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SWS ED FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL SWS ED FY15-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
23
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL SWS ED FY15-Q2
\n", "
31
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL SOCIAL WORK FY15-Q2
\n", "
36
\n", "
0
\n", "
133
\n", "
179
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SOCIAL WORK FY15-Q2
\n", "
1
\n", "
56
\n", "
44
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SOCIAL WORK FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL SOCIAL WORK FY15-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
28
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ADDICTION FY13-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL SWS MH FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SWS MH FY15-Q2
\n", "
1
\n", "
55
\n", "
44
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SWS MH FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL SWS MH FY15-Q2
\n", "
41
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["HEADER", "
NATL TELEHLTH-PT SITE FY15-Q2
\n", "
1
\n", "
49
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL TELEHLTH-PT SITE FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL TELEHLTH-PT SITE FY15-Q2
\n", "
14
\n", "
0
\n", "
132
\n", "
146
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL TELEHLTH-PT SITE FY15-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELERETINAL FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL TELERETINAL FY15-Q2
\n", "
1
\n", "
49
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATIONAL ADDICTION FY13-Q2
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELERETINAL FY15-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL TELERETINAL FY15-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
434
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL UROLOGY FY15-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL UROLOGY FY15-Q2
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL UROLOGY FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL UROLOGY FY15-Q2
\n", "
91
\n", "
0
\n", "
132
\n", "
119
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL UROLOGY FY15-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
74
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL VASCULAR SURG FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL VASCULAR SURG FY15-Q2
\n", "
1
\n", "
54
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL VASCULAR SURG FY15-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL ADHC FY13-Q2
\n", "
25
\n", "
0
\n", "
132
\n", "
46
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT
\n", "
UC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSES - 1", "
NATIONAL VASCULAR SURG FY15-Q2
\n", "
46
\n", "
0
\n", "
132
\n", "
109
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL VASCULAR SURG FY15-Q2
\n", "
15
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL WOMENS HEALTH FY15-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL WOMENS HEALTH FY15-Q2
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATIONAL WOMENS HEALTH FY15-Q2
\n", "
81
\n", "
0
\n", "
132
\n", "
114
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL WOMENS HEALTH FY15-Q2
\n", "
2
\n", "
52
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["WOMEN'S CLINIC PROCEDURES", "
NATIONAL WOMENS HEALTH FY15-Q2
\n", "
20
\n", "
0
\n", "
132
\n", "
55
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
WOMEN'S CLINIC PROCEDURES
\n", "
0
\n", "", "", "", ""], ["INTERVENTIONAL RAD ICD-10", "
INTERVENTIONAL RAD ICD-10
\n", "
2
\n", "
0
\n", "
132
\n", "
548
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["LOW VISION ICD-10", "
LOW VISION ICD-10 CODES
\n", "
2
\n", "
0
\n", "
132
\n", "
398
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
MENTAL HEALTH ICD-10
\n", "
2
\n", "
0
\n", "
132
\n", "
398
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ADHC FY13-Q2
\n", "
1
\n", "
47
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["MOVE! ICD-10", "
MOVE ICD-10
\n", "
2
\n", "
0
\n", "
132
\n", "
48
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["NEUROLOGY ICD-10", "
NEUROLOGY ICD-10
\n", "
2
\n", "
0
\n", "
132
\n", "
233
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["NURSING ICD-10", "
NURSING ICD-10
\n", "
2
\n", "
0
\n", "
132
\n", "
150
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PAIN ICD-10", "
PAIN ICD-10
\n", "
2
\n", "
0
\n", "
132
\n", "
178
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PLASTIC SURGERY ICD-10", "
PLASTIC SURGERY ICD-10 CODES
\n", "
2
\n", "
0
\n", "
132
\n", "
398
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PREVENTIVE HEALTH ICD-10", "
PREVENTIVE HEALTH ICD-10
\n", "
2
\n", "
0
\n", "
132
\n", "
178
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["SECONDARY DX", "
REC THERAPY ICD-10 CODES
\n", "
11
\n", "
0
\n", "
132
\n", "
59
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PRIMARY DX", "
REC THERAPY ICD-10 CODES
\n", "
2
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["RHEUMATOLOGY ICD-10", "
RHEUMATOLOGY ICD-10
\n", "
2
\n", "
0
\n", "
132
\n", "
798
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["TELEPHONE ICD-10", "
SCI ICD-10
\n", "
2
\n", "
0
\n", "
132
\n", "
158
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ADHC FY13-Q2
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["SECURE MESSAGES ICD-10", "
SECURE MESSAGES ICD-10
\n", "
2
\n", "
0
\n", "
132
\n", "
28
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["SWS MEDICAL ICD-10", "
SWS MED ICD-10 CODES
\n", "
2
\n", "
0
\n", "
132
\n", "
168
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["TELEHEALTH ICD-10", "
TELEHEALTH ICD-10
\n", "
2
\n", "
0
\n", "
132
\n", "
318
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["TELEPHONE ICD-10", "
TELEPHONE ICD-10
\n", "
2
\n", "
0
\n", "
132
\n", "
150
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["UROLOGY ICD-10", "
UROLOGY ICD-10
\n", "
2
\n", "
0
\n", "
132
\n", "
198
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["VASCULAR ICD-10", "
VASCULAR ICD-10
\n", "
2
\n", "
0
\n", "
132
\n", "
348
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
WOMENS HEALTH ICD-10
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["HEADER", "
WOMENS HEALTH ICD-10
\n", "
2
\n", "
52
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
WOMENS HEALTH ICD-10
\n", "
7
\n", "
0
\n", "
132
\n", "
233
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["WOUND OSTOMY ICD-10", "
WOUND OSTOMY ICD-10
\n", "
2
\n", "
0
\n", "
132
\n", "
193
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ADHC FY13-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["RADIATION THERAPY ICD-10", "
RAD ONCOLOGY ICD-10
\n", "
2
\n", "
0
\n", "
132
\n", "
1038
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL ADDICTION FY15-Q3
\n", "
51
\n", "
0
\n", "
132
\n", "
29
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ADDICTION FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ADDICTION FY15-Q3
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL ADDICTION FY15-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL ADDICTION FY15-Q3
\n", "
51
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ANESTHESIA FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ANESTHESIA FY15-Q3
\n", "
13
\n", "
0
\n", "
132
\n", "
77
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ANESTHESIA FY15-Q3
\n", "
1
\n", "
54
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ANESTHESIA FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ADHC FY13-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSES CODES", "
NATIONAL ANESTHESIA FY15-Q3
\n", "
91
\n", "
0
\n", "
132
\n", "
44
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL AUDIO FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
3
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["AUDIOLOGY DIAGNOSIS CODES", "
NATIONAL AUDIO FY15-Q3
\n", "
81
\n", "
0
\n", "
132
\n", "
94
\n", "
SOLID LINE
\n", "
AUDIOLOGY DIAGNOSIS TREATED THIS VISIT
\n", "
C
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL AUDIO FY15-Q3
\n", "
1
\n", "
54
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL AUDIO FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["AUDIOLOGY CPT CODES", "
NATIONAL AUDIO FY15-Q3
\n", "
9
\n", "
0
\n", "
132
\n", "
61
\n", "
SOLID LINE
\n", "
AUDIOLOGY PROCEDURES PERFORMED THIS VISIT
\n", "
C
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATL CARDIOLOGY/CATH FY15-Q3
\n", "
17
\n", "
0
\n", "
132
\n", "
233
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
EPS PROCEDURES
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CARDIOLOGY/CATH FY15-Q3
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CARDIOLOGY/CATH FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CARDIOLOGY DIAGNOSIS CODES", "
NATL CARDIOLOGY/CATH FY15-Q3
\n", "
251
\n", "
0
\n", "
132
\n", "
209
\n", "
SOLID LINE
\n", "
CARDIOLOGY DIAGNOSES
\n", "
CR
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ALLERGY FY13-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CARDIOLOGY/CATH FY15-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATL CAREGIVER ASSESS FY15-Q3
\n", "
26
\n", "
0
\n", "
133
\n", "
34
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CAREGIVER ASSESS FY15-Q3
\n", "
1
\n", "
54
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CAREGIVER ASSESS FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL CAREGIVER ASSESS FY15-Q3
\n", "
13
\n", "
0
\n", "
132
\n", "
12
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATL CAREGIVER ASSESS FY15-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
5
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CHIROPRACTIC FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL CHIROPRACTIC FY15-Q3
\n", "
36
\n", "
0
\n", "
132
\n", "
89
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CHIROPRACTIC FY15-Q3
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CHIROPRACTIC FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL ALLERGY FY13-Q2
\n", "
42
\n", "
0
\n", "
133
\n", "
54
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CHIROPRACTIC FY15-Q3
\n", "
15
\n", "
0
\n", "
133
\n", "
20
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CLC FY15-Q3
\n", "
1
\n", "
51
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["VISIT TYPE CODES", "
NATIONAL CLC FY15-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CLC FY15-Q3
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CLC FY15-Q3
\n", "
21
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL CLC FY15-Q3
\n", "
28
\n", "
0
\n", "
133
\n", "
312
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CLIN PHARM FY15-Q3
\n", "
1
\n", "
57
\n", "
28
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL CLIN PHARM FY15-Q3
\n", "
15
\n", "
0
\n", "
132
\n", "
35
\n", "
SOLID LINE
\n", "
USE AS SECONDARY DIAGNOSIS ONLY
\n", "
UBRC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CLIN PHARM FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CLIN PHARM FY15-Q3
\n", "
7
\n", "
0
\n", "
133
\n", "
7
\n", "
SOLID LINE
\n", "
MANAGEMENT OF MEDICATION THERAPY
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PATIENT EDUCATION (V2.1)", "
TOOL KIT
\n", "
199
\n", "
0
\n", "
81
\n", "
10
\n", "
SOLID LINE
\n", "
PATIENT EDUCATION
\n", "
CR
\n", "
Patient education topics
\n", "
15
\n", "", "", "", ""], ["HEADER", "
NATIONAL ALLERGY FY13-Q2
\n", "
1
\n", "
56
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DAY SURGERY FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DAY SURGERY FY15-Q3
\n", "
1
\n", "
55
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DAY SURGERY FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL DAY SURGERY FY15-Q3
\n", "
16
\n", "
0
\n", "
132
\n", "
104
\n", "
SOLID LINE
\n", "", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS", "
NATIONAL DAY SURGERY FY15-Q3
\n", "
121
\n", "
0
\n", "
132
\n", "
249
\n", "
SOLID LINE
\n", "", "
RC
\n", "
ICD-9
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DEMENTIA FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DEMENTIA FY15-Q3
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DEMENTIA FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS DEMENTIA", "
NATIONAL DEMENTIA FY15-Q3
\n", "
26
\n", "
0
\n", "
133
\n", "
28
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL DEMENTIA FY15-Q3
\n", "
17
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ALLERGY FY13-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DERMATOLOGY FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DERMATOLOGY FY15-Q3
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DERMATOLOGY FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL DERMATOLOGY FY15-Q3
\n", "
271
\n", "
0
\n", "
132
\n", "
274
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DERMATOLOGY FY15-Q3
\n", "
17
\n", "
0
\n", "
132
\n", "
253
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIABETES FY15-Q3
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIABETES FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL DIABETES FY15-Q3
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIABETES FY15-Q3
\n", "
16
\n", "
0
\n", "
132
\n", "
29
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATIONAL DIABETES FY15-Q3
\n", "
46
\n", "
0
\n", "
133
\n", "
87
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ALLERGY FY13-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
24
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIALYSIS FY15-Q3
\n", "
5
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIALYSIS FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL DIALYSIS FY15-Q3
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATIONAL DIALYSIS FY15-Q3
\n", "
101
\n", "
0
\n", "
133
\n", "
154
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIALYSIS FY15-Q3
\n", "
21
\n", "
0
\n", "
132
\n", "
79
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ED FY15-Q3
\n", "
13
\n", "
0
\n", "
133
\n", "
157
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ED FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ED FY15-Q3
\n", "
1
\n", "
56
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ED FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL ED FY15-Q3
\n", "
171
\n", "
0
\n", "
133
\n", "
729
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL AUDIO FY13-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
3
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ENDOCRINOLOGY FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ENDOCRINOLOGY FY15-Q3
\n", "
15
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSES CODES", "
NATIONAL ENDOCRINOLOGY FY15-Q3
\n", "
31
\n", "
0
\n", "
132
\n", "
149
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ENDOCRINOLOGY FY15-Q3
\n", "
1
\n", "
54
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ENDOCRINOLOGY FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL ENT FY15-Q3
\n", "
17
\n", "
0
\n", "
132
\n", "
28
\n", "
SOLID LINE
\n", "
FILL IN BUBBLES FOR ALL PROCEDURES PERFORMED THIS VISIT
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL ENT FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ENT FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ENT FY15-Q3
\n", "
1
\n", "
48
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL ENT FY15-Q3
\n", "
46
\n", "
0
\n", "
132
\n", "
174
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["AUDIOLOGY DIAGNOSIS CODES", "
NATIONAL AUDIO FY13-Q2
\n", "
61
\n", "
0
\n", "
132
\n", "
86
\n", "
SOLID LINE
\n", "
AUDIOLOGY DIAGNOSIS TREATED THIS VISIT
\n", "
C
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EYE TECH FY15-Q3
\n", "
1
\n", "
54
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EYE TECH FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EYE TECH FY15-Q3
\n", "
7
\n", "
0
\n", "
133
\n", "
26
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL EYE TECH FY15-Q3
\n", "
34
\n", "
0
\n", "
133
\n", "
434
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL EYE FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EYE FY15-Q3
\n", "
16
\n", "
0
\n", "
133
\n", "
84
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EYE FY15-Q3
\n", "
1
\n", "
60
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EYE FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL EYE FY15-Q3
\n", "
101
\n", "
0
\n", "
133
\n", "
434
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL GEN SURG FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL AUDIO FY13-Q2
\n", "
1
\n", "
54
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES", "
NATIONAL GEN SURG FY15-Q3
\n", "
15
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL GEN SURG FY15-Q3
\n", "
1
\n", "
54
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL GEN SURG FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS", "
NATIONAL GEN SURG FY15-Q3
\n", "
46
\n", "
0
\n", "
132
\n", "
249
\n", "
SOLID LINE
\n", "", "
RC
\n", "
ICD-9
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL GERIATRICS FY15-Q3
\n", "
1
\n", "
51
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["E&M CODES OUTPNT BRAD'S", "
NATIONAL GERIATRICS FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL GERIATRICS FY15-Q3
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL GERIATRICS FY15-Q3
\n", "
18
\n", "
0
\n", "
132
\n", "
12
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL GERIATRICS FY15-Q3
\n", "
31
\n", "
0
\n", "
133
\n", "
312
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL GI/HEPATOLOGY FY15-Q3
\n", "
15
\n", "
0
\n", "
132
\n", "
95
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL AUDIO FY13-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL GI/HEPATOLOGY FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL GI/HEPATOLOGY FY15-Q3
\n", "
1
\n", "
54
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL GI/HEPATOLOGY FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL GI/HEPATOLOGY FY15-Q3
\n", "
111
\n", "
0
\n", "
132
\n", "
109
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC CLIN FY15-Q3
\n", "
1
\n", "
58
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC CLIN FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HBPC CLIN FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
TYPE OF HOME VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC CLIN FY15-Q3
\n", "
15
\n", "
0
\n", "
133
\n", "
39
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATL HBPC CLIN FY15-Q3
\n", "
55
\n", "
0
\n", "
133
\n", "
729
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HBPC PSYCHOLOGIST FY15-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
38
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["AUDIOLOGY CPT CODES", "
NATIONAL AUDIO FY13-Q2
\n", "
9
\n", "
0
\n", "
132
\n", "
51
\n", "
SOLID LINE
\n", "
AUDIOLOGY PROCEDURES PERFORMED THIS VISIT
\n", "
C
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC PSYCHOLOGIST FY15-Q3
\n", "
1
\n", "
49
\n", "
37
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC PSYCHOLOGIST FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL HBPC PSYCHOLOGIST FY15-Q3
\n", "
46
\n", "
0
\n", "
132
\n", "
191
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC PT/OT FY15-Q3
\n", "
6
\n", "
0
\n", "
133
\n", "
19
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC PT/OT FY15-Q3
\n", "
1
\n", "
49
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC PT/OT FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL HBPC PT/OT FY15-Q3
\n", "
26
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
PRIMARY DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATL HBPC PT/OT FY15-Q3
\n", "
36
\n", "
0
\n", "
132
\n", "
84
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["DIAGNOSES", "
NATIONAL HEMATOLOGY FY15-Q3
\n", "
81
\n", "
0
\n", "
133
\n", "
109
\n", "
SOLID LINE
\n", "", "
CRUB
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATIONAL HEMATOLOGY FY15-Q3
\n", "
17
\n", "
0
\n", "
133
\n", "
63
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATIONAL BLIND REHAB FY13-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
4
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL HEMATOLOGY FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL HEMATOLOGY FY15-Q3
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL HEMATOLOGY FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATL HOSP/PALL INPT FY15-Q3
\n", "
26
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HOSP/PALL INPT FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HOSP/PALL INPT FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HOSP/PALL INPT FY15-Q3
\n", "
1
\n", "
48
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL HOSP/PALL INPT FY15-Q3
\n", "
38
\n", "
0
\n", "
132
\n", "
75
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT
\n", "
UC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATL HOSP/PALL OTPT FY15-Q3
\n", "
16
\n", "
0
\n", "
132
\n", "
16
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HOSP/PALL OTPT FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["SECONDARY DIAGNOSES CODES", "
NATIONAL BLIND REHAB FY13-Q2
\n", "
35
\n", "
0
\n", "
132
\n", "
40
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT
\n", "
BC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HOSP/PALL OTPT FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HOSP/PALL OTPT FY15-Q3
\n", "
1
\n", "
48
\n", "
43
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL HOSP/PALL OTPT FY15-Q3
\n", "
33
\n", "
0
\n", "
132
\n", "
75
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT
\n", "
UC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INFECTIOUS DX FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL INFECTIOUS DX FY15-Q3
\n", "
1
\n", "
56
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INFECTIOUS DX FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL INFECTIOUS DX FY15-Q3
\n", "
17
\n", "
0
\n", "
133
\n", "
18
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL INFECTIOUS DX FY15-Q3
\n", "
36
\n", "
0
\n", "
133
\n", "
144
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INPATIENT FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL INPATIENT FY15-Q3
\n", "
36
\n", "
0
\n", "
133
\n", "
219
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT EXAMINATIONS (V2.1)", "
TOOL KIT
\n", "
213
\n", "
0
\n", "
50
\n", "
10
\n", "
SOLID LINE
\n", "
EXAMINATIONS
\n", "
CR
\n", "
Patient examinations
\n", "
16
\n", "", "", "", ""], ["HEADER", "
NATIONAL BLIND REHAB FY13-Q2
\n", "
1
\n", "
56
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATIONAL INPATIENT FY15-Q3
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INPATIENT FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL INPATIENT FY15-Q3
\n", "
26
\n", "
0
\n", "
133
\n", "
9
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL IR FY15-Q3
\n", "
1
\n", "
49
\n", "
33
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL IR FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSES - 1", "
NATIONAL IR FY15-Q3
\n", "
65
\n", "
0
\n", "
132
\n", "
192
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL IR FY15-Q3
\n", "
16
\n", "
0
\n", "
132
\n", "
48
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL IR FY15-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MED FOSTER HOME FY15-Q3
\n", "
1
\n", "
56
\n", "
28
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MED FOSTER HOME FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL BLIND REHAB FY13-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL MED FOSTER HOME FY15-Q3
\n", "
6
\n", "
0
\n", "
133
\n", "
39
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATL MED FOSTER HOME FY15-Q3
\n", "
46
\n", "
0
\n", "
133
\n", "
729
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL MEDICINE FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MEDICINE FY15-Q3
\n", "
1
\n", "
56
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MEDICINE FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MEDICINE FY15-Q3
\n", "
16
\n", "
0
\n", "
133
\n", "
84
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL MEDICINE FY15-Q3
\n", "
101
\n", "
0
\n", "
133
\n", "
729
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL MH MHICM FY15-Q3
\n", "
28
\n", "
0
\n", "
132
\n", "
87
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MH MHICM FY15-Q3
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH MHICM FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DIAGNOSIS CODES", "
NATIONAL BLIND REHAB FY13-Q2
\n", "
27
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
PRIMARY DIAGNOSIS
\n", "
UC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL MH MHICM FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
21
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL MH MHICM FY15-Q3
\n", "
116
\n", "
0
\n", "
132
\n", "
191
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL MH NURSE FY15-Q3
\n", "
14
\n", "
0
\n", "
132
\n", "
33
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MH NURSE FY15-Q3
\n", "
1
\n", "
49
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH NURSE FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATIONAL MH NURSE FY15-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL MH NURSE FY15-Q3
\n", "
48
\n", "
0
\n", "
132
\n", "
191
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL MH PHARM FY15-Q3
\n", "
1
\n", "
57
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH PHARM FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATIONAL MH PHARM FY15-Q3
\n", "
16
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
ALWAYS USE AS PRIMARY DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL BLIND REHAB FY13-Q2
\n", "
11
\n", "
0
\n", "
132
\n", "
16
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MH PHARM FY15-Q3
\n", "
7
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
MANAGEMENT OF MEDICATION THERAPY
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL MH PHARM FY15-Q3
\n", "
25
\n", "
0
\n", "
132
\n", "
191
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL MH PSYCHIATRIST FY15-Q3
\n", "
41
\n", "
0
\n", "
132
\n", "
47
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MH PSYCHIATRIST FY15-Q3
\n", "
1
\n", "
55
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MH PSYCHIATRIST FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATL MH PSYCHIATRIST FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL MH PSYCHIATRIST FY15-Q3
\n", "
89
\n", "
0
\n", "
132
\n", "
191
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PRIMARY CARE FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PRIMARY CARE FY15-Q3
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PRIMARY CARE FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CARDIOLOGY DIAGNOSIS CODES", "
NATIONAL CARD CATH/IR FY13-Q2
\n", "
131
\n", "
0
\n", "
132
\n", "
139
\n", "
SOLID LINE
\n", "
CARDIOLOGY DIAGNOSES
\n", "
CR
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PRIMARY CARE FY15-Q3
\n", "
16
\n", "
0
\n", "
133
\n", "
79
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL PRIMARY CARE FY15-Q3
\n", "
96
\n", "
0
\n", "
133
\n", "
729
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL PULMONARY FY15-Q3
\n", "
14
\n", "
0
\n", "
132
\n", "
46
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PULMONARY FY15-Q3
\n", "
5
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL PULMONARY FY15-Q3
\n", "
61
\n", "
0
\n", "
132
\n", "
174
\n", "
SOLID LINE
\n", "", "
BC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PULMONARY FY15-Q3
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PULMONARY FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REC THERAPY GRP FY15-Q3
\n", "
6
\n", "
0
\n", "
133
\n", "
19
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["SECONDARY DIAGNOSES", "
NATL REC THERAPY GRP FY15-Q3
\n", "
36
\n", "
0
\n", "
132
\n", "
54
\n", "
SOLID LINE
\n", "
SECONDARY DX-CONDITION TREATED
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REC THERAPY GRP FY15-Q3
\n", "
1
\n", "
58
\n", "
36
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATIONAL CARD CATH/IR FY13-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
124
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
EPS PROCEDURES
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REC THERAPY GRP FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL REC THERAPY GRP FY15-Q3
\n", "
26
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REC THERAPY IND FY15-Q3
\n", "
6
\n", "
0
\n", "
133
\n", "
26
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REC THERAPY IND FY15-Q3
\n", "
1
\n", "
58
\n", "
40
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REC THERAPY IND FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL REC THERAPY IND FY15-Q3
\n", "
33
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["SECONDARY DIAGNOSES", "
NATL REC THERAPY IND FY15-Q3
\n", "
43
\n", "
0
\n", "
132
\n", "
54
\n", "
SOLID LINE
\n", "
SECONDARY DX-CONDITION TREATED
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL REHAB-PT/OT/KT FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REHAB-PT/OT/KT FY15-Q3
\n", "
16
\n", "
0
\n", "
133
\n", "
84
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REHAB-PT/OT/KT FY15-Q3
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATIONAL CARD CATH/IR FY13-Q2
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REHAB-PT/OT/KT FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL REHAB-PT/OT/KT FY15-Q3
\n", "
101
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
PRIMARY DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATL REHAB-PT/OT/KT FY15-Q3
\n", "
111
\n", "
0
\n", "
132
\n", "
84
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL RESP THERAPY FY15-Q3
\n", "
14
\n", "
0
\n", "
132
\n", "
33
\n", "
SOLID LINE
\n", "
PLEASE MARK PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL RESP THERAPY FY15-Q3
\n", "
1
\n", "
43
\n", "
47
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL RESP THERAPY FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL RESP THERAPY FY15-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL RESP THERAPY FY15-Q3
\n", "
48
\n", "
0
\n", "
132
\n", "
174
\n", "
SOLID LINE
\n", "", "
BC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL SCI FY15-Q3
\n", "
1
\n", "
52
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SCI FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CARD CATH/IR FY13-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL SCI FY15-Q3
\n", "
17
\n", "
0
\n", "
133
\n", "
68
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL SCI FY15-Q3
\n", "
86
\n", "
0
\n", "
133
\n", "
144
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SCI FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL SLEEP MED FY15-Q3
\n", "
17
\n", "
0
\n", "
132
\n", "
23
\n", "
SOLID LINE
\n", "
PLEASE MARK PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL SLEEP MED FY15-Q3
\n", "
41
\n", "
0
\n", "
132
\n", "
29
\n", "
SOLID LINE
\n", "
PLEASE MARK DIAGNOSIS TREATED THIS VISIT
\n", "
CR
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SLEEP MED FY15-Q3
\n", "
1
\n", "
49
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SLEEP MED FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SLEEP MED FY15-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["SPEECH PATH DIAGNOSIS CODES", "
NATIONAL SPEECH FY15-Q3
\n", "
81
\n", "
0
\n", "
132
\n", "
79
\n", "
SOLID LINE
\n", "
SPEECH PATHOLOGY DIAGNOSIS TREATED THIS VISIT
\n", "
BC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SPEECH FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
3
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATIONAL CARDIOLOGY FY13-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
49
\n", "
SOLID LINE
\n", "
CARDIOLOGY PROCEDURES
\n", "
CR
\n", "
CARDIOLOGY PROCEDURES
\n", "
0
\n", "", "", "", ""], ["SPEECH PATHOLOGY CPT CODES", "
NATIONAL SPEECH FY15-Q3
\n", "
10
\n", "
0
\n", "
132
\n", "
65
\n", "
SOLID LINE
\n", "
SPEECH PATHOLOGY PROCEDURES PERFORMED THIS VISIT
\n", "
C
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SPEECH FY15-Q3
\n", "
1
\n", "
54
\n", "
15
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SPEECH FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL SWS MH FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SWS MH FY15-Q3
\n", "
1
\n", "
55
\n", "
44
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SWS MH FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL SWS MH FY15-Q3
\n", "
41
\n", "
0
\n", "
132
\n", "
191
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TBI FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TBI FY15-Q3
\n", "
1
\n", "
49
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TBI FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CARDIOLOGY FY13-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL TBI FY15-Q3
\n", "
61
\n", "
0
\n", "
133
\n", "
119
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL TBI FY15-Q3
\n", "
17
\n", "
0
\n", "
133
\n", "
43
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL TELEHLTH-PT SITE FY15-Q3
\n", "
1
\n", "
49
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL TELEHLTH-PT SITE FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL TELEHLTH-PT SITE FY15-Q3
\n", "
14
\n", "
0
\n", "
132
\n", "
146
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL TELEHLTH-PT SITE FY15-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TELEPHONE FY15-Q3
\n", "
1
\n", "
59
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES", "
NATIONAL TELEPHONE FY15-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
FILL IN BUBBLE FOR TELEPHONE CALL PERFORMED
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEPHONE FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL TELEPHONE FY15-Q3
\n", "
15
\n", "
0
\n", "
132
\n", "
25
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT HEALTH FACTORS (V2.1)", "
TOOL KIT
\n", "
227
\n", "
0
\n", "
55
\n", "
10
\n", "
SOLID LINE
\n", "
HEALTH FACTORS
\n", "
CR
\n", "
Patient health factors
\n", "
17
\n", "", "", "", ""], ["CARDIOLOGY DIAGNOSIS CODES", "
NATIONAL CARDIOLOGY FY13-Q2
\n", "
66
\n", "
0
\n", "
132
\n", "
139
\n", "
SOLID LINE
\n", "
CARDIOLOGY DIAGNOSES
\n", "
CR
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL UROLOGY FY15-Q3
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL UROLOGY FY15-Q3
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL UROLOGY FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL UROLOGY FY15-Q3
\n", "
81
\n", "
0
\n", "
132
\n", "
119
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL UROLOGY FY15-Q3
\n", "
16
\n", "
0
\n", "
132
\n", "
64
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL VASCULAR LAB FY15-Q3
\n", "
1
\n", "
54
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL VASCULAR LAB FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSES - 1", "
NATIONAL VASCULAR LAB FY15-Q3
\n", "
30
\n", "
0
\n", "
132
\n", "
129
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL VASCULAR LAB FY15-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
23
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL VASCULAR SURG FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CARDIOLOGY FY13-Q2
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATIONAL VASCULAR SURG FY15-Q3
\n", "
1
\n", "
54
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL VASCULAR SURG FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSES - 1", "
NATIONAL VASCULAR SURG FY15-Q3
\n", "
51
\n", "
0
\n", "
132
\n", "
129
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL VASCULAR SURG FY15-Q3
\n", "
15
\n", "
0
\n", "
132
\n", "
35
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["TELEPHONE ICD-10", "
CAREGIVER ASSESSMENT ICD-10
\n", "
2
\n", "
0
\n", "
132
\n", "
68
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["DAY/GENERAL SURG ICD-10", "
DAY/GEN SURG ICD-10 CODES
\n", "
2
\n", "
0
\n", "
132
\n", "
1348
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
PRIMARY CARE ICD-10
\n", "
1
\n", "
49
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
PRIMARY CARE ICD-10
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY CARE ICD-10", "
PRIMARY CARE ICD-10
\n", "
7
\n", "
0
\n", "
132
\n", "
2023
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PODIATRY ICD-10", "
PODIATRY ICD-10
\n", "
2
\n", "
0
\n", "
132
\n", "
1118
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CARDIOLOGY FY13-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["RESPIRATORY THERAPY ICD-10", "
PULMONARY/RESP THERAPY ICD-10
\n", "
2
\n", "
0
\n", "
132
\n", "
848
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL MH PSYCHOLOGIST FY15-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MH PSYCHOLOGIST FY15-Q3
\n", "
1
\n", "
49
\n", "
37
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MH PSYCHOLOGIST FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL MH PSYCHOLOGIST FY15-Q3
\n", "
51
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEUROLOGY FY15-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "", "
CRU
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL NEUROLOGY FY15-Q3
\n", "
81
\n", "
0
\n", "
132
\n", "
99
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSES FROM THIS VISIT
\n", "
BC
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL NEUROLOGY FY15-Q3
\n", "
2
\n", "
55
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEUROLOGY FY15-Q3
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL NEUROLOGY FY15-Q3
\n", "
16
\n", "
0
\n", "
132
\n", "
64
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CCHT CLINICIAN FY13-Q2
\n", "
1
\n", "
49
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATL NURSING CLINIC FY15-Q3
\n", "
1
\n", "
46
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL NURSING CLINIC FY15-Q3
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL NURSING CLINIC FY15-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL NURSING CLINIC FY15-Q3
\n", "
14
\n", "
0
\n", "
133
\n", "
96
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATL NURSING CLINIC FY15-Q3
\n", "
111
\n", "
0
\n", "
132
\n", "
134
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["WOMEN'S CLINIC PROCEDURES", "
NATIONAL OB/GYN FY15-Q3
\n", "
19
\n", "
0
\n", "
132
\n", "
61
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
WOMEN'S CLINIC PROCEDURES
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL OB/GYN FY15-Q3
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL OB/GYN FY15-Q3
\n", "
1
\n", "
49
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL OB/GYN FY15-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATIONAL OB/GYN FY15-Q3
\n", "
81
\n", "
0
\n", "
132
\n", "
169
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CCHT CLINICIAN FY13-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT PROCEDURE", "
NATL ONC/CHEMO INF FY15-Q3
\n", "
16
\n", "
0
\n", "
133
\n", "
131
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL ONC/CHEMO INF FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL ONC/CHEMO INF FY15-Q3
\n", "
1
\n", "
44
\n", "
39
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL ONC/CHEMO INF FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSES", "
NATL ONC/CHEMO INF FY15-Q3
\n", "
148
\n", "
0
\n", "
133
\n", "
209
\n", "
SOLID LINE
\n", "", "
CRUB
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ORTHOPEDICS FY15-Q3
\n", "
16
\n", "
0
\n", "
133
\n", "
99
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ORTHOPEDICS FY15-Q3
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL ORTHOPEDICS FY15-Q3
\n", "
141
\n", "
0
\n", "
133
\n", "
279
\n", "
SOLID LINE
\n", "", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["POST OP & F/U DX", "
NATIONAL ORTHOPEDICS FY15-Q3
\n", "
116
\n", "
0
\n", "
133
\n", "
24
\n", "
SOLID LINE
\n", "", "
CR
\n", "
Common V-Code Secondary Only ICD-9 codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ORTHOPEDICS FY15-Q3
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL CCHT CLINICIAN FY13-Q2
\n", "
48
\n", "
0
\n", "
132
\n", "
209
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ORTHOPEDICS FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PAIN FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL PAIN FY15-Q3
\n", "
16
\n", "
0
\n", "
132
\n", "
44
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PAIN FY15-Q3
\n", "
1
\n", "
49
\n", "
13
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PAIN FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSES CODES", "
NATIONAL PAIN FY15-Q3
\n", "
61
\n", "
0
\n", "
132
\n", "
70
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST INPT FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST INPT FY15-Q3
\n", "
21
\n", "
0
\n", "
133
\n", "
41
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST INPT FY15-Q3
\n", "
1
\n", "
58
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST INPT FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CCHT CLINICIAN FY13-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PRIMARY DX-TBI", "
NATL PHYSIATRIST INPT FY15-Q3
\n", "
63
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
PRIMARY DX IF TBI
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATL PHYSIATRIST INPT FY15-Q3
\n", "
81
\n", "
0
\n", "
132
\n", "
179
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST OTPT FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST OTPT FY15-Q3
\n", "
1
\n", "
58
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST OTPT FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DX-TBI", "
NATL PHYSIATRIST OTPT FY15-Q3
\n", "
61
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
PRIMARY DX IF TBI
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST OTPT FY15-Q3
\n", "
16
\n", "
0
\n", "
133
\n", "
44
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATL PHYSIATRIST OTPT FY15-Q3
\n", "
81
\n", "
0
\n", "
132
\n", "
179
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PLASTIC SURG FY15-Q3
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PLASTIC SURG FY15-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL CCHT CLINICIAN FY13-Q2
\n", "
38
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PLASTIC SURG FY15-Q3
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSES (V2.1)", "
NATIONAL PLASTIC SURG FY15-Q3
\n", "
272
\n", "
0
\n", "
132
\n", "
80
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL PLASTIC SURG FY15-Q3
\n", "
18
\n", "
0
\n", "
132
\n", "
253
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL POD NAIL NURS FY15-Q3
\n", "
14
\n", "
0
\n", "
133
\n", "
11
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL POD NAIL NURS FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL POD NAIL NURS FY15-Q3
\n", "
1
\n", "
58
\n", "
37
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL POD NAIL NURS FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL POD NAIL NURS FY15-Q3
\n", "
26
\n", "
0
\n", "
133
\n", "
154
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PODIATRY FY15-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL PODIATRY FY15-Q3
\n", "
211
\n", "
0
\n", "
133
\n", "
154
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL CCHT CLINICIAN FY13-Q2
\n", "
18
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PODIATRY FY15-Q3
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PODIATRY FY15-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PODIATRY FY15-Q3
\n", "
17
\n", "
0
\n", "
133
\n", "
193
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["AUDIOLOGY ICD-10 DIAGNOSES", "
AUDIOLOGY ICD-10
\n", "
2
\n", "
0
\n", "
132
\n", "
283
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
CHEMO/ONCOLOGY ICD-10
\n", "
2
\n", "
0
\n", "
132
\n", "
428
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
E-CONSULTS ICD-10
\n", "
3
\n", "
0
\n", "
132
\n", "
1377
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
EMPLOYEE HEALTH ICD-10
\n", "
3
\n", "
0
\n", "
132
\n", "
313
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
ENT ICD-10
\n", "
1
\n", "
0
\n", "
132
\n", "
159
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
GI/HEPATOLOGY ICD-10
\n", "
3
\n", "
0
\n", "
132
\n", "
227
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
INFECTIOUS DISEASE ICD-10
\n", "
4
\n", "
0
\n", "
132
\n", "
346
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CCHT SWS FY13-Q2
\n", "
1
\n", "
49
\n", "
36
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
MENTAL HEALTH ICD-10 V2
\n", "
2
\n", "
0
\n", "
132
\n", "
398
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL ADDICTION FY15-Q4
\n", "
51
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ADDICTION FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ADDICTION FY15-Q4
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL ADDICTION FY15-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL ADDICTION FY15-Q4
\n", "
86
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["AUDIOLOGY DIAGNOSIS CODES", "
NATIONAL AUDIO FY15-Q4
\n", "
81
\n", "
0
\n", "
132
\n", "
94
\n", "
SOLID LINE
\n", "
AUDIOLOGY DIAGNOSIS TREATED THIS VISIT
\n", "
C
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL AUDIO FY15-Q4
\n", "
1
\n", "
54
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL AUDIO FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["AUDIOLOGY CPT CODES", "
NATIONAL AUDIO FY15-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
61
\n", "
SOLID LINE
\n", "
AUDIOLOGY PROCEDURES PERFORMED THIS VISIT
\n", "
C
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT IMMUNIZATIONS (V2.1)", "
TOOL KIT
\n", "
241
\n", "
0
\n", "
32
\n", "
11
\n", "
SOLID LINE
\n", "
IMMUNIZATIONS
\n", "
CR
\n", "
Patient immunizations
\n", "
18
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CCHT SWS FY13-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["SECONDARY DIAGNOSES CODES", "
NATIONAL BLIND REHAB FY15-Q4
\n", "
45
\n", "
0
\n", "
132
\n", "
45
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT
\n", "
BC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL BLIND REHAB FY15-Q4
\n", "
1
\n", "
56
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL BLIND REHAB FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DIAGNOSIS CODES", "
NATIONAL BLIND REHAB FY15-Q4
\n", "
37
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
PRIMARY DIAGNOSIS
\n", "
UC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL BLIND REHAB FY15-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
28
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["SECONDARY DX", "
NATIONAL C&P FY15-Q4
\n", "
81
\n", "
0
\n", "
132
\n", "
52
\n", "
SOLID LINE
\n", "
SECONDARY DX-AS APPROPRIATE
\n", "
CR
\n", "
SECONDARY DX
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL C&P FY15-Q4
\n", "
1
\n", "
56
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL C&P FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL C&P FY15-Q4
\n", "
5
\n", "
0
\n", "
132
\n", "
25
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL C&P FY15-Q4
\n", "
31
\n", "
0
\n", "
133
\n", "
19
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL CCHT SWS FY13-Q2
\n", "
41
\n", "
0
\n", "
132
\n", "
209
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["PRIMARY DX", "
NATIONAL C&P FY15-Q4
\n", "
51
\n", "
0
\n", "
132
\n", "
24
\n", "
SOLID LINE
\n", "
PRIMARY DIAGNOSIS
\n", "
CR
\n", "
PRIMARY DX
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEUROLOGY FY15-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "", "
CRU
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL NEUROLOGY FY15-Q4
\n", "
81
\n", "
0
\n", "
132
\n", "
99
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSES FROM THIS VISIT
\n", "
BC
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL NEUROLOGY FY15-Q4
\n", "
2
\n", "
55
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEUROLOGY FY15-Q4
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL NEUROLOGY FY15-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
64
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["WOMEN'S CLINIC PROCEDURES", "
NATIONAL OB/GYN FY15-Q4
\n", "
19
\n", "
0
\n", "
132
\n", "
71
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
WOMEN'S CLINIC PROCEDURES
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL OB/GYN FY15-Q4
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL OB/GYN FY15-Q4
\n", "
1
\n", "
49
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL OB/GYN FY15-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CCHT SWS FY13-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATIONAL OB/GYN FY15-Q4
\n", "
91
\n", "
0
\n", "
132
\n", "
169
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ORTHOPEDICS FY15-Q4
\n", "
16
\n", "
0
\n", "
133
\n", "
99
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ORTHOPEDICS FY15-Q4
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL ORTHOPEDICS FY15-Q4
\n", "
141
\n", "
0
\n", "
133
\n", "
279
\n", "
SOLID LINE
\n", "", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["POST OP & F/U DX", "
NATIONAL ORTHOPEDICS FY15-Q4
\n", "
116
\n", "
0
\n", "
133
\n", "
24
\n", "
SOLID LINE
\n", "", "
CR
\n", "
Common V-Code Secondary Only ICD-9 codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ORTHOPEDICS FY15-Q4
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ORTHOPEDICS FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PAIN FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL PAIN FY15-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
49
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PAIN FY15-Q4
\n", "
1
\n", "
49
\n", "
13
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL CCHT SWS FY13-Q2
\n", "
14
\n", "
0
\n", "
132
\n", "
16
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PAIN FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSES CODES", "
NATIONAL PAIN FY15-Q4
\n", "
61
\n", "
0
\n", "
132
\n", "
70
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PLASTIC SURG FY15-Q4
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PLASTIC SURG FY15-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PLASTIC SURG FY15-Q4
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSES (V2.1)", "
NATIONAL PLASTIC SURG FY15-Q4
\n", "
272
\n", "
0
\n", "
132
\n", "
80
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL PLASTIC SURG FY15-Q4
\n", "
18
\n", "
0
\n", "
132
\n", "
253
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PODIATRY FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL PODIATRY FY15-Q4
\n", "
211
\n", "
0
\n", "
133
\n", "
154
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PODIATRY FY15-Q4
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL CCHT SWS FY13-Q2
\n", "
31
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PODIATRY FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PODIATRY FY15-Q4
\n", "
17
\n", "
0
\n", "
133
\n", "
193
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL POLYTRAUMA FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL POLYTRAUMA FY15-Q4
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL POLYTRAUMA FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL POLYTRAUMA FY15-Q4
\n", "
66
\n", "
0
\n", "
133
\n", "
64
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL POLYTRAUMA FY15-Q4
\n", "
16
\n", "
0
\n", "
133
\n", "
49
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PRIMARY CARE FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PRIMARY CARE FY15-Q4
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PRIMARY CARE FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSES", "
NATIONAL CHEMO INFUSN FY13-Q2
\n", "
71
\n", "
0
\n", "
133
\n", "
114
\n", "
SOLID LINE
\n", "", "
CRUB
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PRIMARY CARE FY15-Q4
\n", "
16
\n", "
0
\n", "
133
\n", "
79
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL PRIMARY CARE FY15-Q4
\n", "
96
\n", "
0
\n", "
133
\n", "
729
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL PULMONARY FY15-Q4
\n", "
14
\n", "
0
\n", "
132
\n", "
56
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PULMONARY FY15-Q4
\n", "
5
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL PULMONARY FY15-Q4
\n", "
71
\n", "
0
\n", "
132
\n", "
174
\n", "
SOLID LINE
\n", "", "
BC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PULMONARY FY15-Q4
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PULMONARY FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL RESP THERAPY FY15-Q4
\n", "
14
\n", "
0
\n", "
132
\n", "
56
\n", "
SOLID LINE
\n", "
PLEASE MARK PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL RESP THERAPY FY15-Q4
\n", "
1
\n", "
43
\n", "
47
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL RESP THERAPY FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT PROCEDURE", "
NATIONAL CHEMO INFUSN FY13-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
54
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL RESP THERAPY FY15-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL RESP THERAPY FY15-Q4
\n", "
71
\n", "
0
\n", "
132
\n", "
174
\n", "
SOLID LINE
\n", "", "
BC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL SOCIAL WORK FY15-Q4
\n", "
36
\n", "
0
\n", "
133
\n", "
179
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SOCIAL WORK FY15-Q4
\n", "
1
\n", "
56
\n", "
44
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SOCIAL WORK FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL SOCIAL WORK FY15-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
28
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["SPEECH PATH DIAGNOSIS CODES", "
NATIONAL SPEECH FY15-Q4
\n", "
81
\n", "
0
\n", "
132
\n", "
79
\n", "
SOLID LINE
\n", "
SPEECH PATHOLOGY DIAGNOSIS TREATED THIS VISIT
\n", "
BC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SPEECH FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
3
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["SPEECH PATHOLOGY CPT CODES", "
NATIONAL SPEECH FY15-Q4
\n", "
10
\n", "
0
\n", "
132
\n", "
65
\n", "
SOLID LINE
\n", "
SPEECH PATHOLOGY PROCEDURES PERFORMED THIS VISIT
\n", "
C
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SPEECH FY15-Q4
\n", "
1
\n", "
54
\n", "
15
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CHEMO INFUSN FY13-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SPEECH FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL SWS MH FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SWS MH FY15-Q4
\n", "
1
\n", "
55
\n", "
44
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SWS MH FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL SWS MH FY15-Q4
\n", "
41
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TBI FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TBI FY15-Q4
\n", "
1
\n", "
49
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TBI FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL TBI FY15-Q4
\n", "
61
\n", "
0
\n", "
133
\n", "
119
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL TBI FY15-Q4
\n", "
17
\n", "
0
\n", "
133
\n", "
43
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CHEMO INFUSN FY13-Q2
\n", "
1
\n", "
56
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATIONAL TELEPHONE FY15-Q4
\n", "
1
\n", "
59
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES", "
NATIONAL TELEPHONE FY15-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
FILL IN BUBBLE FOR TELEPHONE CALL PERFORMED
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEPHONE FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL TELEPHONE FY15-Q4
\n", "
15
\n", "
0
\n", "
132
\n", "
25
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TRANSPLANT FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL TRANSPLANT FY15-Q4
\n", "
15
\n", "
0
\n", "
132
\n", "
25
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TRANSPLANT FY15-Q4
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TRANSPLANT FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS", "
NATIONAL TRANSPLANT FY15-Q4
\n", "
41
\n", "
0
\n", "
132
\n", "
104
\n", "
SOLID LINE
\n", "", "
RC
\n", "
ICD-9
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL URGENT CARE FY15-Q4
\n", "
1
\n", "
49
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CHEMO INFUSN FY13-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL URGENT CARE FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["E&M OUTPATIENT CODES", "
NATIONAL URGENT CARE FY15-Q4
\n", "
6
\n", "
0
\n", "
90
\n", "
9
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL URGENT CARE FY15-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
60
\n", "
SOLID LINE
\n", "
FILL IN BUBBLES FOR ALL PROCEDURES PERFORMED THIS VISIT
\n", "
URCB
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL URGENT CARE FY15-Q4
\n", "
81
\n", "
0
\n", "
133
\n", "
729
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL VASCULAR LAB FY15-Q4
\n", "
1
\n", "
54
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL VASCULAR LAB FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL VASCULAR LAB FY15-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
23
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSES - 1", "
NATIONAL VASCULAR LAB FY15-Q4
\n", "
31
\n", "
0
\n", "
132
\n", "
129
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL VASCULAR SURG FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL VASCULAR SURG FY15-Q4
\n", "
1
\n", "
54
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION (V2.1)", "
TOOL KIT
\n", "
0
\n", "
0
\n", "
52
\n", "
18
\n", "
SOLID LINE
\n", "", "
BUC
\n", "
Name,sex,DOB,PID,eligibilty,address,telephone
\n", "
19
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CHIROPRACTIC FY13-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL VASCULAR SURG FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSES - 1", "
NATIONAL VASCULAR SURG FY15-Q4
\n", "
51
\n", "
0
\n", "
132
\n", "
129
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL VASCULAR SURG FY15-Q4
\n", "
15
\n", "
0
\n", "
132
\n", "
35
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL WOMENS HEALTH FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL WOMENS HEALTH FY15-Q4
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATIONAL WOMENS HEALTH FY15-Q4
\n", "
81
\n", "
0
\n", "
132
\n", "
114
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL WOMENS HEALTH FY15-Q4
\n", "
2
\n", "
52
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["WOMEN'S CLINIC PROCEDURES", "
NATIONAL WOMENS HEALTH FY15-Q4
\n", "
20
\n", "
0
\n", "
132
\n", "
55
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
WOMEN'S CLINIC PROCEDURES
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL WOUND OSTOMY FY15-Q4
\n", "
1
\n", "
44
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL WOUND OSTOMY FY15-Q4
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CHIROPRACTIC FY13-Q2
\n", "
15
\n", "
0
\n", "
133
\n", "
13
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL WOUND OSTOMY FY15-Q4
\n", "
21
\n", "
0
\n", "
133
\n", "
13
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL WOUND OSTOMY FY15-Q4
\n", "
35
\n", "
0
\n", "
132
\n", "
50
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL WOUND OSTOMY FY15-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATL CARDIOLOGY/CATH FY15-Q4
\n", "
17
\n", "
0
\n", "
132
\n", "
233
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
EPS PROCEDURES
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CARDIOLOGY/CATH FY15-Q4
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CARDIOLOGY/CATH FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CARDIOLOGY DIAGNOSIS CODES", "
NATL CARDIOLOGY/CATH FY15-Q4
\n", "
251
\n", "
0
\n", "
132
\n", "
209
\n", "
SOLID LINE
\n", "
CARDIOLOGY DIAGNOSES
\n", "
CR
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CARDIOLOGY/CATH FY15-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATL CAREGIVER ASSESS FY15-Q4
\n", "
26
\n", "
0
\n", "
133
\n", "
34
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CAREGIVER ASSESS FY15-Q4
\n", "
1
\n", "
54
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL CHIROPRACTIC FY13-Q2
\n", "
29
\n", "
0
\n", "
132
\n", "
76
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CAREGIVER ASSESS FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL CAREGIVER ASSESS FY15-Q4
\n", "
13
\n", "
0
\n", "
132
\n", "
12
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATL CAREGIVER ASSESS FY15-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
5
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC CLIN FY15-Q4
\n", "
1
\n", "
58
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC CLIN FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HBPC CLIN FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
TYPE OF HOME VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC CLIN FY15-Q4
\n", "
15
\n", "
0
\n", "
133
\n", "
39
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATL HBPC CLIN FY15-Q4
\n", "
55
\n", "
0
\n", "
133
\n", "
729
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL RADIATION ONC FY15-Q4
\n", "
1
\n", "
47
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL RADIATION ONC FY15-Q4
\n", "
54
\n", "
0
\n", "
132
\n", "
137
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
BUC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CHIROPRACTIC FY13-Q2
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["EVALUATION/MANAGEMENT - MED", "
NATL RADIATION ONC FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
EVALUATION/MANAGEMENT
\n", "
UBC
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURE", "
NATL RADIATION ONC FY15-Q4
\n", "
17
\n", "
0
\n", "
132
\n", "
36
\n", "
SOLID LINE
\n", "
RADIATION THERAPY PROCEDURES
\n", "
BUC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL RADIATION ONC FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REC THERAPY GRP FY15-Q4
\n", "
6
\n", "
0
\n", "
133
\n", "
19
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["SECONDARY DIAGNOSES", "
NATL REC THERAPY GRP FY15-Q4
\n", "
36
\n", "
0
\n", "
132
\n", "
54
\n", "
SOLID LINE
\n", "
SECONDARY DX-CONDITION TREATED
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REC THERAPY GRP FY15-Q4
\n", "
1
\n", "
58
\n", "
36
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REC THERAPY GRP FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL REC THERAPY GRP FY15-Q4
\n", "
26
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REC THERAPY IND FY15-Q4
\n", "
6
\n", "
0
\n", "
133
\n", "
26
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REC THERAPY IND FY15-Q4
\n", "
1
\n", "
58
\n", "
40
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CHIROPRACTIC FY13-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REC THERAPY IND FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL REC THERAPY IND FY15-Q4
\n", "
33
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["SECONDARY DIAGNOSES", "
NATL REC THERAPY IND FY15-Q4
\n", "
43
\n", "
0
\n", "
132
\n", "
54
\n", "
SOLID LINE
\n", "
SECONDARY DX-CONDITION TREATED
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL REHAB-PT/OT/KT FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REHAB-PT/OT/KT FY15-Q4
\n", "
16
\n", "
0
\n", "
133
\n", "
94
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REHAB-PT/OT/KT FY15-Q4
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REHAB-PT/OT/KT FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL REHAB-PT/OT/KT FY15-Q4
\n", "
111
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
PRIMARY DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATL REHAB-PT/OT/KT FY15-Q4
\n", "
121
\n", "
0
\n", "
132
\n", "
84
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NEUROSURGERY ICD-10
\n", "
3
\n", "
0
\n", "
132
\n", "
227
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["SECONDARY DX", "
NATIONAL C&P FY13-Q2
\n", "
28
\n", "
0
\n", "
132
\n", "
52
\n", "
SOLID LINE
\n", "
SECONDARY DX-AS APPROPRIATE
\n", "
CR
\n", "
SECONDARY DX
\n", "
0
\n", "", "", "", ""], ["NURSING ICD-10", "
NURSING ICD-10 V2
\n", "
2
\n", "
0
\n", "
132
\n", "
348
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
OB-GYN ICD-10
\n", "
3
\n", "
0
\n", "
132
\n", "
837
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
ORTHOPEDICS ICD-10
\n", "
3
\n", "
0
\n", "
132
\n", "
407
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
PHYSIATRY ICD-10
\n", "
3
\n", "
0
\n", "
132
\n", "
642
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
POLYTRAUMA ICD-10
\n", "
3
\n", "
0
\n", "
132
\n", "
177
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
PRIMARY CARE ICD-10 V2
\n", "
3
\n", "
0
\n", "
132
\n", "
2023
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["SECONDARY ICD-10 DX", "
REHAB ICD-10
\n", "
19
\n", "
0
\n", "
132
\n", "
1417
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PRIMARY ICD-10 CODES", "
REHAB ICD-10
\n", "
3
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["TELEPHONE ICD-10", "
SLEEP MEDICINE ICD-10
\n", "
2
\n", "
0
\n", "
132
\n", "
53
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
SPEECH ICD-10
\n", "
3
\n", "
0
\n", "
132
\n", "
102
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL C&P FY13-Q2
\n", "
1
\n", "
56
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
TBI ICD-10
\n", "
3
\n", "
0
\n", "
132
\n", "
72
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
THORACIC SURGERY ICD-10
\n", "
3
\n", "
0
\n", "
132
\n", "
102
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
TRANSPLANT ICD-10
\n", "
3
\n", "
0
\n", "
132
\n", "
182
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CLC FY15-Q4
\n", "
1
\n", "
51
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["VISIT TYPE CODES", "
NATIONAL CLC FY15-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CLC FY15-Q4
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CLC FY15-Q4
\n", "
21
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL CLC FY15-Q4
\n", "
31
\n", "
0
\n", "
133
\n", "
312
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DERMATOLOGY FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DERMATOLOGY FY15-Q4
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL C&P FY13-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DERMATOLOGY FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL DERMATOLOGY FY15-Q4
\n", "
271
\n", "
0
\n", "
132
\n", "
274
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DERMATOLOGY FY15-Q4
\n", "
17
\n", "
0
\n", "
132
\n", "
253
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIALYSIS FY15-Q4
\n", "
5
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIALYSIS FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL DIALYSIS FY15-Q4
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATIONAL DIALYSIS FY15-Q4
\n", "
101
\n", "
0
\n", "
133
\n", "
154
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIALYSIS FY15-Q4
\n", "
21
\n", "
0
\n", "
132
\n", "
79
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL E-CONSULT FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL E-CONSULT FY15-Q4
\n", "
1
\n", "
56
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL C&P FY13-Q2
\n", "
5
\n", "
0
\n", "
44
\n", "
7
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL E-CONSULT FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL E-CONSULT FY15-Q4
\n", "
26
\n", "
0
\n", "
133
\n", "
637
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL E-CONSULT FY15-Q4
\n", "
13
\n", "
0
\n", "
133
\n", "
12
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ED FY15-Q4
\n", "
13
\n", "
0
\n", "
133
\n", "
157
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ED FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ED FY15-Q4
\n", "
1
\n", "
56
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ED FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL ED FY15-Q4
\n", "
171
\n", "
0
\n", "
133
\n", "
729
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ENDOCRINOLOGY FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ENDOCRINOLOGY FY15-Q4
\n", "
15
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL C&P FY13-Q2
\n", "
13
\n", "
0
\n", "
133
\n", "
6
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSES CODES", "
NATIONAL ENDOCRINOLOGY FY15-Q4
\n", "
31
\n", "
0
\n", "
132
\n", "
149
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ENDOCRINOLOGY FY15-Q4
\n", "
1
\n", "
54
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ENDOCRINOLOGY FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL ENT FY15-Q4
\n", "
17
\n", "
0
\n", "
132
\n", "
28
\n", "
SOLID LINE
\n", "
FILL IN BUBBLES FOR ALL PROCEDURES PERFORMED THIS VISIT
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL ENT FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ENT FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ENT FY15-Q4
\n", "
1
\n", "
48
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL ENT FY15-Q4
\n", "
46
\n", "
0
\n", "
132
\n", "
174
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL EYE FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EYE FY15-Q4
\n", "
16
\n", "
0
\n", "
133
\n", "
84
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
TOOL KIT
\n", "
9
\n", "
0
\n", "
117
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types
\n", "
2
\n", "", "", "", ""], ["PATIENT SKIN TESTS (V2.1)", "
TOOL KIT
\n", "
278
\n", "
0
\n", "
40
\n", "
10
\n", "
SOLID LINE
\n", "
SKIN TESTS
\n", "
CR
\n", "
Patient skin tests
\n", "
20
\n", "", "", "", ""], ["PRIMARY DX", "
NATIONAL C&P FY13-Q2
\n", "
20
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
PRIMARY DIAGNOSIS
\n", "
CR
\n", "
PRIMARY DX
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EYE FY15-Q4
\n", "
1
\n", "
60
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EYE FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL EYE FY15-Q4
\n", "
101
\n", "
0
\n", "
133
\n", "
434
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL MH MHICM FY15-Q4
\n", "
28
\n", "
0
\n", "
132
\n", "
87
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MH MHICM FY15-Q4
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH MHICM FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL MH MHICM FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
21
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL MH MHICM FY15-Q4
\n", "
116
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL MH NURSE FY15-Q4
\n", "
14
\n", "
0
\n", "
132
\n", "
33
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MH NURSE FY15-Q4
\n", "
1
\n", "
49
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL ADDICTION FY13-Q3
\n", "
31
\n", "
0
\n", "
132
\n", "
153
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH NURSE FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATIONAL MH NURSE FY15-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL MH NURSE FY15-Q4
\n", "
48
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL MH PHARM FY15-Q4
\n", "
1
\n", "
57
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH PHARM FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATIONAL MH PHARM FY15-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
ALWAYS USE AS PRIMARY DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MH PHARM FY15-Q4
\n", "
7
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
MANAGEMENT OF MEDICATION THERAPY
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL MH PHARM FY15-Q4
\n", "
25
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL MOVE! FY15-Q4
\n", "
1
\n", "
59
\n", "
14
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES", "
NATIONAL MOVE! FY15-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
18
\n", "
SOLID LINE
\n", "
FILL IN BUBBLE FOR PROCEDURES PERFORMED
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL ADDICTION FY13-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
24
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL MOVE! FY15-Q4
\n", "
35
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MOVE! FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL MOVE! FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HBPC PSYCHOLOGIST FY15-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
38
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC PSYCHOLOGIST FY15-Q4
\n", "
1
\n", "
49
\n", "
37
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC PSYCHOLOGIST FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL HBPC PSYCHOLOGIST FY15-Q4
\n", "
46
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC REHAB FY15-Q4
\n", "
6
\n", "
0
\n", "
133
\n", "
19
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC REHAB FY15-Q4
\n", "
1
\n", "
49
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC REHAB FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ADDICTION FY13-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL HBPC REHAB FY15-Q4
\n", "
26
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
PRIMARY DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATL HBPC REHAB FY15-Q4
\n", "
41
\n", "
0
\n", "
132
\n", "
84
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATL HOSP/PALL INPT FY15-Q4
\n", "
26
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HOSP/PALL INPT FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HOSP/PALL INPT FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HOSP/PALL INPT FY15-Q4
\n", "
1
\n", "
48
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL HOSP/PALL INPT FY15-Q4
\n", "
38
\n", "
0
\n", "
132
\n", "
112
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT
\n", "
UC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATL HOSP/PALL OTPT FY15-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
16
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HOSP/PALL OTPT FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HOSP/PALL OTPT FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ADDICTION FY13-Q3
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATL HOSP/PALL OTPT FY15-Q4
\n", "
1
\n", "
48
\n", "
43
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL HOSP/PALL OTPT FY15-Q4
\n", "
33
\n", "
0
\n", "
132
\n", "
112
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT
\n", "
UC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["HEADER", "
NATL HT CLINICIAN FY15-Q4
\n", "
1
\n", "
49
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT CLINICIAN FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HT CLINICIAN FY15-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL HT CLINICIAN FY15-Q4
\n", "
38
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT CLINICIAN FY15-Q4
\n", "
18
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL HT CLINICIAN FY15-Q4
\n", "
48
\n", "
0
\n", "
132
\n", "
212
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HT NURSE FY15-Q4
\n", "
1
\n", "
49
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT NURSE FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT PROCEDURE", "
NATIONAL CHEMO INFUSN FY13-Q3
\n", "
16
\n", "
0
\n", "
133
\n", "
54
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HT NURSE FY15-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT NURSE FY15-Q4
\n", "
14
\n", "
0
\n", "
132
\n", "
16
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL HT NURSE FY15-Q4
\n", "
31
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL HT NURSE FY15-Q4
\n", "
41
\n", "
0
\n", "
132
\n", "
212
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["HEADER", "
NATL HT SWS FY15-Q4
\n", "
1
\n", "
49
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT SWS FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT SWS FY15-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
16
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL HT SWS FY15-Q4
\n", "
24
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATL HT SWS FY15-Q4
\n", "
34
\n", "
0
\n", "
133
\n", "
179
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL MH PSYCHIATRIST FY15-Q4
\n", "
41
\n", "
0
\n", "
132
\n", "
47
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CHEMO INFUSN FY13-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MH PSYCHIATRIST FY15-Q4
\n", "
1
\n", "
55
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MH PSYCHIATRIST FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATL MH PSYCHIATRIST FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL MH PSYCHIATRIST FY15-Q4
\n", "
89
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL MH PSYCHOLOGIST FY15-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MH PSYCHOLOGIST FY15-Q4
\n", "
1
\n", "
49
\n", "
37
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MH PSYCHOLOGIST FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL MH PSYCHOLOGIST FY15-Q4
\n", "
51
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST INPT FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST INPT FY15-Q4
\n", "
21
\n", "
0
\n", "
133
\n", "
54
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CHEMO INFUSN FY13-Q3
\n", "
1
\n", "
56
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST INPT FY15-Q4
\n", "
1
\n", "
58
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST INPT FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DX-TBI", "
NATL PHYSIATRIST INPT FY15-Q4
\n", "
81
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
PRIMARY DX IF TBI
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATL PHYSIATRIST INPT FY15-Q4
\n", "
97
\n", "
0
\n", "
132
\n", "
179
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST OTPT FY15-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST OTPT FY15-Q4
\n", "
1
\n", "
58
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST OTPT FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DX-TBI", "
NATL PHYSIATRIST OTPT FY15-Q4
\n", "
81
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
PRIMARY DX IF TBI
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST OTPT FY15-Q4
\n", "
16
\n", "
0
\n", "
133
\n", "
59
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATL PHYSIATRIST OTPT FY15-Q4
\n", "
99
\n", "
0
\n", "
132
\n", "
179
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CHEMO INFUSN FY13-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATL PREVENTIVE HEALTH FY15-Q4
\n", "
1
\n", "
49
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PREVENTIVE HEALTH FY15-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PREVENTIVE HEALTH FY15-Q4
\n", "
7
\n", "
0
\n", "
133
\n", "
24
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATL PREVENTIVE HEALTH FY15-Q4
\n", "
32
\n", "
0
\n", "
133
\n", "
619
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL ADDICTION FY16-Q1
\n", "
47
\n", "
0
\n", "
132
\n", "
32
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ADDICTION FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ADDICTION FY16-Q1
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL ADDICTION FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
40
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL ADDICTION FY16-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
434
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ADHC FY16-Q1
\n", "
1
\n", "
47
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSES", "
NATIONAL CHEMO INFUSN FY13-Q3
\n", "
81
\n", "
0
\n", "
133
\n", "
192
\n", "
SOLID LINE
\n", "", "
CRUB
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ADHC FY16-Q1
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ADHC FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
5
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ADHC FY16-Q1
\n", "
13
\n", "
0
\n", "
133
\n", "
9
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ADHC ICD-10", "
NATIONAL ADHC FY16-Q1
\n", "
23
\n", "
0
\n", "
132
\n", "
162
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ALLERGY FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ALLERGY FY16-Q1
\n", "
1
\n", "
56
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ALLERGY FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ALLERGY FY16-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
28
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ALLERGY ICD-10", "
NATIONAL ALLERGY FY16-Q1
\n", "
46
\n", "
0
\n", "
132
\n", "
128
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ANESTHESIA FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT TREATMENTS (V2.1)", "
TOOL KIT
\n", "
292
\n", "
0
\n", "
40
\n", "
10
\n", "
SOLID LINE
\n", "
TREATMENTS
\n", "
CR
\n", "
Patient treatments
\n", "
21
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DERMATOLOGY FY13-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ANESTHESIA FY16-Q1
\n", "
13
\n", "
0
\n", "
132
\n", "
77
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ANESTHESIA FY16-Q1
\n", "
1
\n", "
54
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ANESTHESIA FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ANESTHESIA ICD-10", "
NATIONAL ANESTHESIA FY16-Q1
\n", "
91
\n", "
0
\n", "
132
\n", "
324
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL AUDIO FY16-Q1
\n", "
1
\n", "
54
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL AUDIO FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["AUDIOLOGY CPT CODES", "
NATIONAL AUDIO FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
61
\n", "
SOLID LINE
\n", "
AUDIOLOGY PROCEDURES PERFORMED THIS VISIT
\n", "
C
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["AUDIOLOGY ICD-10 DIAGNOSES", "
NATIONAL AUDIO FY16-Q1
\n", "
69
\n", "
0
\n", "
132
\n", "
283
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL BLIND REHAB FY16-Q1
\n", "
1
\n", "
56
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL BLIND REHAB FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DERMATOLOGY FY13-Q3
\n", "
17
\n", "
0
\n", "
132
\n", "
158
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL BLIND REHAB FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
28
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["BLIND REHAB ICD-10", "
NATIONAL BLIND REHAB FY16-Q1
\n", "
36
\n", "
0
\n", "
132
\n", "
101
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATL CARDIOLOGY/CATH FY16-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
233
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
EPS PROCEDURES
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CARDIOLOGY/CATH FY16-Q1
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CARDIOLOGY/CATH FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CARDIOLOGY/CATH FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY/CARDIAC CATH ICD-10", "
NATL CARDIOLOGY/CATH FY16-Q1
\n", "
251
\n", "
0
\n", "
132
\n", "
384
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CAREGIVER ASSESS FY16-Q1
\n", "
1
\n", "
54
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CAREGIVER ASSESS FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL CAREGIVER ASSESS FY16-Q1
\n", "
13
\n", "
0
\n", "
132
\n", "
12
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DERMATOLOGY FY13-Q3
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATL CAREGIVER ASSESS FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
5
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["CAREGIVER ASSESSMENT ICD-10", "
NATL CAREGIVER ASSESS FY16-Q1
\n", "
26
\n", "
0
\n", "
132
\n", "
58
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CHIROPRACTIC FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CHIROPRACTIC FY16-Q1
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CHIROPRACTIC FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CHIROPRACTIC FY16-Q1
\n", "
15
\n", "
0
\n", "
133
\n", "
25
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CHIROPRACTIC ICD-10", "
NATIONAL CHIROPRACTIC FY16-Q1
\n", "
41
\n", "
0
\n", "
132
\n", "
219
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CLC FY16-Q1
\n", "
1
\n", "
51
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["VISIT TYPE CODES", "
NATIONAL CLC FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CLC FY16-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DERMATOLOGY FY13-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CLC FY16-Q1
\n", "
21
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["GERIATRICS ICD-10", "
NATIONAL CLC FY16-Q1
\n", "
36
\n", "
0
\n", "
132
\n", "
1548
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL CLIN PHARM FY16-Q1
\n", "
1
\n", "
57
\n", "
28
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CLIN PHARM FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CLIN PHARM FY16-Q1
\n", "
7
\n", "
0
\n", "
133
\n", "
7
\n", "
SOLID LINE
\n", "
MANAGEMENT OF MEDICATION THERAPY
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CLINICAL PHARMACIST ICD-10", "
NATIONAL CLIN PHARM FY16-Q1
\n", "
15
\n", "
0
\n", "
132
\n", "
109
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL C&P FY16-Q1
\n", "
1
\n", "
56
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL C&P FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL C&P FY16-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
25
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL C&P FY16-Q1
\n", "
31
\n", "
0
\n", "
133
\n", "
19
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL DERMATOLOGY FY13-Q3
\n", "
176
\n", "
0
\n", "
132
\n", "
274
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["PRIMARY C&P ICD-10 CODES", "
NATIONAL C&P FY16-Q1
\n", "
51
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["SECONDARY C&P ICD-10", "
NATIONAL C&P FY16-Q1
\n", "
95
\n", "
0
\n", "
132
\n", "
89
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CRITICAL CARE FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CRITICAL CARE FY16-Q1
\n", "
1
\n", "
56
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CRITICAL CARE FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CRITICAL CARE FY16-Q1
\n", "
21
\n", "
0
\n", "
133
\n", "
49
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["INTENSIVE/CRITICAL CARE ICD-10", "
NATIONAL CRITICAL CARE FY16-Q1
\n", "
71
\n", "
0
\n", "
132
\n", "
218
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DAY SURGERY FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DAY SURGERY FY16-Q1
\n", "
1
\n", "
55
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DAY SURGERY FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIABETES FY13-Q3
\n", "
5
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL DAY SURGERY FY16-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
104
\n", "
SOLID LINE
\n", "", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DAY/GENERAL SURG ICD-10", "
NATIONAL DAY SURGERY FY16-Q1
\n", "
121
\n", "
0
\n", "
132
\n", "
1348
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DEMENTIA FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DEMENTIA FY16-Q1
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DEMENTIA FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL DEMENTIA FY16-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DEMENTIA ICD-10", "
NATIONAL DEMENTIA FY16-Q1
\n", "
26
\n", "
0
\n", "
132
\n", "
108
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DERMATOLOGY FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DERMATOLOGY FY16-Q1
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DERMATOLOGY FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIABETES FY13-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DERMATOLOGY FY16-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
253
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DERM/TELEDERM ICD-10", "
NATIONAL DERMATOLOGY FY16-Q1
\n", "
271
\n", "
0
\n", "
132
\n", "
409
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIABETES FY16-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIABETES FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL DIABETES FY16-Q1
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIABETES FY16-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
29
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIABETES ICD-10", "
NATIONAL DIABETES FY16-Q1
\n", "
46
\n", "
0
\n", "
132
\n", "
154
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIALYSIS FY16-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIALYSIS FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL DIALYSIS FY16-Q1
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATIONAL DIABETES FY13-Q3
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIALYSIS FY16-Q1
\n", "
21
\n", "
0
\n", "
132
\n", "
79
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["NEPHROLOGY ICD-10", "
NATIONAL DIALYSIS FY16-Q1
\n", "
101
\n", "
0
\n", "
132
\n", "
379
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL E-CONSULT FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL E-CONSULT FY16-Q1
\n", "
1
\n", "
56
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL E-CONSULT FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL E-CONSULT FY16-Q1
\n", "
13
\n", "
0
\n", "
133
\n", "
12
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL E-CONSULT FY16-Q1
\n", "
26
\n", "
0
\n", "
132
\n", "
1377
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ECOE E&M FY16-Q1
\n", "
1
\n", "
57
\n", "
38
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ECOE E&M FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ECOE E&M FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIABETES FY13-Q3
\n", "
21
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ECOE E&M FY16-Q1
\n", "
26
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ECOE ICD-10", "
NATIONAL ECOE E&M FY16-Q1
\n", "
35
\n", "
0
\n", "
132
\n", "
125
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ECOE E-CON FY16-Q1
\n", "
1
\n", "
57
\n", "
51
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ECOE E-CON FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ECOE E-CON FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
5
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ECOE E-CON FY16-Q1
\n", "
13
\n", "
0
\n", "
133
\n", "
7
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ECOE ICD-10", "
NATIONAL ECOE E-CON FY16-Q1
\n", "
21
\n", "
0
\n", "
132
\n", "
129
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ECOE PROC FY16-Q1
\n", "
1
\n", "
57
\n", "
51
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ECOE PROC FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ECOE PROC FY16-Q1
\n", "
7
\n", "
0
\n", "
133
\n", "
23
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATIONAL DIABETES FY13-Q3
\n", "
33
\n", "
0
\n", "
133
\n", "
87
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["ECOE ICD-10", "
NATIONAL ECOE PROC FY16-Q1
\n", "
31
\n", "
0
\n", "
132
\n", "
150
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ECOE TELE FY16-Q1
\n", "
1
\n", "
57
\n", "
50
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ECOE TELE FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL ECOE TELE FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
FILL IN BUBBLE FOR TELEPHONE CALL PERFORMED
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["ECOE ICD-10", "
NATIONAL ECOE TELE FY16-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
133
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ED FY16-Q1
\n", "
16
\n", "
0
\n", "
133
\n", "
164
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ED FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ED FY16-Q1
\n", "
1
\n", "
56
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ED FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL ED FY16-Q1
\n", "
181
\n", "
0
\n", "
132
\n", "
2197
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PHYSICIAN ORDERS (V2.1)", "
TOOL KIT
\n", "
321
\n", "
0
\n", "
132
\n", "
12
\n", "
INVISIBLE
\n", "
Physician's Orders:
\n", "", "
Used to indicate tests,consults,disposition
\n", "
22
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL E-CONSULT FY13-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL EMP HEALTH FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EMP HEALTH FY16-Q1
\n", "
1
\n", "
56
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EMP HEALTH FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EMP HEALTH FY16-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
28
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL EMP HEALTH FY16-Q1
\n", "
46
\n", "
0
\n", "
132
\n", "
324
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ENDOCRINOLOGY FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ENDOCRINOLOGY FY16-Q1
\n", "
15
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ENDOCRINOLOGY FY16-Q1
\n", "
1
\n", "
54
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ENDOCRINOLOGY FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ENDOCRINE ICD-10", "
NATIONAL ENDOCRINOLOGY FY16-Q1
\n", "
31
\n", "
0
\n", "
132
\n", "
89
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL E-CONSULT FY13-Q3
\n", "
1
\n", "
56
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES", "
NATIONAL ENT FY16-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
28
\n", "
SOLID LINE
\n", "
FILL IN BUBBLES FOR ALL PROCEDURES PERFORMED THIS VISIT
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL ENT FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ENT FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ENT FY16-Q1
\n", "
1
\n", "
48
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL ENT FY16-Q1
\n", "
46
\n", "
0
\n", "
132
\n", "
174
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL EYE FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EYE FY16-Q1
\n", "
16
\n", "
0
\n", "
133
\n", "
84
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EYE FY16-Q1
\n", "
1
\n", "
60
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EYE FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["EYE/TELERETINAL ICD-10", "
NATIONAL EYE FY16-Q1
\n", "
101
\n", "
0
\n", "
132
\n", "
899
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL E-CONSULT FY13-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL EYE TECH FY16-Q1
\n", "
1
\n", "
54
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EYE TECH FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EYE TECH FY16-Q1
\n", "
7
\n", "
0
\n", "
133
\n", "
26
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["EYE/TELERETINAL ICD-10", "
NATIONAL EYE TECH FY16-Q1
\n", "
34
\n", "
0
\n", "
132
\n", "
899
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL GEN SURG FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL GEN SURG FY16-Q1
\n", "
15
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL GEN SURG FY16-Q1
\n", "
1
\n", "
54
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL GEN SURG FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DAY/GENERAL SURG ICD-10", "
NATIONAL GEN SURG FY16-Q1
\n", "
46
\n", "
0
\n", "
132
\n", "
1348
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL GERIATRICS FY16-Q1
\n", "
1
\n", "
51
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL E-CONSULT FY13-Q3
\n", "
20
\n", "
0
\n", "
133
\n", "
637
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["E&M CODES", "
NATIONAL GERIATRICS FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL GERIATRICS FY16-Q1
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL GERIATRICS FY16-Q1
\n", "
18
\n", "
0
\n", "
132
\n", "
17
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["GERIATRICS ICD-10", "
NATIONAL GERIATRICS FY16-Q1
\n", "
36
\n", "
0
\n", "
132
\n", "
1548
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL GI/HEPATOLOGY FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL GI/HEPATOLOGY FY16-Q1
\n", "
1
\n", "
54
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL GI/HEPATOLOGY FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL GI/HEPATOLOGY FY16-Q1
\n", "
15
\n", "
0
\n", "
132
\n", "
95
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL GI/HEPATOLOGY FY16-Q1
\n", "
111
\n", "
0
\n", "
132
\n", "
239
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC CLIN FY16-Q1
\n", "
1
\n", "
58
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL E-CONSULT FY13-Q3
\n", "
13
\n", "
0
\n", "
133
\n", "
6
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC CLIN FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HBPC CLIN FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
TYPE OF HOME VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC CLIN FY16-Q1
\n", "
15
\n", "
0
\n", "
133
\n", "
39
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATL HBPC CLIN FY16-Q1
\n", "
55
\n", "
0
\n", "
132
\n", "
2197
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL HBPC NURSING FY16-Q1
\n", "
1
\n", "
46
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HOME VISIT CODES", "
NATL HBPC NURSING FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF HOME VISIT - PER 15 MINUTES
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC NURSING FY16-Q1
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURE CODES", "
NATL HBPC NURSING FY16-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
39
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURE CODES PERFORMED AT THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["NURSING ICD-10", "
NATL HBPC NURSING FY16-Q1
\n", "
56
\n", "
0
\n", "
132
\n", "
439
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HBPC PSYCHOLOGIST FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
38
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ENT FY13-Q3
\n", "
17
\n", "
0
\n", "
132
\n", "
24
\n", "
SOLID LINE
\n", "
FILL IN BUBBLES FOR ALL PROCEDURES PERFORMED THIS VISIT
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC PSYCHOLOGIST FY16-Q1
\n", "
1
\n", "
49
\n", "
37
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC PSYCHOLOGIST FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATL HBPC PSYCHOLOGIST FY16-Q1
\n", "
46
\n", "
0
\n", "
132
\n", "
434
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC REHAB FY16-Q1
\n", "
6
\n", "
0
\n", "
133
\n", "
19
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC REHAB FY16-Q1
\n", "
1
\n", "
49
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC REHAB FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["REHAB ICD-10 CODES", "
NATL HBPC REHAB FY16-Q1
\n", "
26
\n", "
0
\n", "
132
\n", "
1417
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL SWS MH FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SWS MH FY16-Q1
\n", "
1
\n", "
55
\n", "
44
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SWS MH FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL ENT FY13-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL SWS MH FY16-Q1
\n", "
41
\n", "
0
\n", "
132
\n", "
434
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TBI FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TBI FY16-Q1
\n", "
1
\n", "
49
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TBI FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL TBI FY16-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
43
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL TBI FY16-Q1
\n", "
61
\n", "
0
\n", "
132
\n", "
99
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TELEDERM FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TELEDERM FY16-Q1
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEDERM FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELEDERM FY16-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ENT FY13-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DERM/TELEDERM ICD-10", "
NATIONAL TELEDERM FY16-Q1
\n", "
25
\n", "
0
\n", "
132
\n", "
409
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL TELEHLTH-PT SITE FY16-Q1
\n", "
1
\n", "
49
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL TELEHLTH-PT SITE FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL TELEHLTH-PT SITE FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["TELEHEALTH ICD-10", "
NATL TELEHLTH-PT SITE FY16-Q1
\n", "
14
\n", "
0
\n", "
132
\n", "
316
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TELEPHONE FY16-Q1
\n", "
1
\n", "
59
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES", "
NATIONAL TELEPHONE FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
FILL IN BUBBLE FOR TELEPHONE CALL PERFORMED
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEPHONE FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TELEPHONE ICD-10", "
NATIONAL TELEPHONE FY16-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
28
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL THORACIC SURG FY16-Q1
\n", "
1
\n", "
56
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATIONAL ENT FY13-Q3
\n", "
1
\n", "
48
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL THORACIC SURG FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL THORACIC SURG FY16-Q1
\n", "
18
\n", "
0
\n", "
133
\n", "
33
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL THORACIC SURG FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL THORACIC SURG FY16-Q1
\n", "
52
\n", "
0
\n", "
132
\n", "
108
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TRANSPLANT FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL TRANSPLANT FY16-Q1
\n", "
15
\n", "
0
\n", "
132
\n", "
25
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TRANSPLANT FY16-Q1
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TRANSPLANT FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL TRANSPLANT FY16-Q1
\n", "
41
\n", "
0
\n", "
132
\n", "
259
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL URGENT CARE FY16-Q1
\n", "
1
\n", "
49
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL ENT FY13-Q3
\n", "
42
\n", "
0
\n", "
132
\n", "
163
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL URGENT CARE FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["E&M OUTPATIENT CODES", "
NATIONAL URGENT CARE FY16-Q1
\n", "
6
\n", "
0
\n", "
90
\n", "
11
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL URGENT CARE FY16-Q1
\n", "
18
\n", "
0
\n", "
132
\n", "
62
\n", "
SOLID LINE
\n", "
FILL IN BUBBLES FOR ALL PROCEDURES PERFORMED THIS VISIT
\n", "
URCB
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL URGENT CARE FY16-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
2197
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL UROLOGY FY16-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL UROLOGY FY16-Q1
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL UROLOGY FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL UROLOGY FY16-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
64
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["UROLOGY ICD-10", "
NATIONAL UROLOGY FY16-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
204
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL VASCULAR LAB FY16-Q1
\n", "
1
\n", "
54
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
TOOL KIT
\n", "
342
\n", "
0
\n", "
133
\n", "
10
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
23
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ED FY13-Q3
\n", "
13
\n", "
0
\n", "
133
\n", "
127
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL VASCULAR LAB FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL VASCULAR LAB FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
23
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["VASCULAR ICD-10", "
NATIONAL VASCULAR LAB FY16-Q1
\n", "
31
\n", "
0
\n", "
132
\n", "
334
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL VASCULAR SURG FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL VASCULAR SURG FY16-Q1
\n", "
1
\n", "
54
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL VASCULAR SURG FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL VASCULAR SURG FY16-Q1
\n", "
15
\n", "
0
\n", "
132
\n", "
35
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["VASCULAR ICD-10", "
NATIONAL VASCULAR SURG FY16-Q1
\n", "
51
\n", "
0
\n", "
132
\n", "
334
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL WOMENS HEALTH FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL WOMENS HEALTH FY16-Q1
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ED FY13-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL WOMENS HEALTH FY16-Q1
\n", "
2
\n", "
52
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["WOMEN'S CLINIC PROCEDURES", "
NATIONAL WOMENS HEALTH FY16-Q1
\n", "
20
\n", "
0
\n", "
132
\n", "
55
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
WOMEN'S CLINIC PROCEDURES
\n", "
0
\n", "", "", "", ""], ["WOMEN'S HEALTH ICD-10", "
NATIONAL WOMENS HEALTH FY16-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
239
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL WOUND OSTOMY FY16-Q1
\n", "
1
\n", "
44
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL WOUND OSTOMY FY16-Q1
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL WOUND OSTOMY FY16-Q1
\n", "
21
\n", "
0
\n", "
133
\n", "
13
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL WOUND OSTOMY FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["WOUND OSTOMY ICD-10", "
NATIONAL WOUND OSTOMY FY16-Q1
\n", "
35
\n", "
0
\n", "
132
\n", "
205
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELERETINAL FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL TELERETINAL FY16-Q1
\n", "
1
\n", "
49
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATIONAL ED FY13-Q3
\n", "
1
\n", "
56
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELERETINAL FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["EYE/TELERETINAL ICD-10", "
NATIONAL TELERETINAL FY16-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
899
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT PROCEDURE", "
NATIONAL HEMATOLOGY FY16-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
63
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL HEMATOLOGY FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL HEMATOLOGY FY16-Q1
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL HEMATOLOGY FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEMATOLOGY ICD-10", "
NATIONAL HEMATOLOGY FY16-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
299
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATL HOSP/PALL INPT FY16-Q1
\n", "
26
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HOSP/PALL INPT FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HOSP/PALL INPT FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ED FY13-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATL HOSP/PALL INPT FY16-Q1
\n", "
1
\n", "
48
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HOSPICE/PALLIATIVE CARE ICD-10", "
NATL HOSP/PALL INPT FY16-Q1
\n", "
38
\n", "
0
\n", "
132
\n", "
162
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATL HOSP/PALL OTPT FY16-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
16
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HOSP/PALL OTPT FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HOSP/PALL OTPT FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HOSP/PALL OTPT FY16-Q1
\n", "
1
\n", "
48
\n", "
43
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HOSPICE/PALLIATIVE CARE ICD-10", "
NATL HOSP/PALL OTPT FY16-Q1
\n", "
33
\n", "
0
\n", "
132
\n", "
162
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL HT CLINICIAN FY16-Q1
\n", "
1
\n", "
49
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT CLINICIAN FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HT CLINICIAN FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL ED FY13-Q3
\n", "
141
\n", "
0
\n", "
133
\n", "
615
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT CLINICIAN FY16-Q1
\n", "
18
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HT ICD-10", "
NATL HT CLINICIAN FY16-Q1
\n", "
38
\n", "
0
\n", "
132
\n", "
498
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL HT NURSE FY16-Q1
\n", "
1
\n", "
49
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT NURSE FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HT NURSE FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT NURSE FY16-Q1
\n", "
14
\n", "
0
\n", "
132
\n", "
16
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HT ICD-10", "
NATL HT NURSE FY16-Q1
\n", "
31
\n", "
0
\n", "
132
\n", "
498
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL HT SWS FY16-Q1
\n", "
1
\n", "
49
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT SWS FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT SWS FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
16
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL EYE FY13-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["SWS MEDICAL ICD-10", "
NATL HT SWS FY16-Q1
\n", "
24
\n", "
0
\n", "
132
\n", "
168
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INFECTIOUS DX FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL INFECTIOUS DX FY16-Q1
\n", "
1
\n", "
56
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INFECTIOUS DX FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL INFECTIOUS DX FY16-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
18
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL INFECTIOUS DX FY16-Q1
\n", "
36
\n", "
0
\n", "
132
\n", "
364
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INPATIENT FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL INPATIENT FY16-Q1
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INPATIENT FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL INPATIENT FY16-Q1
\n", "
26
\n", "
0
\n", "
133
\n", "
14
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EYE FY13-Q3
\n", "
16
\n", "
0
\n", "
133
\n", "
66
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["INPATIENT ICD-10", "
NATIONAL INPATIENT FY16-Q1
\n", "
41
\n", "
0
\n", "
132
\n", "
889
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL IR FY16-Q1
\n", "
1
\n", "
49
\n", "
33
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL IR FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL IR FY16-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
54
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL IR FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["INTERVENTIONAL RAD ICD-10", "
NATIONAL IR FY16-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
539
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATL LOW VISION-OPTOM FY16-Q1
\n", "
21
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATL LOW VISION-OPTOM FY16-Q1
\n", "
6
\n", "
0
\n", "
117
\n", "
14
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL LOW VISION-OPTOM FY16-Q1
\n", "
1
\n", "
57
\n", "
31
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL LOW VISION-OPTOM FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL EYE FY13-Q3
\n", "
1
\n", "
60
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["LOW VISION ICD-10", "
NATL LOW VISION-OPTOM FY16-Q1
\n", "
56
\n", "
0
\n", "
132
\n", "
444
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MED FOSTER HOME FY16-Q1
\n", "
1
\n", "
56
\n", "
28
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MED FOSTER HOME FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL MED FOSTER HOME FY16-Q1
\n", "
6
\n", "
0
\n", "
133
\n", "
39
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATL MED FOSTER HOME FY16-Q1
\n", "
46
\n", "
0
\n", "
132
\n", "
2197
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL MEDICINE FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MEDICINE FY16-Q1
\n", "
1
\n", "
56
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MEDICINE FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MEDICINE FY16-Q1
\n", "
16
\n", "
0
\n", "
133
\n", "
84
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL MEDICINE FY16-Q1
\n", "
101
\n", "
0
\n", "
132
\n", "
2197
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EYE FY13-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ORTHOPEDICS FY16-Q1
\n", "
16
\n", "
0
\n", "
133
\n", "
99
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ORTHOPEDICS FY16-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ORTHOPEDICS FY16-Q1
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ORTHOPEDICS FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL ORTHOPEDICS FY16-Q1
\n", "
116
\n", "
0
\n", "
132
\n", "
584
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PAIN FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL PAIN FY16-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
49
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PAIN FY16-Q1
\n", "
1
\n", "
49
\n", "
13
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PAIN FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PAIN ICD-10", "
NATIONAL PAIN FY16-Q1
\n", "
66
\n", "
0
\n", "
132
\n", "
174
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL EYE FY13-Q3
\n", "
83
\n", "
0
\n", "
133
\n", "
417
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL PEER SUPPORT FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PEER SUPPORT FY16-Q1
\n", "
1
\n", "
58
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PEER SUPPORT FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL PEER SUPPORT FY16-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
434
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST INPT FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST INPT FY16-Q1
\n", "
21
\n", "
0
\n", "
133
\n", "
54
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST INPT FY16-Q1
\n", "
1
\n", "
58
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST INPT FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL PHYSIATRIST INPT FY16-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
642
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST OTPT FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROGRESS NOTES (SOAP) V2.1", "
TOOL KIT
\n", "
360
\n", "
0
\n", "
132
\n", "
31
\n", "
INVISIBLE
\n", "
Progress Notes: ( ) Attached ( ) See Chart
\n", "", "
Progress notes in SOAP format
\n", "
24
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EYE TECH FY13-Q3
\n", "
7
\n", "
0
\n", "
133
\n", "
28
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST OTPT FY16-Q1
\n", "
1
\n", "
58
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST OTPT FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST OTPT FY16-Q1
\n", "
16
\n", "
0
\n", "
133
\n", "
59
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL PHYSIATRIST OTPT FY16-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
642
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PLASTIC SURG FY16-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PLASTIC SURG FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PLASTIC SURG FY16-Q1
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL PLASTIC SURG FY16-Q1
\n", "
18
\n", "
0
\n", "
132
\n", "
253
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PLASTIC SURGERY ICD-10", "
NATIONAL PLASTIC SURG FY16-Q1
\n", "
272
\n", "
0
\n", "
132
\n", "
423
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL POD NAIL NURS FY16-Q1
\n", "
14
\n", "
0
\n", "
133
\n", "
11
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EYE TECH FY13-Q3
\n", "
1
\n", "
54
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL POD NAIL NURS FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL POD NAIL NURS FY16-Q1
\n", "
1
\n", "
58
\n", "
37
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL POD NAIL NURS FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PODIATRY ICD-10", "
NATIONAL POD NAIL NURS FY16-Q1
\n", "
26
\n", "
0
\n", "
132
\n", "
1118
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PODIATRY FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PODIATRY FY16-Q1
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PODIATRY FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PODIATRY FY16-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
193
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PODIATRY ICD-10", "
NATIONAL PODIATRY FY16-Q1
\n", "
211
\n", "
0
\n", "
132
\n", "
1118
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL POLYTRAUMA FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EYE TECH FY13-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL POLYTRAUMA FY16-Q1
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL POLYTRAUMA FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL POLYTRAUMA FY16-Q1
\n", "
16
\n", "
0
\n", "
133
\n", "
49
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL POLYTRAUMA FY16-Q1
\n", "
66
\n", "
0
\n", "
132
\n", "
184
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PREVENTIVE HEALTH FY16-Q1
\n", "
1
\n", "
49
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PREVENTIVE HEALTH FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PREVENTIVE HEALTH FY16-Q1
\n", "
7
\n", "
0
\n", "
133
\n", "
24
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PREVENTIVE HEALTH ICD-10", "
NATL PREVENTIVE HEALTH FY16-Q1
\n", "
32
\n", "
0
\n", "
132
\n", "
178
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PRIMARY CARE FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PRIMARY CARE FY16-Q1
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL EYE TECH FY13-Q3
\n", "
36
\n", "
0
\n", "
133
\n", "
417
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PRIMARY CARE FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PRIMARY CARE FY16-Q1
\n", "
16
\n", "
0
\n", "
133
\n", "
84
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL PRIMARY CARE FY16-Q1
\n", "
101
\n", "
0
\n", "
132
\n", "
2197
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PROSTHETICS FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PROSTHETICS FY16-Q1
\n", "
1
\n", "
56
\n", "
33
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PROSTHETICS FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PROSTHETICS FY16-Q1
\n", "
16
\n", "
0
\n", "
133
\n", "
9
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL PROSTHETICS FY16-Q1
\n", "
26
\n", "
0
\n", "
132
\n", "
439
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL PULMONARY FY16-Q1
\n", "
14
\n", "
0
\n", "
132
\n", "
56
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PULMONARY FY16-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL HBPC PT/OT FY13-Q3
\n", "
6
\n", "
0
\n", "
133
\n", "
13
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PULMONARY FY16-Q1
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PULMONARY FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["RESPIRATORY THERAPY ICD-10", "
NATIONAL PULMONARY FY16-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
849
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL RADIATION ONC FY16-Q1
\n", "
1
\n", "
47
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["EVALUATION/MANAGEMENT - MED", "
NATL RADIATION ONC FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
EVALUATION/MANAGEMENT
\n", "
UBC
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURE", "
NATL RADIATION ONC FY16-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
36
\n", "
SOLID LINE
\n", "
RADIATION THERAPY PROCEDURES
\n", "
BUC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL RADIATION ONC FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["RADIATION THERAPY ICD-10", "
NATL RADIATION ONC FY16-Q1
\n", "
54
\n", "
0
\n", "
132
\n", "
1038
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REC THERAPY GRP FY16-Q1
\n", "
6
\n", "
0
\n", "
133
\n", "
19
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REC THERAPY GRP FY16-Q1
\n", "
1
\n", "
58
\n", "
36
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATIONAL HBPC PT/OT FY13-Q3
\n", "
1
\n", "
58
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REC THERAPY GRP FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["REC THERAPY ICD-10", "
NATL REC THERAPY GRP FY16-Q1
\n", "
26
\n", "
0
\n", "
132
\n", "
59
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REC THERAPY IND FY16-Q1
\n", "
6
\n", "
0
\n", "
133
\n", "
26
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REC THERAPY IND FY16-Q1
\n", "
1
\n", "
58
\n", "
40
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REC THERAPY IND FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["REC THERAPY ICD-10", "
NATL REC THERAPY IND FY16-Q1
\n", "
33
\n", "
0
\n", "
132
\n", "
59
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL REHAB-PT/OT/KT FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REHAB-PT/OT/KT FY16-Q1
\n", "
16
\n", "
0
\n", "
133
\n", "
94
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REHAB-PT/OT/KT FY16-Q1
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REHAB-PT/OT/KT FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL HBPC PT/OT FY13-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["REHAB ICD-10 CODES", "
NATL REHAB-PT/OT/KT FY16-Q1
\n", "
111
\n", "
0
\n", "
132
\n", "
1417
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL RESP THERAPY FY16-Q1
\n", "
14
\n", "
0
\n", "
132
\n", "
56
\n", "
SOLID LINE
\n", "
PLEASE MARK PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL RESP THERAPY FY16-Q1
\n", "
1
\n", "
43
\n", "
47
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL RESP THERAPY FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL RESP THERAPY FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["RESPIRATORY THERAPY ICD-10", "
NATIONAL RESP THERAPY FY16-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
849
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL RHEUMATOLOGY FY16-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
18
\n", "
SOLID LINE
\n", "
PLEASE CHECK CPT CODES THAT APPLY
\n", "
CUB
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL RHEUMATOLOGY FY16-Q1
\n", "
1
\n", "
54
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL RHEUMATOLOGY FY16-Q1
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL RHEUMATOLOGY FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CUB
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATIONAL HBPC PT/OT FY13-Q3
\n", "
20
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
PRIMARY DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["RHEUMATOLOGY ICD-10", "
NATIONAL RHEUMATOLOGY FY16-Q1
\n", "
36
\n", "
0
\n", "
132
\n", "
714
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL SCI FY16-Q1
\n", "
1
\n", "
52
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SCI FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL SCI FY16-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
68
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SCI FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["SCI ICD-10", "
NATIONAL SCI FY16-Q1
\n", "
86
\n", "
0
\n", "
132
\n", "
174
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL SECURE MESSAGES FY16-Q1
\n", "
1
\n", "
54
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL SECURE MESSAGES FY16-Q1
\n", "
6
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL SECURE MESSAGES FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["SECURE MESSAGES ICD-10", "
NATL SECURE MESSAGES FY16-Q1
\n", "
15
\n", "
0
\n", "
132
\n", "
28
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL HBPC PT/OT FY13-Q3
\n", "
30
\n", "
0
\n", "
132
\n", "
74
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL SLEEP MED FY16-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
23
\n", "
SOLID LINE
\n", "
PLEASE MARK PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SLEEP MED FY16-Q1
\n", "
1
\n", "
49
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SLEEP MED FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SLEEP MED FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["SLEEP MEDICINE ICD-10", "
NATIONAL SLEEP MED FY16-Q1
\n", "
41
\n", "
0
\n", "
132
\n", "
59
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SPEECH FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
3
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["SPEECH PATHOLOGY CPT CODES", "
NATIONAL SPEECH FY16-Q1
\n", "
10
\n", "
0
\n", "
132
\n", "
65
\n", "
SOLID LINE
\n", "
SPEECH PATHOLOGY PROCEDURES PERFORMED THIS VISIT
\n", "
C
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SPEECH FY16-Q1
\n", "
1
\n", "
54
\n", "
15
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SPEECH FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL SPEECH FY16-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
102
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["DIAGNOSES", "
NATIONAL HEMATOLOGY FY13-Q3
\n", "
81
\n", "
0
\n", "
133
\n", "
109
\n", "
SOLID LINE
\n", "", "
CRUB
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SOCIAL WORK FY16-Q1
\n", "
1
\n", "
56
\n", "
44
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SOCIAL WORK FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL SOCIAL WORK FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
28
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["SWS MEDICAL ICD-10", "
NATIONAL SOCIAL WORK FY16-Q1
\n", "
36
\n", "
0
\n", "
132
\n", "
168
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL MH MHICM FY16-Q1
\n", "
47
\n", "
0
\n", "
132
\n", "
87
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MH MHICM FY16-Q1
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH MHICM FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL MH MHICM FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
40
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL MH MHICM FY16-Q1
\n", "
136
\n", "
0
\n", "
132
\n", "
434
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL MH NURSE FY16-Q1
\n", "
14
\n", "
0
\n", "
132
\n", "
33
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PROGRESS NOTES (V2.1)", "
TOOL KIT
\n", "
400
\n", "
0
\n", "
132
\n", "
11
\n", "
INVISIBLE
\n", "", "
BUC
\n", "
Progress notes (unstructured)
\n", "
25
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATIONAL HEMATOLOGY FY13-Q3
\n", "
17
\n", "
0
\n", "
133
\n", "
58
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MH NURSE FY16-Q1
\n", "
1
\n", "
49
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH NURSE FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATIONAL MH NURSE FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL MH NURSE FY16-Q1
\n", "
48
\n", "
0
\n", "
132
\n", "
434
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL MH PHARM FY16-Q1
\n", "
1
\n", "
57
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH PHARM FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MH PHARM FY16-Q1
\n", "
7
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
MANAGEMENT OF MEDICATION THERAPY
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL MH PHARM FY16-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
434
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL MH PSYCHIATRIST FY16-Q1
\n", "
41
\n", "
0
\n", "
132
\n", "
47
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MH PSYCHIATRIST FY16-Q1
\n", "
1
\n", "
55
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL HEMATOLOGY FY13-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MH PSYCHIATRIST FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATL MH PSYCHIATRIST FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATL MH PSYCHIATRIST FY16-Q1
\n", "
89
\n", "
0
\n", "
132
\n", "
434
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL MH PSYCHOLOGIST FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MH PSYCHOLOGIST FY16-Q1
\n", "
1
\n", "
49
\n", "
37
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MH PSYCHOLOGIST FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATL MH PSYCHOLOGIST FY16-Q1
\n", "
51
\n", "
0
\n", "
132
\n", "
434
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL MOVE! FY16-Q1
\n", "
1
\n", "
59
\n", "
14
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES", "
NATIONAL MOVE! FY16-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
18
\n", "
SOLID LINE
\n", "
FILL IN BUBBLE FOR PROCEDURES PERFORMED
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MOVE! FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL HEMATOLOGY FY13-Q3
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL MOVE! FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["MOVE! ICD-10", "
NATIONAL MOVE! FY16-Q1
\n", "
35
\n", "
0
\n", "
132
\n", "
48
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEPHROLOGY FY16-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEPHROLOGY FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL NEPHROLOGY FY16-Q1
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL NEPHROLOGY FY16-Q1
\n", "
36
\n", "
0
\n", "
133
\n", "
24
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["NEPHROLOGY ICD-10", "
NATIONAL NEPHROLOGY FY16-Q1
\n", "
61
\n", "
0
\n", "
132
\n", "
379
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEUROLOGY FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "", "
CRU
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL NEUROLOGY FY16-Q1
\n", "
2
\n", "
55
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEUROLOGY FY16-Q1
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL HEMATOLOGY FY13-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL NEUROLOGY FY16-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
64
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["NEUROLOGY ICD-10", "
NATIONAL NEUROLOGY FY16-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
329
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATIONAL NEUROSURGERY FY16-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
18
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEUROSURGERY FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL NEUROSURGERY FY16-Q1
\n", "
1
\n", "
49
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEUROSURGERY FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL NEUROSURGERY FY16-Q1
\n", "
36
\n", "
0
\n", "
132
\n", "
227
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL NURSING CLINIC FY16-Q1
\n", "
1
\n", "
46
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL NURSING CLINIC FY16-Q1
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL NURSING CLINIC FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL KIDNEY/HTN FY13-Q3
\n", "
5
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL NURSING CLINIC FY16-Q1
\n", "
14
\n", "
0
\n", "
133
\n", "
96
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["NURSING ICD-10", "
NATL NURSING CLINIC FY16-Q1
\n", "
111
\n", "
0
\n", "
132
\n", "
439
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["WOMEN'S CLINIC PROCEDURES", "
NATIONAL OB/GYN FY16-Q1
\n", "
19
\n", "
0
\n", "
132
\n", "
71
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
WOMEN'S CLINIC PROCEDURES
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL OB/GYN FY16-Q1
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL OB/GYN FY16-Q1
\n", "
1
\n", "
49
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL OB/GYN FY16-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL OB/GYN FY16-Q1
\n", "
91
\n", "
0
\n", "
132
\n", "
837
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATL ONC/CHEMO INF FY16-Q1
\n", "
16
\n", "
0
\n", "
133
\n", "
134
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL ONC/CHEMO INF FY16-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL ONC/CHEMO INF FY16-Q1
\n", "
1
\n", "
44
\n", "
39
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL KIDNEY/HTN FY13-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL ONC/CHEMO INF FY16-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL ONC/CHEMO INF FY16-Q1
\n", "
161
\n", "
0
\n", "
132
\n", "
469
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL ADDICTION FY16-Q2
\n", "
47
\n", "
0
\n", "
132
\n", "
32
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ADDICTION FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ADDICTION FY16-Q2
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL ADDICTION FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
40
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL ADDICTION FY16-Q2
\n", "
81
\n", "
0
\n", "
132
\n", "
634
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ANESTHESIA FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ANESTHESIA FY16-Q2
\n", "
13
\n", "
0
\n", "
132
\n", "
77
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ANESTHESIA FY16-Q2
\n", "
1
\n", "
54
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATL KIDNEY/HTN FY13-Q3
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ANESTHESIA FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ANESTHESIA ICD-10", "
NATIONAL ANESTHESIA FY16-Q2
\n", "
91
\n", "
0
\n", "
132
\n", "
324
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL AUDIO FY16-Q2
\n", "
1
\n", "
54
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL AUDIO FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["AUDIOLOGY CPT CODES", "
NATIONAL AUDIO FY16-Q2
\n", "
17
\n", "
0
\n", "
132
\n", "
61
\n", "
SOLID LINE
\n", "
AUDIOLOGY PROCEDURES PERFORMED THIS VISIT
\n", "
C
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["AUDIOLOGY ICD-10 DIAGNOSES", "
NATIONAL AUDIO FY16-Q2
\n", "
81
\n", "
0
\n", "
132
\n", "
283
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL AUDIO FY16-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CARDIOLOGY/CATH FY16-Q2
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CARDIOLOGY/CATH FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CARDIOLOGY/CATH FY16-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATL KIDNEY/HTN FY13-Q3
\n", "
21
\n", "
0
\n", "
133
\n", "
154
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY/CARDIAC CATH ICD-10", "
NATL CARDIOLOGY/CATH FY16-Q2
\n", "
251
\n", "
0
\n", "
132
\n", "
384
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATL CARDIOLOGY/CATH FY16-Q2
\n", "
17
\n", "
0
\n", "
132
\n", "
233
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
EPS PROCEDURES
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CHIROPRACTIC FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CHIROPRACTIC FY16-Q2
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CHIROPRACTIC FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CHIROPRACTIC FY16-Q2
\n", "
15
\n", "
0
\n", "
133
\n", "
25
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CHIROPRACTIC ICD-10", "
NATIONAL CHIROPRACTIC FY16-Q2
\n", "
41
\n", "
0
\n", "
132
\n", "
219
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CLC FY16-Q2
\n", "
1
\n", "
51
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["VISIT TYPE CODES", "
NATIONAL CLC FY16-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CLC FY16-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL ADDICTION FY13-Q4
\n", "
31
\n", "
0
\n", "
132
\n", "
153
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CLC FY16-Q2
\n", "
21
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["GERIATRICS ICD-10", "
NATIONAL CLC FY16-Q2
\n", "
36
\n", "
0
\n", "
132
\n", "
1548
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DERMATOLOGY FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DERMATOLOGY FY16-Q2
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DERMATOLOGY FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DERMATOLOGY FY16-Q2
\n", "
17
\n", "
0
\n", "
132
\n", "
253
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DERM/TELEDERM ICD-10", "
NATIONAL DERMATOLOGY FY16-Q2
\n", "
271
\n", "
0
\n", "
132
\n", "
439
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIABETES FY16-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
20
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIABETES FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL DIABETES FY16-Q2
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL ADDICTION FY13-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
24
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIABETES FY16-Q2
\n", "
26
\n", "
0
\n", "
132
\n", "
24
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIABETES ICD-10", "
NATIONAL DIABETES FY16-Q2
\n", "
51
\n", "
0
\n", "
132
\n", "
154
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIALYSIS FY16-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIALYSIS FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL DIALYSIS FY16-Q2
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIALYSIS FY16-Q2
\n", "
21
\n", "
0
\n", "
132
\n", "
79
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["NEPHROLOGY ICD-10", "
NATIONAL DIALYSIS FY16-Q2
\n", "
101
\n", "
0
\n", "
132
\n", "
399
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ED FY16-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
164
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ED FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ED FY16-Q2
\n", "
1
\n", "
56
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PROVIDER (V2.1)", "
TOOL KIT
\n", "
999
\n", "
0
\n", "
38
\n", "
12
\n", "
SOLID LINE
\n", "
PROVIDER
\n", "
RC
\n", "
Clinic's providers
\n", "
26
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ADDICTION FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ED FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["EMERGENCY DEPT ICD-10", "
NATIONAL ED FY16-Q2
\n", "
181
\n", "
0
\n", "
132
\n", "
2279
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL EMP HEALTH FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EMP HEALTH FY16-Q2
\n", "
1
\n", "
56
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EMP HEALTH FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EMP HEALTH FY16-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
33
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL EMP HEALTH FY16-Q2
\n", "
51
\n", "
0
\n", "
132
\n", "
324
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ENDOCRINOLOGY FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ENDOCRINOLOGY FY16-Q2
\n", "
1
\n", "
54
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ENDOCRINOLOGY FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ADDICTION FY13-Q4
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["ENDOCRINE ICD-10", "
NATIONAL ENDOCRINOLOGY FY16-Q2
\n", "
36
\n", "
0
\n", "
132
\n", "
104
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ENDOCRINOLOGY FY16-Q2
\n", "
15
\n", "
0
\n", "
132
\n", "
20
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEPHROLOGY FY16-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEPHROLOGY FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL NEPHROLOGY FY16-Q2
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL NEPHROLOGY FY16-Q2
\n", "
36
\n", "
0
\n", "
133
\n", "
24
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["NEPHROLOGY ICD-10", "
NATIONAL NEPHROLOGY FY16-Q2
\n", "
61
\n", "
0
\n", "
132
\n", "
399
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEUROLOGY FY16-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "", "
CRU
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL NEUROLOGY FY16-Q2
\n", "
2
\n", "
55
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEUROLOGY FY16-Q2
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL ADHC FY13-Q4
\n", "
25
\n", "
0
\n", "
132
\n", "
46
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT
\n", "
UC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL NEUROLOGY FY16-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
64
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["NEUROLOGY ICD-10", "
NATIONAL NEUROLOGY FY16-Q2
\n", "
81
\n", "
0
\n", "
132
\n", "
329
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL NURSING CLINIC FY16-Q2
\n", "
1
\n", "
46
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL NURSING CLINIC FY16-Q2
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL NURSING CLINIC FY16-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL NURSING CLINIC FY16-Q2
\n", "
14
\n", "
0
\n", "
133
\n", "
101
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["NURSING ICD-10", "
NATL NURSING CLINIC FY16-Q2
\n", "
116
\n", "
0
\n", "
132
\n", "
449
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["WOMEN'S CLINIC PROCEDURES", "
NATIONAL OB/GYN FY16-Q2
\n", "
19
\n", "
0
\n", "
132
\n", "
71
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
WOMEN'S CLINIC PROCEDURES
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL OB/GYN FY16-Q2
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL OB/GYN FY16-Q2
\n", "
1
\n", "
49
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATIONAL ADHC FY13-Q4
\n", "
1
\n", "
47
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL OB/GYN FY16-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL OB/GYN FY16-Q2
\n", "
91
\n", "
0
\n", "
132
\n", "
1019
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATL ONC/CHEMO INF FY16-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
134
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL ONC/CHEMO INF FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL ONC/CHEMO INF FY16-Q2
\n", "
1
\n", "
44
\n", "
39
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL ONC/CHEMO INF FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL ONC/CHEMO INF FY16-Q2
\n", "
161
\n", "
0
\n", "
132
\n", "
469
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PAIN FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL PAIN FY16-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
49
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PAIN FY16-Q2
\n", "
1
\n", "
49
\n", "
13
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ADHC FY13-Q4
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PAIN FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PAIN ICD-10", "
NATIONAL PAIN FY16-Q2
\n", "
66
\n", "
0
\n", "
132
\n", "
174
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL PEER SUPPORT FY16-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PEER SUPPORT FY16-Q2
\n", "
1
\n", "
58
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PEER SUPPORT FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL PEER SUPPORT FY16-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
634
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PODIATRY FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PODIATRY FY16-Q2
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PODIATRY FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PODIATRY FY16-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
198
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ADHC FY13-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PODIATRY ICD-10", "
NATIONAL PODIATRY FY16-Q2
\n", "
216
\n", "
0
\n", "
132
\n", "
1118
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PREVENTIVE HEALTH FY16-Q2
\n", "
1
\n", "
49
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PREVENTIVE HEALTH FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PREVENTIVE HEALTH FY16-Q2
\n", "
7
\n", "
0
\n", "
133
\n", "
24
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PREVENTIVE HEALTH ICD-10", "
NATL PREVENTIVE HEALTH FY16-Q2
\n", "
32
\n", "
0
\n", "
132
\n", "
178
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PRIMARY CARE FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PRIMARY CARE FY16-Q2
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PRIMARY CARE FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PRIMARY CARE FY16-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
84
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL PRIMARY CARE FY16-Q2
\n", "
101
\n", "
0
\n", "
132
\n", "
2229
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ADHC FY13-Q4
\n", "
16
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL PULMONARY FY16-Q2
\n", "
14
\n", "
0
\n", "
132
\n", "
56
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PULMONARY FY16-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PULMONARY FY16-Q2
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PULMONARY FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["RESPIRATORY THERAPY ICD-10", "
NATIONAL PULMONARY FY16-Q2
\n", "
81
\n", "
0
\n", "
132
\n", "
839
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL RESP THERAPY FY16-Q2
\n", "
14
\n", "
0
\n", "
132
\n", "
61
\n", "
SOLID LINE
\n", "
PLEASE MARK PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL RESP THERAPY FY16-Q2
\n", "
1
\n", "
43
\n", "
47
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL RESP THERAPY FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL RESP THERAPY FY16-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["RESPIRATORY THERAPY ICD-10", "
NATIONAL RESP THERAPY FY16-Q2
\n", "
81
\n", "
0
\n", "
132
\n", "
839
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ANESTHESIA FY13-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL RHEUMATOLOGY FY16-Q2
\n", "
17
\n", "
0
\n", "
132
\n", "
18
\n", "
SOLID LINE
\n", "
PLEASE CHECK CPT CODES THAT APPLY
\n", "
CUB
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL RHEUMATOLOGY FY16-Q2
\n", "
1
\n", "
54
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL RHEUMATOLOGY FY16-Q2
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL RHEUMATOLOGY FY16-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CUB
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["RHEUMATOLOGY ICD-10", "
NATIONAL RHEUMATOLOGY FY16-Q2
\n", "
36
\n", "
0
\n", "
132
\n", "
744
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL SLEEP MED FY16-Q2
\n", "
17
\n", "
0
\n", "
132
\n", "
33
\n", "
SOLID LINE
\n", "
PLEASE MARK PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SLEEP MED FY16-Q2
\n", "
1
\n", "
49
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SLEEP MED FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SLEEP MED FY16-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["SLEEP MEDICINE ICD-10", "
NATIONAL SLEEP MED FY16-Q2
\n", "
51
\n", "
0
\n", "
132
\n", "
59
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ANESTHESIA FY13-Q4
\n", "
13
\n", "
0
\n", "
132
\n", "
52
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL SWS MH FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SWS MH FY16-Q2
\n", "
1
\n", "
55
\n", "
44
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SWS MH FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL SWS MH FY16-Q2
\n", "
41
\n", "
0
\n", "
132
\n", "
634
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TBI FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TBI FY16-Q2
\n", "
1
\n", "
49
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TBI FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL TBI FY16-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
43
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL TBI FY16-Q2
\n", "
61
\n", "
0
\n", "
132
\n", "
99
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TELEDERM FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ANESTHESIA FY13-Q4
\n", "
1
\n", "
54
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATIONAL TELEDERM FY16-Q2
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEDERM FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELEDERM FY16-Q2
\n", "
17
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DERM/TELEDERM ICD-10", "
NATIONAL TELEDERM FY16-Q2
\n", "
25
\n", "
0
\n", "
132
\n", "
439
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELERETINAL FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL TELERETINAL FY16-Q2
\n", "
1
\n", "
49
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELERETINAL FY16-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["EYE/TELERETINAL ICD-10", "
NATIONAL TELERETINAL FY16-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
899
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TRANSPLANT FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL TRANSPLANT FY16-Q2
\n", "
15
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["SC CONDITIONS (V2.1)", "
TOOL KIT
\n", "
511
\n", "
0
\n", "
98
\n", "
11
\n", "
SOLID LINE
\n", "
SERVICE CONNECTED CONDITIONS
\n", "
RC
\n", "
SC conditions,indicators,classifications
\n", "
27
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ANESTHESIA FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL TRANSPLANT FY16-Q2
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TRANSPLANT FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL TRANSPLANT FY16-Q2
\n", "
46
\n", "
0
\n", "
132
\n", "
259
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL URGENT CARE FY16-Q2
\n", "
1
\n", "
49
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL URGENT CARE FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["E&M OUTPATIENT CODES", "
NATIONAL URGENT CARE FY16-Q2
\n", "
6
\n", "
0
\n", "
90
\n", "
11
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL URGENT CARE FY16-Q2
\n", "
18
\n", "
0
\n", "
132
\n", "
102
\n", "
SOLID LINE
\n", "
FILL IN BUBBLES FOR ALL PROCEDURES PERFORMED THIS VISIT
\n", "
URCB
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL URGENT CARE FY16-Q2
\n", "
121
\n", "
0
\n", "
132
\n", "
2229
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL UROLOGY FY16-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL UROLOGY FY16-Q2
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSES CODES", "
NATIONAL ANESTHESIA FY13-Q4
\n", "
66
\n", "
0
\n", "
132
\n", "
44
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL UROLOGY FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL UROLOGY FY16-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
54
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["UROLOGY ICD-10", "
NATIONAL UROLOGY FY16-Q2
\n", "
71
\n", "
0
\n", "
132
\n", "
219
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL VASCULAR LAB FY16-Q2
\n", "
1
\n", "
54
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL VASCULAR LAB FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL VASCULAR LAB FY16-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
23
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["VASCULAR ICD-10", "
NATIONAL VASCULAR LAB FY16-Q2
\n", "
31
\n", "
0
\n", "
132
\n", "
344
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL VASCULAR SURG FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL VASCULAR SURG FY16-Q2
\n", "
1
\n", "
54
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL VASCULAR SURG FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL AUDIO FY13-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
3
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL VASCULAR SURG FY16-Q2
\n", "
15
\n", "
0
\n", "
132
\n", "
35
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["VASCULAR ICD-10", "
NATIONAL VASCULAR SURG FY16-Q2
\n", "
51
\n", "
0
\n", "
132
\n", "
344
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL WOMENS HEALTH FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL WOMENS HEALTH FY16-Q2
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL WOMENS HEALTH FY16-Q2
\n", "
2
\n", "
52
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["WOMEN'S CLINIC PROCEDURES", "
NATIONAL WOMENS HEALTH FY16-Q2
\n", "
20
\n", "
0
\n", "
132
\n", "
55
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
WOMEN'S CLINIC PROCEDURES
\n", "
0
\n", "", "", "", ""], ["WOMEN'S HEALTH ICD-10", "
NATIONAL WOMENS HEALTH FY16-Q2
\n", "
81
\n", "
0
\n", "
132
\n", "
329
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ENT FY16-Q2
\n", "
17
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "
FILL IN BUBBLES FOR ALL PROCEDURES PERFORMED THIS VISIT
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL ENT FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ENT FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["AUDIOLOGY DIAGNOSIS CODES", "
NATIONAL AUDIO FY13-Q4
\n", "
81
\n", "
0
\n", "
132
\n", "
86
\n", "
SOLID LINE
\n", "
AUDIOLOGY DIAGNOSIS TREATED THIS VISIT
\n", "
C
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ENT FY16-Q2
\n", "
1
\n", "
48
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL ENT FY16-Q2
\n", "
61
\n", "
0
\n", "
132
\n", "
174
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EYE TECH FY16-Q2
\n", "
1
\n", "
54
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EYE TECH FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EYE TECH FY16-Q2
\n", "
7
\n", "
0
\n", "
133
\n", "
26
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["EYE/TELERETINAL ICD-10", "
NATIONAL EYE TECH FY16-Q2
\n", "
34
\n", "
0
\n", "
132
\n", "
899
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL EYE FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EYE FY16-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
84
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EYE FY16-Q2
\n", "
1
\n", "
60
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EYE FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL AUDIO FY13-Q4
\n", "
1
\n", "
54
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["EYE/TELERETINAL ICD-10", "
NATIONAL EYE FY16-Q2
\n", "
101
\n", "
0
\n", "
132
\n", "
899
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL GERIATRICS FY16-Q2
\n", "
1
\n", "
51
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["E&M CODES", "
NATIONAL GERIATRICS FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL GERIATRICS FY16-Q2
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL GERIATRICS FY16-Q2
\n", "
18
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["GERIATRICS ICD-10", "
NATIONAL GERIATRICS FY16-Q2
\n", "
38
\n", "
0
\n", "
132
\n", "
1548
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL GI/HEPATOLOGY FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL GI/HEPATOLOGY FY16-Q2
\n", "
1
\n", "
54
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL GI/HEPATOLOGY FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL GI/HEPATOLOGY FY16-Q2
\n", "
15
\n", "
0
\n", "
132
\n", "
95
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL AUDIO FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL GI/HEPATOLOGY FY16-Q2
\n", "
111
\n", "
0
\n", "
132
\n", "
239
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC CLIN FY16-Q2
\n", "
1
\n", "
58
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC CLIN FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HBPC CLIN FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
TYPE OF HOME VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC CLIN FY16-Q2
\n", "
15
\n", "
0
\n", "
133
\n", "
39
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATL HBPC CLIN FY16-Q2
\n", "
55
\n", "
0
\n", "
132
\n", "
2229
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC NURSING FY16-Q2
\n", "
1
\n", "
46
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HOME VISIT CODES", "
NATL HBPC NURSING FY16-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF HOME VISIT - PER 15 MINUTES
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC NURSING FY16-Q2
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURE CODES", "
NATL HBPC NURSING FY16-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
39
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURE CODES PERFORMED AT THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["AUDIOLOGY CPT CODES", "
NATIONAL AUDIO FY13-Q4
\n", "
9
\n", "
0
\n", "
132
\n", "
71
\n", "
SOLID LINE
\n", "
AUDIOLOGY PROCEDURES PERFORMED THIS VISIT
\n", "
C
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["NURSING ICD-10", "
NATL HBPC NURSING FY16-Q2
\n", "
56
\n", "
0
\n", "
132
\n", "
449
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL HBPC PSYCHOLOGIST FY16-Q2
\n", "
1
\n", "
49
\n", "
37
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC PSYCHOLOGIST FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HBPC PSYCHOLOGIST FY16-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATL HBPC PSYCHOLOGIST FY16-Q2
\n", "
51
\n", "
0
\n", "
132
\n", "
634
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT PROCEDURE", "
NATIONAL HEMATOLOGY FY16-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
63
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL HEMATOLOGY FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL HEMATOLOGY FY16-Q2
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL HEMATOLOGY FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEMATOLOGY ICD-10", "
NATIONAL HEMATOLOGY FY16-Q2
\n", "
81
\n", "
0
\n", "
132
\n", "
299
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATIONAL BLIND REHAB FY13-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
4
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATL HOSP/PALL INPT FY16-Q2
\n", "
26
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HOSP/PALL INPT FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HOSP/PALL INPT FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HOSP/PALL INPT FY16-Q2
\n", "
1
\n", "
48
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HOSPICE/PALLIATIVE CARE ICD-10", "
NATL HOSP/PALL INPT FY16-Q2
\n", "
38
\n", "
0
\n", "
132
\n", "
162
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATL HOSP/PALL OTPT FY16-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
16
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HOSP/PALL OTPT FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HOSP/PALL OTPT FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HOSP/PALL OTPT FY16-Q2
\n", "
1
\n", "
48
\n", "
43
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HOSPICE/PALLIATIVE CARE ICD-10", "
NATL HOSP/PALL OTPT FY16-Q2
\n", "
33
\n", "
0
\n", "
132
\n", "
162
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["SECONDARY DIAGNOSES CODES", "
NATIONAL BLIND REHAB FY13-Q4
\n", "
45
\n", "
0
\n", "
132
\n", "
40
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT
\n", "
BC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HT CLINICIAN FY16-Q2
\n", "
1
\n", "
49
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT CLINICIAN FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HT CLINICIAN FY16-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT CLINICIAN FY16-Q2
\n", "
18
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HT ICD-10", "
NATL HT CLINICIAN FY16-Q2
\n", "
38
\n", "
0
\n", "
132
\n", "
498
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HT NURSE FY16-Q2
\n", "
1
\n", "
49
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT NURSE FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HT NURSE FY16-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT NURSE FY16-Q2
\n", "
14
\n", "
0
\n", "
132
\n", "
16
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HT ICD-10", "
NATL HT NURSE FY16-Q2
\n", "
31
\n", "
0
\n", "
132
\n", "
498
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL BLIND REHAB FY13-Q4
\n", "
1
\n", "
56
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INFECTIOUS DX FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL INFECTIOUS DX FY16-Q2
\n", "
1
\n", "
56
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INFECTIOUS DX FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL INFECTIOUS DX FY16-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
18
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL INFECTIOUS DX FY16-Q2
\n", "
36
\n", "
0
\n", "
132
\n", "
369
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL IR FY16-Q2
\n", "
1
\n", "
49
\n", "
33
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL IR FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL IR FY16-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
74
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL IR FY16-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["INTERVENTIONAL RAD ICD-10", "
NATIONAL IR FY16-Q2
\n", "
91
\n", "
0
\n", "
132
\n", "
539
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["VITALS (V2.1)", "
TOOL KIT
\n", "
999
\n", "
0
\n", "
63
\n", "
11
\n", "
SOLID LINE
\n", "
VITALS
\n", "
CR
\n", "
Blood pressure and weight
\n", "
28
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL BLIND REHAB FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATL LOW VISION-OPTOM FY16-Q2
\n", "
21
\n", "
0
\n", "
132
\n", "
44
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATL LOW VISION-OPTOM FY16-Q2
\n", "
6
\n", "
0
\n", "
117
\n", "
14
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL LOW VISION-OPTOM FY16-Q2
\n", "
1
\n", "
57
\n", "
31
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL LOW VISION-OPTOM FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["LOW VISION ICD-10", "
NATL LOW VISION-OPTOM FY16-Q2
\n", "
66
\n", "
0
\n", "
132
\n", "
444
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MED FOSTER HOME FY16-Q2
\n", "
1
\n", "
56
\n", "
28
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MED FOSTER HOME FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL MED FOSTER HOME FY16-Q2
\n", "
6
\n", "
0
\n", "
133
\n", "
39
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATL MED FOSTER HOME FY16-Q2
\n", "
46
\n", "
0
\n", "
132
\n", "
2229
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL MEDICINE FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PRIMARY DIAGNOSIS CODES", "
NATIONAL BLIND REHAB FY13-Q4
\n", "
37
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
PRIMARY DIAGNOSIS
\n", "
UC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MEDICINE FY16-Q2
\n", "
1
\n", "
56
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MEDICINE FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MEDICINE FY16-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
84
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL MEDICINE FY16-Q2
\n", "
101
\n", "
0
\n", "
132
\n", "
2229
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL MH MHICM FY16-Q2
\n", "
47
\n", "
0
\n", "
132
\n", "
87
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MH MHICM FY16-Q2
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH MHICM FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL MH MHICM FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
40
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL MH MHICM FY16-Q2
\n", "
135
\n", "
0
\n", "
132
\n", "
634
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL MH NURSE FY16-Q2
\n", "
14
\n", "
0
\n", "
132
\n", "
26
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL BLIND REHAB FY13-Q4
\n", "
11
\n", "
0
\n", "
132
\n", "
25
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MH NURSE FY16-Q2
\n", "
1
\n", "
49
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH NURSE FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATIONAL MH NURSE FY16-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL MH NURSE FY16-Q2
\n", "
41
\n", "
0
\n", "
132
\n", "
634
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL MH PHARM FY16-Q2
\n", "
1
\n", "
57
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH PHARM FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MH PHARM FY16-Q2
\n", "
7
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
MANAGEMENT OF MEDICATION THERAPY
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL MH PHARM FY16-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
634
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL MH PSYCHIATRIST FY16-Q2
\n", "
41
\n", "
0
\n", "
132
\n", "
54
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MH PSYCHIATRIST FY16-Q2
\n", "
1
\n", "
55
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CARDIOLOGY DIAGNOSIS CODES", "
NATIONAL CARD CATH FY13-Q4
\n", "
131
\n", "
0
\n", "
132
\n", "
144
\n", "
SOLID LINE
\n", "
CARDIOLOGY DIAGNOSES
\n", "
CR
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MH PSYCHIATRIST FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATL MH PSYCHIATRIST FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATL MH PSYCHIATRIST FY16-Q2
\n", "
96
\n", "
0
\n", "
132
\n", "
634
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL MH PSYCHOLOGIST FY16-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
48
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MH PSYCHOLOGIST FY16-Q2
\n", "
1
\n", "
49
\n", "
37
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MH PSYCHOLOGIST FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATL MH PSYCHOLOGIST FY16-Q2
\n", "
56
\n", "
0
\n", "
132
\n", "
634
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL MOVE! FY16-Q2
\n", "
1
\n", "
59
\n", "
14
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES", "
NATIONAL MOVE! FY16-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
24
\n", "
SOLID LINE
\n", "
FILL IN BUBBLE FOR PROCEDURES PERFORMED
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MOVE! FY16-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATIONAL CARD CATH FY13-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
124
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
EPS PROCEDURES
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL MOVE! FY16-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["MOVE! ICD-10", "
NATIONAL MOVE! FY16-Q2
\n", "
41
\n", "
0
\n", "
132
\n", "
48
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL ADDICTION FY16-Q3
\n", "
51
\n", "
0
\n", "
132
\n", "
39
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ADDICTION FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ADDICTION FY16-Q3
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL ADDICTION FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
44
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL ADDICTION FY16-Q3
\n", "
91
\n", "
0
\n", "
132
\n", "
799
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ADHC FY16-Q3
\n", "
1
\n", "
47
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ADHC FY16-Q3
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ADHC FY16-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
5
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CARD CATH FY13-Q4
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ADHC FY16-Q3
\n", "
13
\n", "
0
\n", "
133
\n", "
9
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ADHC ICD-10", "
NATIONAL ADHC FY16-Q3
\n", "
23
\n", "
0
\n", "
132
\n", "
162
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ANESTHESIA FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ANESTHESIA FY16-Q3
\n", "
13
\n", "
0
\n", "
132
\n", "
77
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ANESTHESIA FY16-Q3
\n", "
1
\n", "
54
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ANESTHESIA FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ANESTHESIA ICD-10", "
NATIONAL ANESTHESIA FY16-Q3
\n", "
91
\n", "
0
\n", "
132
\n", "
339
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL AUDIO FY16-Q3
\n", "
1
\n", "
54
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL AUDIO FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["AUDIOLOGY CPT CODES", "
NATIONAL AUDIO FY16-Q3
\n", "
17
\n", "
0
\n", "
132
\n", "
61
\n", "
SOLID LINE
\n", "
AUDIOLOGY PROCEDURES PERFORMED THIS VISIT
\n", "
C
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CARD CATH FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["AUDIOLOGY ICD-10 DIAGNOSES", "
NATIONAL AUDIO FY16-Q3
\n", "
81
\n", "
0
\n", "
132
\n", "
284
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL AUDIO FY16-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CARDIOLOGY/CATH FY16-Q3
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CARDIOLOGY/CATH FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CARDIOLOGY/CATH FY16-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY/CARDIAC CATH ICD-10", "
NATL CARDIOLOGY/CATH FY16-Q3
\n", "
251
\n", "
0
\n", "
132
\n", "
384
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATL CARDIOLOGY/CATH FY16-Q3
\n", "
17
\n", "
0
\n", "
132
\n", "
233
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
EPS PROCEDURES
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CHIROPRACTIC FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CHIROPRACTIC FY16-Q3
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CHIROPRACTIC FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATIONAL CARDIOLOGY FY13-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
49
\n", "
SOLID LINE
\n", "
CARDIOLOGY PROCEDURES
\n", "
CR
\n", "
CARDIOLOGY PROCEDURES
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CHIROPRACTIC FY16-Q3
\n", "
15
\n", "
0
\n", "
133
\n", "
25
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CHIROPRACTIC ICD-10", "
NATIONAL CHIROPRACTIC FY16-Q3
\n", "
41
\n", "
0
\n", "
132
\n", "
219
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CLIN PHARM FY16-Q3
\n", "
1
\n", "
57
\n", "
28
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CLIN PHARM FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CLIN PHARM FY16-Q3
\n", "
7
\n", "
0
\n", "
133
\n", "
7
\n", "
SOLID LINE
\n", "
MANAGEMENT OF MEDICATION THERAPY
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CLINICAL PHARMACIST ICD-10", "
NATIONAL CLIN PHARM FY16-Q3
\n", "
15
\n", "
0
\n", "
132
\n", "
110
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL C&P FY16-Q3
\n", "
1
\n", "
56
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL C&P FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL C&P FY16-Q3
\n", "
5
\n", "
0
\n", "
132
\n", "
25
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL C&P FY16-Q3
\n", "
31
\n", "
0
\n", "
133
\n", "
19
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CARDIOLOGY FY13-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PRIMARY C&P ICD-10 CODES", "
NATIONAL C&P FY16-Q3
\n", "
51
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["SECONDARY C&P ICD-10", "
NATIONAL C&P FY16-Q3
\n", "
95
\n", "
0
\n", "
132
\n", "
89
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CRITICAL CARE FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CRITICAL CARE FY16-Q3
\n", "
1
\n", "
56
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CRITICAL CARE FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CRITICAL CARE FY16-Q3
\n", "
21
\n", "
0
\n", "
133
\n", "
49
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["INTENSIVE/CRITICAL CARE ICD-10", "
NATIONAL CRITICAL CARE FY16-Q3
\n", "
71
\n", "
0
\n", "
132
\n", "
249
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DAY SURGERY FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DAY SURGERY FY16-Q3
\n", "
1
\n", "
55
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DAY SURGERY FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL CARDIOLOGY FY13-Q4
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES", "
NATIONAL DAY SURGERY FY16-Q3
\n", "
16
\n", "
0
\n", "
132
\n", "
109
\n", "
SOLID LINE
\n", "", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DAY/GENERAL SURG ICD-10", "
NATIONAL DAY SURGERY FY16-Q3
\n", "
126
\n", "
0
\n", "
132
\n", "
1364
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DERMATOLOGY FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DERMATOLOGY FY16-Q3
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DERMATOLOGY FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DERM/TELEDERM ICD-10", "
NATIONAL DERMATOLOGY FY16-Q3
\n", "
271
\n", "
0
\n", "
132
\n", "
439
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DERMATOLOGY FY16-Q3
\n", "
17
\n", "
0
\n", "
132
\n", "
253
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIABETES FY16-Q3
\n", "
5
\n", "
0
\n", "
132
\n", "
20
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIABETES FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL DIABETES FY16-Q3
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["ALLERGIES", "
DEFAULTS
\n", "
27
\n", "
0
\n", "
71
\n", "
14
\n", "
SOLID LINE
\n", "
****** PATIENT ALLERGIES ******
\n", "
CR
\n", "
List of allergies
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CARDIOLOGY FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIABETES FY16-Q3
\n", "
26
\n", "
0
\n", "
132
\n", "
24
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIABETES ICD-10", "
NATIONAL DIABETES FY16-Q3
\n", "
51
\n", "
0
\n", "
132
\n", "
154
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIALYSIS FY16-Q3
\n", "
5
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIALYSIS FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL DIALYSIS FY16-Q3
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIALYSIS FY16-Q3
\n", "
21
\n", "
0
\n", "
132
\n", "
79
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["NEPHROLOGY ICD-10", "
NATIONAL DIALYSIS FY16-Q3
\n", "
101
\n", "
0
\n", "
132
\n", "
399
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ED FY16-Q3
\n", "
16
\n", "
0
\n", "
133
\n", "
164
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ED FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ED FY16-Q3
\n", "
1
\n", "
56
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CARDIOLOGY DIAGNOSIS CODES", "
NATIONAL CARDIOLOGY FY13-Q4
\n", "
66
\n", "
0
\n", "
132
\n", "
144
\n", "
SOLID LINE
\n", "
CARDIOLOGY DIAGNOSES
\n", "
CR
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ED FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["EMERGENCY DEPT ICD-10", "
NATIONAL ED FY16-Q3
\n", "
181
\n", "
0
\n", "
132
\n", "
2279
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL EMP HEALTH FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EMP HEALTH FY16-Q3
\n", "
1
\n", "
56
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EMP HEALTH FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EMP HEALTH FY16-Q3
\n", "
17
\n", "
0
\n", "
133
\n", "
33
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL EMP HEALTH FY16-Q3
\n", "
51
\n", "
0
\n", "
132
\n", "
324
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ENT FY16-Q3
\n", "
17
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "
FILL IN BUBBLES FOR ALL PROCEDURES PERFORMED THIS VISIT
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL ENT FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ENT FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT PROCEDURE", "
NATIONAL CHEMO INFUSN FY13-Q4
\n", "
16
\n", "
0
\n", "
133
\n", "
54
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ENT FY16-Q3
\n", "
1
\n", "
48
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL ENT FY16-Q3
\n", "
61
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL EYE FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EYE FY16-Q3
\n", "
41
\n", "
0
\n", "
133
\n", "
84
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EYE FY16-Q3
\n", "
1
\n", "
60
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EYE FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["EYE/TELERETINAL ICD-10", "
NATIONAL EYE FY16-Q3
\n", "
126
\n", "
0
\n", "
132
\n", "
899
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EYE TECH FY16-Q3
\n", "
1
\n", "
54
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EYE TECH FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EYE TECH FY16-Q3
\n", "
7
\n", "
0
\n", "
133
\n", "
33
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CHEMO INFUSN FY13-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["EYE/TELERETINAL ICD-10", "
NATIONAL EYE TECH FY16-Q3
\n", "
41
\n", "
0
\n", "
132
\n", "
899
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL GEN SURG FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL GEN SURG FY16-Q3
\n", "
15
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL GEN SURG FY16-Q3
\n", "
1
\n", "
54
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL GEN SURG FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DAY/GENERAL SURG ICD-10", "
NATIONAL GEN SURG FY16-Q3
\n", "
46
\n", "
0
\n", "
132
\n", "
1364
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL HBPC PSYCHOLOGIST FY16-Q3
\n", "
1
\n", "
49
\n", "
37
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC PSYCHOLOGIST FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HBPC PSYCHOLOGIST FY16-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATL HBPC PSYCHOLOGIST FY16-Q3
\n", "
51
\n", "
0
\n", "
132
\n", "
799
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL CHEMO INFUSN FY13-Q4
\n", "
1
\n", "
56
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATL HBPC CLIN FY16-Q3
\n", "
1
\n", "
58
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC CLIN FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HBPC CLIN FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
TYPE OF HOME VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC CLIN FY16-Q3
\n", "
15
\n", "
0
\n", "
133
\n", "
39
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATL HBPC CLIN FY16-Q3
\n", "
55
\n", "
0
\n", "
132
\n", "
2295
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATIONAL HEMATOLOGY FY16-Q3
\n", "
17
\n", "
0
\n", "
133
\n", "
63
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL HEMATOLOGY FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL HEMATOLOGY FY16-Q3
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL HEMATOLOGY FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEMATOLOGY ICD-10", "
NATIONAL HEMATOLOGY FY16-Q3
\n", "
81
\n", "
0
\n", "
132
\n", "
339
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CHEMO INFUSN FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATL HOSP/PALL INPT FY16-Q3
\n", "
26
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HOSP/PALL INPT FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HOSP/PALL INPT FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HOSP/PALL INPT FY16-Q3
\n", "
1
\n", "
48
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HOSPICE/PALLIATIVE CARE ICD-10", "
NATL HOSP/PALL INPT FY16-Q3
\n", "
38
\n", "
0
\n", "
132
\n", "
162
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATL HOSP/PALL OTPT FY16-Q3
\n", "
16
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HOSP/PALL OTPT FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HOSP/PALL OTPT FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HOSP/PALL OTPT FY16-Q3
\n", "
1
\n", "
48
\n", "
43
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HOSPICE/PALLIATIVE CARE ICD-10", "
NATL HOSP/PALL OTPT FY16-Q3
\n", "
36
\n", "
0
\n", "
132
\n", "
162
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["DIAGNOSES", "
NATIONAL CHEMO INFUSN FY13-Q4
\n", "
81
\n", "
0
\n", "
133
\n", "
192
\n", "
SOLID LINE
\n", "", "
CRUB
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL HT CLINICIAN FY16-Q3
\n", "
1
\n", "
49
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT CLINICIAN FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HT CLINICIAN FY16-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT CLINICIAN FY16-Q3
\n", "
18
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HT ICD-10", "
NATL HT CLINICIAN FY16-Q3
\n", "
38
\n", "
0
\n", "
132
\n", "
498
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HT NURSE FY16-Q3
\n", "
1
\n", "
49
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT NURSE FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HT NURSE FY16-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT NURSE FY16-Q3
\n", "
14
\n", "
0
\n", "
132
\n", "
16
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HT ICD-10", "
NATL HT NURSE FY16-Q3
\n", "
31
\n", "
0
\n", "
132
\n", "
498
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CHIROPRACTIC FY13-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HT SWS FY16-Q3
\n", "
1
\n", "
49
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT SWS FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT SWS FY16-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
16
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["SWS MEDICAL ICD-10", "
NATL HT SWS FY16-Q3
\n", "
24
\n", "
0
\n", "
132
\n", "
168
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INFECTIOUS DX FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL INFECTIOUS DX FY16-Q3
\n", "
1
\n", "
56
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INFECTIOUS DX FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL INFECTIOUS DX FY16-Q3
\n", "
17
\n", "
0
\n", "
133
\n", "
18
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL INFECTIOUS DX FY16-Q3
\n", "
36
\n", "
0
\n", "
132
\n", "
369
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL IR FY16-Q3
\n", "
1
\n", "
49
\n", "
33
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL CHIROPRACTIC FY13-Q4
\n", "
33
\n", "
0
\n", "
132
\n", "
76
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL IR FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL IR FY16-Q3
\n", "
16
\n", "
0
\n", "
132
\n", "
74
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL IR FY16-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["INTERVENTIONAL RAD ICD-10", "
NATIONAL IR FY16-Q3
\n", "
91
\n", "
0
\n", "
132
\n", "
539
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MED FOSTER HOME FY16-Q3
\n", "
1
\n", "
56
\n", "
28
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MED FOSTER HOME FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL MED FOSTER HOME FY16-Q3
\n", "
6
\n", "
0
\n", "
133
\n", "
39
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATL MED FOSTER HOME FY16-Q3
\n", "
46
\n", "
0
\n", "
132
\n", "
2295
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL MEDICINE FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MEDICINE FY16-Q3
\n", "
1
\n", "
56
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATIONAL CHIROPRACTIC FY13-Q4
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MEDICINE FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MEDICINE FY16-Q3
\n", "
16
\n", "
0
\n", "
133
\n", "
84
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL MEDICINE FY16-Q3
\n", "
101
\n", "
0
\n", "
132
\n", "
2295
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL MH MHICM FY16-Q3
\n", "
47
\n", "
0
\n", "
132
\n", "
87
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MH MHICM FY16-Q3
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH MHICM FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL MH MHICM FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
40
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL MH MHICM FY16-Q3
\n", "
135
\n", "
0
\n", "
132
\n", "
799
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL MH NURSE FY16-Q3
\n", "
14
\n", "
0
\n", "
132
\n", "
26
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MH NURSE FY16-Q3
\n", "
1
\n", "
49
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["ACTIVE INSURANCE (V2.1)", "
TOOL KIT
\n", "
22
\n", "
0
\n", "
54
\n", "
9
\n", "
SOLID LINE
\n", "
ACTIVE INSURANCE POLICIES
\n", "
CR
\n", "
Active Insurance Policies
\n", "
3
\n", "", "", "", ""], ["INSURANCE-ACTIVE,INACTIVE", "
DEFAULTS
\n", "
59
\n", "
0
\n", "
52
\n", "
8
\n", "
SOLID LINE
\n", "", "
CR
\n", "
ALL INSURANCE PLOLICIES
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CHIROPRACTIC FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH NURSE FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATIONAL MH NURSE FY16-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL MH NURSE FY16-Q3
\n", "
41
\n", "
0
\n", "
132
\n", "
799
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL MH PHARM FY16-Q3
\n", "
1
\n", "
57
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH PHARM FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MH PHARM FY16-Q3
\n", "
7
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
MANAGEMENT OF MEDICATION THERAPY
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL MH PHARM FY16-Q3
\n", "
16
\n", "
0
\n", "
132
\n", "
799
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL MH PSYCHIATRIST FY16-Q3
\n", "
41
\n", "
0
\n", "
132
\n", "
54
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MH PSYCHIATRIST FY16-Q3
\n", "
1
\n", "
55
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MH PSYCHIATRIST FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CHIROPRACTIC FY13-Q4
\n", "
15
\n", "
0
\n", "
133
\n", "
17
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATL MH PSYCHIATRIST FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATL MH PSYCHIATRIST FY16-Q3
\n", "
96
\n", "
0
\n", "
132
\n", "
799
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL MH PSYCHOLOGIST FY16-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
48
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MH PSYCHOLOGIST FY16-Q3
\n", "
1
\n", "
49
\n", "
37
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MH PSYCHOLOGIST FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATL MH PSYCHOLOGIST FY16-Q3
\n", "
56
\n", "
0
\n", "
132
\n", "
799
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT PROCEDURE", "
NATL ONC/CHEMO INF FY16-Q3
\n", "
16
\n", "
0
\n", "
133
\n", "
134
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL ONC/CHEMO INF FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL ONC/CHEMO INF FY16-Q3
\n", "
1
\n", "
44
\n", "
39
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL ONC/CHEMO INF FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["SECONDARY DX", "
NATIONAL C&P FY13-Q4
\n", "
28
\n", "
0
\n", "
132
\n", "
52
\n", "
SOLID LINE
\n", "
SECONDARY DX-AS APPROPRIATE
\n", "
CR
\n", "
SECONDARY DX
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL ONC/CHEMO INF FY16-Q3
\n", "
161
\n", "
0
\n", "
132
\n", "
469
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATL OPTOM LOW VISION FY16-Q3
\n", "
21
\n", "
0
\n", "
132
\n", "
74
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATL OPTOM LOW VISION FY16-Q3
\n", "
6
\n", "
0
\n", "
117
\n", "
14
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL OPTOM LOW VISION FY16-Q3
\n", "
1
\n", "
57
\n", "
31
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL OPTOM LOW VISION FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["LOW VISION ICD-10", "
NATL OPTOM LOW VISION FY16-Q3
\n", "
96
\n", "
0
\n", "
132
\n", "
479
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ORTHOPEDICS FY16-Q3
\n", "
16
\n", "
0
\n", "
133
\n", "
99
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ORTHOPEDICS FY16-Q3
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ORTHOPEDICS FY16-Q3
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ORTHOPEDICS FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL C&P FY13-Q4
\n", "
1
\n", "
56
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL ORTHOPEDICS FY16-Q3
\n", "
116
\n", "
0
\n", "
132
\n", "
654
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL PEER SUPPORT FY16-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PEER SUPPORT FY16-Q3
\n", "
1
\n", "
58
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PEER SUPPORT FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL PEER SUPPORT FY16-Q3
\n", "
16
\n", "
0
\n", "
132
\n", "
799
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PLASTIC SURG FY16-Q3
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PLASTIC SURG FY16-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PLASTIC SURG FY16-Q3
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL PLASTIC SURG FY16-Q3
\n", "
18
\n", "
0
\n", "
132
\n", "
253
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PLASTIC SURGERY ICD-10", "
NATIONAL PLASTIC SURG FY16-Q3
\n", "
272
\n", "
0
\n", "
132
\n", "
423
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL C&P FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PRIMARY CARE FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PRIMARY CARE FY16-Q3
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PRIMARY CARE FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PRIMARY CARE FY16-Q3
\n", "
16
\n", "
0
\n", "
133
\n", "
84
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL PRIMARY CARE FY16-Q3
\n", "
101
\n", "
0
\n", "
132
\n", "
2295
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PROSTHETICS FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PROSTHETICS FY16-Q3
\n", "
1
\n", "
56
\n", "
33
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PROSTHETICS FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PROSTHETICS FY16-Q3
\n", "
16
\n", "
0
\n", "
133
\n", "
11
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL PROSTHETICS FY16-Q3
\n", "
28
\n", "
0
\n", "
132
\n", "
439
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL C&P FY13-Q4
\n", "
5
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL PULMONARY FY16-Q3
\n", "
14
\n", "
0
\n", "
132
\n", "
56
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PULMONARY FY16-Q3
\n", "
5
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PULMONARY FY16-Q3
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PULMONARY FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["RESPIRATORY THERAPY ICD-10", "
NATIONAL PULMONARY FY16-Q3
\n", "
81
\n", "
0
\n", "
132
\n", "
839
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SPEECH FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
3
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["SPEECH PATHOLOGY CPT CODES", "
NATIONAL SPEECH FY16-Q3
\n", "
10
\n", "
0
\n", "
132
\n", "
65
\n", "
SOLID LINE
\n", "
SPEECH PATHOLOGY PROCEDURES PERFORMED THIS VISIT
\n", "
C
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SPEECH FY16-Q3
\n", "
1
\n", "
54
\n", "
15
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SPEECH FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL SPEECH FY16-Q3
\n", "
81
\n", "
0
\n", "
132
\n", "
102
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL C&P FY13-Q4
\n", "
13
\n", "
0
\n", "
133
\n", "
6
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL SWS-HOMELESS FY16-Q3
\n", "
26
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SWS-HOMELESS FY16-Q3
\n", "
1
\n", "
55
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SWS-HOMELESS FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["SWS-HOMELESS ICD-10", "
NATIONAL SWS-HOMELESS FY16-Q3
\n", "
41
\n", "
0
\n", "
132
\n", "
959
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SWS-HOMELESS FY16-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
18
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SOCIAL WORK FY16-Q3
\n", "
1
\n", "
56
\n", "
44
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SOCIAL WORK FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL SOCIAL WORK FY16-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
28
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["SWS MEDICAL ICD-10", "
NATIONAL SOCIAL WORK FY16-Q3
\n", "
36
\n", "
0
\n", "
132
\n", "
168
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL SWS MH FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PRIMARY DX", "
NATIONAL C&P FY13-Q4
\n", "
20
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
PRIMARY DIAGNOSIS
\n", "
CR
\n", "
PRIMARY DX
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SWS MH FY16-Q3
\n", "
1
\n", "
55
\n", "
44
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SWS MH FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL SWS MH FY16-Q3
\n", "
41
\n", "
0
\n", "
132
\n", "
799
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TELEDERM FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TELEDERM FY16-Q3
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEDERM FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELEDERM FY16-Q3
\n", "
16
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DERM/TELEDERM ICD-10", "
NATIONAL TELEDERM FY16-Q3
\n", "
24
\n", "
0
\n", "
132
\n", "
439
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL TELEHLTH-PT SITE FY16-Q3
\n", "
1
\n", "
49
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL TELEHLTH-PT SITE FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CRITICAL CARE FY13-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL TELEHLTH-PT SITE FY16-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["TELEHEALTH ICD-10", "
NATL TELEHLTH-PT SITE FY16-Q3
\n", "
14
\n", "
0
\n", "
132
\n", "
336
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TELEPHONE FY16-Q3
\n", "
1
\n", "
59
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES", "
NATIONAL TELEPHONE FY16-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
FILL IN BUBBLE FOR TELEPHONE CALL PERFORMED
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEPHONE FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TELEPHONE ICD-10", "
NATIONAL TELEPHONE FY16-Q3
\n", "
17
\n", "
0
\n", "
132
\n", "
29
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL THORACIC SURG FY16-Q3
\n", "
1
\n", "
56
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL THORACIC SURG FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL THORACIC SURG FY16-Q3
\n", "
18
\n", "
0
\n", "
133
\n", "
33
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL THORACIC SURG FY16-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL CRITICAL CARE FY13-Q4
\n", "
66
\n", "
0
\n", "
133
\n", "
534
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL THORACIC SURG FY16-Q3
\n", "
52
\n", "
0
\n", "
132
\n", "
107
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL URGENT CARE FY16-Q3
\n", "
1
\n", "
49
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL URGENT CARE FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["E&M OUTPATIENT CODES", "
NATIONAL URGENT CARE FY16-Q3
\n", "
6
\n", "
0
\n", "
90
\n", "
11
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL URGENT CARE FY16-Q3
\n", "
18
\n", "
0
\n", "
132
\n", "
102
\n", "
SOLID LINE
\n", "
FILL IN BUBBLES FOR ALL PROCEDURES PERFORMED THIS VISIT
\n", "
URCB
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL URGENT CARE FY16-Q3
\n", "
121
\n", "
0
\n", "
132
\n", "
2295
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL UROLOGY FY16-Q3
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL UROLOGY FY16-Q3
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL UROLOGY FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL UROLOGY FY16-Q3
\n", "
16
\n", "
0
\n", "
132
\n", "
54
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["INSURANCE-INCLUDES NONPAYING", "
DEFAULTS
\n", "
67
\n", "
0
\n", "
52
\n", "
8
\n", "
SOLID LINE
\n", "", "", "
INSURANCE - ACTIVE, INACTIVE, NONPAYING
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CRITICAL CARE FY13-Q4
\n", "
1
\n", "
56
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["UROLOGY ICD-10", "
NATIONAL UROLOGY FY16-Q3
\n", "
71
\n", "
0
\n", "
132
\n", "
219
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL VASCULAR LAB FY16-Q3
\n", "
1
\n", "
54
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL VASCULAR LAB FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL VASCULAR LAB FY16-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
23
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["VASCULAR ICD-10", "
NATIONAL VASCULAR LAB FY16-Q3
\n", "
31
\n", "
0
\n", "
132
\n", "
344
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL VASCULAR SURG FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL VASCULAR SURG FY16-Q3
\n", "
1
\n", "
54
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL VASCULAR SURG FY16-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL VASCULAR SURG FY16-Q3
\n", "
15
\n", "
0
\n", "
132
\n", "
35
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["VASCULAR ICD-10", "
NATIONAL VASCULAR SURG FY16-Q3
\n", "
51
\n", "
0
\n", "
132
\n", "
344
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CRITICAL CARE FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL WOMENS HEALTH FY16-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL WOMENS HEALTH FY16-Q3
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL WOMENS HEALTH FY16-Q3
\n", "
2
\n", "
52
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["WOMEN'S CLINIC PROCEDURES", "
NATIONAL WOMENS HEALTH FY16-Q3
\n", "
20
\n", "
0
\n", "
132
\n", "
55
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
WOMEN'S CLINIC PROCEDURES
\n", "
0
\n", "", "", "", ""], ["WOMEN'S HEALTH ICD-10", "
NATIONAL WOMENS HEALTH FY16-Q3
\n", "
81
\n", "
0
\n", "
132
\n", "
369
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL ADDICTION FY16-Q4
\n", "
51
\n", "
0
\n", "
132
\n", "
39
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ADDICTION FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ADDICTION FY16-Q4
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL ADDICTION FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
44
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL ADDICTION FY16-Q4
\n", "
91
\n", "
0
\n", "
132
\n", "
829
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CRITICAL CARE FY13-Q4
\n", "
21
\n", "
0
\n", "
133
\n", "
44
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ANESTHESIA FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ANESTHESIA FY16-Q4
\n", "
13
\n", "
0
\n", "
132
\n", "
77
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ANESTHESIA FY16-Q4
\n", "
1
\n", "
54
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ANESTHESIA FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ANESTHESIA ICD-10", "
NATIONAL ANESTHESIA FY16-Q4
\n", "
91
\n", "
0
\n", "
132
\n", "
349
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CARDIOLOGY/CATH FY16-Q4
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CARDIOLOGY/CATH FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CARDIOLOGY/CATH FY16-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY/CARDIAC CATH ICD-10", "
NATL CARDIOLOGY/CATH FY16-Q4
\n", "
251
\n", "
0
\n", "
132
\n", "
384
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATL CARDIOLOGY/CATH FY16-Q4
\n", "
17
\n", "
0
\n", "
132
\n", "
233
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
EPS PROCEDURES
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DERMATOLOGY FY13-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CHIROPRACTIC FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CHIROPRACTIC FY16-Q4
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CHIROPRACTIC FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CHIROPRACTIC FY16-Q4
\n", "
15
\n", "
0
\n", "
133
\n", "
25
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CHIROPRACTIC ICD-10", "
NATIONAL CHIROPRACTIC FY16-Q4
\n", "
41
\n", "
0
\n", "
132
\n", "
219
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CIH FY16-Q4
\n", "
1
\n", "
49
\n", "
46
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CIH FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CIH FY16-Q4
\n", "
7
\n", "
0
\n", "
133
\n", "
33
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CIH ICD-10", "
NATIONAL CIH FY16-Q4
\n", "
41
\n", "
0
\n", "
132
\n", "
429
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CRITICAL CARE FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DERMATOLOGY FY13-Q4
\n", "
17
\n", "
0
\n", "
132
\n", "
158
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CRITICAL CARE FY16-Q4
\n", "
1
\n", "
56
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CRITICAL CARE FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CRITICAL CARE FY16-Q4
\n", "
21
\n", "
0
\n", "
133
\n", "
49
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["INTENSIVE/CRITICAL CARE ICD-10", "
NATIONAL CRITICAL CARE FY16-Q4
\n", "
71
\n", "
0
\n", "
132
\n", "
249
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DAY SURGERY FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DAY SURGERY FY16-Q4
\n", "
1
\n", "
55
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DAY SURGERY FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL DAY SURGERY FY16-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
109
\n", "
SOLID LINE
\n", "", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DAY/GENERAL SURG ICD-10", "
NATIONAL DAY SURGERY FY16-Q4
\n", "
126
\n", "
0
\n", "
132
\n", "
1364
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DERMATOLOGY FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DERMATOLOGY FY13-Q4
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATIONAL DERMATOLOGY FY16-Q4
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DERMATOLOGY FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DERM/TELEDERM ICD-10", "
NATIONAL DERMATOLOGY FY16-Q4
\n", "
271
\n", "
0
\n", "
132
\n", "
469
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DERMATOLOGY FY16-Q4
\n", "
17
\n", "
0
\n", "
132
\n", "
253
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ED FY16-Q4
\n", "
16
\n", "
0
\n", "
133
\n", "
164
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ED FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ED FY16-Q4
\n", "
1
\n", "
56
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ED FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["EMERGENCY DEPT ICD-10", "
NATIONAL ED FY16-Q4
\n", "
181
\n", "
0
\n", "
132
\n", "
2279
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL EMP HEALTH FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DERMATOLOGY FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL EMP HEALTH FY16-Q4
\n", "
1
\n", "
56
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EMP HEALTH FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EMP HEALTH FY16-Q4
\n", "
17
\n", "
0
\n", "
133
\n", "
33
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL EMP HEALTH FY16-Q4
\n", "
51
\n", "
0
\n", "
132
\n", "
324
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EYE TECH FY16-Q4
\n", "
1
\n", "
54
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EYE TECH FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EYE TECH FY16-Q4
\n", "
7
\n", "
0
\n", "
133
\n", "
38
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["EYE/TELERETINAL ICD-10", "
NATIONAL EYE TECH FY16-Q4
\n", "
46
\n", "
0
\n", "
132
\n", "
519
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EYE FY16-Q4
\n", "
41
\n", "
0
\n", "
133
\n", "
84
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EYE FY16-Q4
\n", "
1
\n", "
60
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL DERMATOLOGY FY13-Q4
\n", "
176
\n", "
0
\n", "
132
\n", "
274
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EYE FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["EYE/TELERETINAL ICD-10", "
NATIONAL EYE FY16-Q4
\n", "
126
\n", "
0
\n", "
132
\n", "
519
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL EYE FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL GEN SURG FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL GEN SURG FY16-Q4
\n", "
15
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL GEN SURG FY16-Q4
\n", "
1
\n", "
54
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL GEN SURG FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DAY/GENERAL SURG ICD-10", "
NATIONAL GEN SURG FY16-Q4
\n", "
46
\n", "
0
\n", "
132
\n", "
1364
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL GERIATRICS FY16-Q4
\n", "
1
\n", "
51
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["E&M CODES", "
NATIONAL GERIATRICS FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL IR FY13-Q4
\n", "
1
\n", "
49
\n", "
33
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL GERIATRICS FY16-Q4
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL GERIATRICS FY16-Q4
\n", "
18
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["GERIATRICS ICD-10", "
NATIONAL GERIATRICS FY16-Q4
\n", "
38
\n", "
0
\n", "
132
\n", "
1548
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL HBPC CLIN FY16-Q4
\n", "
1
\n", "
58
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC CLIN FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HBPC CLIN FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
TYPE OF HOME VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC CLIN FY16-Q4
\n", "
15
\n", "
0
\n", "
133
\n", "
39
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATL HBPC CLIN FY16-Q4
\n", "
55
\n", "
0
\n", "
132
\n", "
2295
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC PSYCHOLOGIST FY16-Q4
\n", "
1
\n", "
49
\n", "
37
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC PSYCHOLOGIST FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL IR FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HBPC PSYCHOLOGIST FY16-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATL HBPC PSYCHOLOGIST FY16-Q4
\n", "
51
\n", "
0
\n", "
132
\n", "
829
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC REHAB FY16-Q4
\n", "
6
\n", "
0
\n", "
133
\n", "
19
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC REHAB FY16-Q4
\n", "
1
\n", "
49
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC REHAB FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["REHAB ICD-10 CODES", "
NATL HBPC REHAB FY16-Q4
\n", "
26
\n", "
0
\n", "
132
\n", "
1499
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INFECTIOUS DX FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL INFECTIOUS DX FY16-Q4
\n", "
1
\n", "
56
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INFECTIOUS DX FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL INFECTIOUS DX FY16-Q4
\n", "
17
\n", "
0
\n", "
133
\n", "
18
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["SERVICE CONNECTED CONDITIONS", "
DEFAULTS
\n", "
41
\n", "
0
\n", "
53
\n", "
10
\n", "
SOLID LINE
\n", "", "
BUC
\n", "
Service Connected Conditions
\n", "
0
\n", "", "", "", ""], ["DIAGNOSES - 1", "
NATIONAL IR FY13-Q4
\n", "
51
\n", "
0
\n", "
132
\n", "
192
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL INFECTIOUS DX FY16-Q4
\n", "
36
\n", "
0
\n", "
132
\n", "
369
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INPATIENT FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL INPATIENT FY16-Q4
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INPATIENT FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL INPATIENT FY16-Q4
\n", "
26
\n", "
0
\n", "
133
\n", "
14
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["INPATIENT ICD-10", "
NATIONAL INPATIENT FY16-Q4
\n", "
41
\n", "
0
\n", "
132
\n", "
889
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MED FOSTER HOME FY16-Q4
\n", "
1
\n", "
56
\n", "
28
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MED FOSTER HOME FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL MED FOSTER HOME FY16-Q4
\n", "
6
\n", "
0
\n", "
133
\n", "
39
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATL MED FOSTER HOME FY16-Q4
\n", "
46
\n", "
0
\n", "
132
\n", "
2295
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL IR FY13-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL MEDICINE FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MEDICINE FY16-Q4
\n", "
1
\n", "
56
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MEDICINE FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MEDICINE FY16-Q4
\n", "
16
\n", "
0
\n", "
133
\n", "
84
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL MEDICINE FY16-Q4
\n", "
101
\n", "
0
\n", "
132
\n", "
2295
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL MH MHICM FY16-Q4
\n", "
47
\n", "
0
\n", "
132
\n", "
87
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MH MHICM FY16-Q4
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH MHICM FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL MH MHICM FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
40
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL MH MHICM FY16-Q4
\n", "
135
\n", "
0
\n", "
132
\n", "
825
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES", "
NATL LOW VISION-OPTOM FY13-Q4
\n", "
17
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL MH NURSE FY16-Q4
\n", "
14
\n", "
0
\n", "
132
\n", "
26
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MH NURSE FY16-Q4
\n", "
1
\n", "
49
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH NURSE FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATIONAL MH NURSE FY16-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL MH NURSE FY16-Q4
\n", "
41
\n", "
0
\n", "
132
\n", "
829
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL MH PHARM FY16-Q4
\n", "
1
\n", "
57
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH PHARM FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MH PHARM FY16-Q4
\n", "
7
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
MANAGEMENT OF MEDICATION THERAPY
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL MH PHARM FY16-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
829
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL MH PSYCHIATRIST FY16-Q4
\n", "
41
\n", "
0
\n", "
132
\n", "
54
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATL LOW VISION-OPTOM FY13-Q4
\n", "
6
\n", "
0
\n", "
117
\n", "
10
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MH PSYCHIATRIST FY16-Q4
\n", "
1
\n", "
55
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MH PSYCHIATRIST FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATL MH PSYCHIATRIST FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATL MH PSYCHIATRIST FY16-Q4
\n", "
96
\n", "
0
\n", "
132
\n", "
829
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL MH PSYCHOLOGIST FY16-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
48
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MH PSYCHOLOGIST FY16-Q4
\n", "
1
\n", "
49
\n", "
37
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MH PSYCHOLOGIST FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATL MH PSYCHOLOGIST FY16-Q4
\n", "
56
\n", "
0
\n", "
132
\n", "
829
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEUROLOGY FY16-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "", "
CRU
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL NEUROLOGY FY16-Q4
\n", "
2
\n", "
55
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL LOW VISION-OPTOM FY13-Q4
\n", "
48
\n", "
0
\n", "
132
\n", "
92
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT
\n", "
BC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEUROLOGY FY16-Q4
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL NEUROLOGY FY16-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
64
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["NEUROLOGY ICD-10", "
NATIONAL NEUROLOGY FY16-Q4
\n", "
81
\n", "
0
\n", "
132
\n", "
329
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATIONAL NEUROSURGERY FY16-Q4
\n", "
17
\n", "
0
\n", "
133
\n", "
18
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEUROSURGERY FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL NEUROSURGERY FY16-Q4
\n", "
1
\n", "
49
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEUROSURGERY FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL NEUROSURGERY FY16-Q4
\n", "
36
\n", "
0
\n", "
132
\n", "
227
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL NURSING CLINIC FY16-Q4
\n", "
1
\n", "
46
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL NURSING CLINIC FY16-Q4
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATL LOW VISION-OPTOM FY13-Q4
\n", "
1
\n", "
57
\n", "
31
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL NURSING CLINIC FY16-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL NURSING CLINIC FY16-Q4
\n", "
14
\n", "
0
\n", "
133
\n", "
101
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["NURSING ICD-10", "
NATL NURSING CLINIC FY16-Q4
\n", "
116
\n", "
0
\n", "
132
\n", "
449
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["WOMEN'S CLINIC PROCEDURES", "
NATIONAL OB/GYN FY16-Q4
\n", "
19
\n", "
0
\n", "
132
\n", "
71
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
WOMEN'S CLINIC PROCEDURES
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL OB/GYN FY16-Q4
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL OB/GYN FY16-Q4
\n", "
1
\n", "
49
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL OB/GYN FY16-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL OB/GYN FY16-Q4
\n", "
91
\n", "
0
\n", "
132
\n", "
1019
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ORTHOPEDICS FY16-Q4
\n", "
16
\n", "
0
\n", "
133
\n", "
99
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ORTHOPEDICS FY16-Q4
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL LOW VISION-OPTOM FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ORTHOPEDICS FY16-Q4
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ORTHOPEDICS FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL ORTHOPEDICS FY16-Q4
\n", "
116
\n", "
0
\n", "
132
\n", "
679
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PAIN FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL PAIN FY16-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
54
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PAIN FY16-Q4
\n", "
1
\n", "
49
\n", "
13
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PAIN FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PAIN ICD-10", "
NATIONAL PAIN FY16-Q4
\n", "
71
\n", "
0
\n", "
132
\n", "
174
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL PEER SUPPORT FY16-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PEER SUPPORT FY16-Q4
\n", "
1
\n", "
58
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATL MED FOSTER HOME FY13-Q4
\n", "
1
\n", "
56
\n", "
28
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PEER SUPPORT FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL PEER SUPPORT FY16-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
829
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST INPT FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST INPT FY16-Q4
\n", "
21
\n", "
0
\n", "
133
\n", "
54
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST INPT FY16-Q4
\n", "
1
\n", "
58
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST INPT FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL PHYSIATRIST INPT FY16-Q4
\n", "
81
\n", "
0
\n", "
132
\n", "
642
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PRIMARY CARE FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PRIMARY CARE FY16-Q4
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PRIMARY CARE FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MED FOSTER HOME FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PRIMARY CARE FY16-Q4
\n", "
16
\n", "
0
\n", "
133
\n", "
84
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL PRIMARY CARE FY16-Q4
\n", "
101
\n", "
0
\n", "
132
\n", "
2295
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL PULMONARY FY16-Q4
\n", "
14
\n", "
0
\n", "
132
\n", "
56
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PULMONARY FY16-Q4
\n", "
5
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PULMONARY FY16-Q4
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PULMONARY FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["RESPIRATORY THERAPY ICD-10", "
NATIONAL PULMONARY FY16-Q4
\n", "
81
\n", "
0
\n", "
132
\n", "
839
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL REHAB-PT/OT/KT FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REHAB-PT/OT/KT FY16-Q4
\n", "
16
\n", "
0
\n", "
133
\n", "
94
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REHAB-PT/OT/KT FY16-Q4
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL MED FOSTER HOME FY13-Q4
\n", "
6
\n", "
0
\n", "
133
\n", "
39
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REHAB-PT/OT/KT FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["REHAB ICD-10 CODES", "
NATL REHAB-PT/OT/KT FY16-Q4
\n", "
111
\n", "
0
\n", "
132
\n", "
1499
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL RHEUMATOLOGY FY16-Q4
\n", "
17
\n", "
0
\n", "
132
\n", "
18
\n", "
SOLID LINE
\n", "
PLEASE CHECK CPT CODES THAT APPLY
\n", "
CUB
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL RHEUMATOLOGY FY16-Q4
\n", "
1
\n", "
54
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL RHEUMATOLOGY FY16-Q4
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL RHEUMATOLOGY FY16-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CUB
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["RHEUMATOLOGY ICD-10", "
NATIONAL RHEUMATOLOGY FY16-Q4
\n", "
36
\n", "
0
\n", "
132
\n", "
744
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SPEECH FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
3
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["SPEECH PATHOLOGY CPT CODES", "
NATIONAL SPEECH FY16-Q4
\n", "
10
\n", "
0
\n", "
132
\n", "
65
\n", "
SOLID LINE
\n", "
SPEECH PATHOLOGY PROCEDURES PERFORMED THIS VISIT
\n", "
C
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SPEECH FY16-Q4
\n", "
1
\n", "
54
\n", "
15
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["FUTURE APPTS - ALL", "
DEFAULTS
\n", "
81
\n", "
0
\n", "
50
\n", "
6
\n", "
SOLID LINE
\n", "", "
UC
\n", "
Data fields - list of patient's future appointments
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATL MED FOSTER HOME FY13-Q4
\n", "
46
\n", "
0
\n", "
133
\n", "
602
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SPEECH FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL SPEECH FY16-Q4
\n", "
81
\n", "
0
\n", "
132
\n", "
102
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL SWS MH FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SWS MH FY16-Q4
\n", "
1
\n", "
55
\n", "
44
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SWS MH FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL SWS MH FY16-Q4
\n", "
41
\n", "
0
\n", "
132
\n", "
829
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL SOCIAL WORK FY16-Q4
\n", "
1
\n", "
56
\n", "
44
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SOCIAL WORK FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL SOCIAL WORK FY16-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
28
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["SWS MEDICAL ICD-10", "
NATIONAL SOCIAL WORK FY16-Q4
\n", "
36
\n", "
0
\n", "
132
\n", "
168
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL MEDICINE FY13-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
12
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TELEDERM FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TELEDERM FY16-Q4
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEDERM FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELEDERM FY16-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DERM/TELEDERM ICD-10", "
NATIONAL TELEDERM FY16-Q4
\n", "
24
\n", "
0
\n", "
132
\n", "
469
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELERETINAL FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL TELERETINAL FY16-Q4
\n", "
1
\n", "
49
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELERETINAL FY16-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["EYE/TELERETINAL ICD-10", "
NATIONAL TELERETINAL FY16-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
519
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TRANSPLANT FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MEDICINE FY13-Q4
\n", "
1
\n", "
56
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES", "
NATIONAL TRANSPLANT FY16-Q4
\n", "
15
\n", "
0
\n", "
132
\n", "
40
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TRANSPLANT FY16-Q4
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TRANSPLANT FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL TRANSPLANT FY16-Q4
\n", "
56
\n", "
0
\n", "
132
\n", "
259
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL URGENT CARE FY16-Q4
\n", "
1
\n", "
49
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL URGENT CARE FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["E&M OUTPATIENT CODES", "
NATIONAL URGENT CARE FY16-Q4
\n", "
6
\n", "
0
\n", "
90
\n", "
11
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL URGENT CARE FY16-Q4
\n", "
18
\n", "
0
\n", "
132
\n", "
102
\n", "
SOLID LINE
\n", "
FILL IN BUBBLES FOR ALL PROCEDURES PERFORMED THIS VISIT
\n", "
URCB
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL URGENT CARE FY16-Q4
\n", "
121
\n", "
0
\n", "
132
\n", "
2295
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL UROLOGY FY16-Q4
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MEDICINE FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL UROLOGY FY16-Q4
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL UROLOGY FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL UROLOGY FY16-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
54
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["UROLOGY ICD-10", "
NATIONAL UROLOGY FY16-Q4
\n", "
71
\n", "
0
\n", "
132
\n", "
219
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL WOUND OSTOMY FY16-Q4
\n", "
1
\n", "
44
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL WOUND OSTOMY FY16-Q4
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL WOUND OSTOMY FY16-Q4
\n", "
21
\n", "
0
\n", "
133
\n", "
44
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL WOUND OSTOMY FY16-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["WOUND OSTOMY ICD-10", "
NATIONAL WOUND OSTOMY FY16-Q4
\n", "
66
\n", "
0
\n", "
132
\n", "
205
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CLC FY16-Q4
\n", "
1
\n", "
51
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MEDICINE FY13-Q4
\n", "
19
\n", "
0
\n", "
133
\n", "
55
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["VISIT TYPE CODES", "
NATIONAL CLC FY16-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CLC FY16-Q4
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CLC FY16-Q4
\n", "
21
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["GERIATRICS ICD-10", "
NATIONAL CLC FY16-Q4
\n", "
36
\n", "
0
\n", "
132
\n", "
1548
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PODIATRY FY16-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PODIATRY FY16-Q4
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PODIATRY FY16-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PODIATRY FY16-Q4
\n", "
17
\n", "
0
\n", "
133
\n", "
198
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PODIATRY ICD-10", "
NATIONAL PODIATRY FY16-Q4
\n", "
216
\n", "
0
\n", "
132
\n", "
1118
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL WOMENS HEALTH FY6-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL MEDICINE FY13-Q4
\n", "
81
\n", "
0
\n", "
133
\n", "
615
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL WOMENS HEALTH FY6-Q4
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL WOMENS HEALTH FY6-Q4
\n", "
2
\n", "
52
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["WOMEN'S CLINIC PROCEDURES", "
NATIONAL WOMENS HEALTH FY6-Q4
\n", "
20
\n", "
0
\n", "
132
\n", "
55
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
WOMEN'S CLINIC PROCEDURES
\n", "
0
\n", "", "", "", ""], ["WOMEN'S HEALTH ICD-10", "
NATIONAL WOMENS HEALTH FY6-Q4
\n", "
81
\n", "
0
\n", "
132
\n", "
369
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ALLERGY FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ALLERGY FY21-Q1
\n", "
1
\n", "
56
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ALLERGY FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ALLERGY ICD-10", "
NATIONAL ALLERGY FY21-Q1
\n", "
46
\n", "
0
\n", "
132
\n", "
144
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ALLERGY FY21-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
28
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ECOE E&M FY21-Q1
\n", "
1
\n", "
57
\n", "
38
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATL NURSING CLINIC FY13-Q4
\n", "
1
\n", "
46
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ECOE E&M FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ECOE E&M FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ECOE E&M FY21-Q1
\n", "
26
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ECOE ICD-10", "
NATIONAL ECOE E&M FY21-Q1
\n", "
35
\n", "
0
\n", "
132
\n", "
129
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ECOE E-CON FY21-Q1
\n", "
1
\n", "
57
\n", "
51
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ECOE E-CON FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ECOE E-CON FY21-Q1
\n", "
7
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ECOE ICD-10", "
NATIONAL ECOE E-CON FY21-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
129
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ECOE PROC FY21-Q1
\n", "
1
\n", "
57
\n", "
51
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ECOE PROC FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL NURSING CLINIC FY13-Q4
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ECOE PROC FY21-Q1
\n", "
7
\n", "
0
\n", "
133
\n", "
33
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ECOE ICD-10", "
NATIONAL ECOE PROC FY21-Q1
\n", "
41
\n", "
0
\n", "
132
\n", "
129
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ECOE TELE FY21-Q1
\n", "
1
\n", "
57
\n", "
50
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ECOE TELE FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL ECOE TELE FY21-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
FILL IN BUBBLE FOR TELEPHONE CALL PERFORMED
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["ECOE ICD-10", "
NATIONAL ECOE TELE FY21-Q1
\n", "
21
\n", "
0
\n", "
132
\n", "
129
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL MOVE! FY21-Q1
\n", "
1
\n", "
59
\n", "
14
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES", "
NATIONAL MOVE! FY21-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
29
\n", "
SOLID LINE
\n", "
FILL IN BUBBLE FOR PROCEDURES PERFORMED
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MOVE! FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL MOVE! FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL NURSING CLINIC FY13-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["MOVE! ICD-10", "
NATIONAL MOVE! FY21-Q1
\n", "
46
\n", "
0
\n", "
132
\n", "
59
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATIONAL HEMATOLOGY FY21-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
58
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL HEMATOLOGY FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL HEMATOLOGY FY21-Q1
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL HEMATOLOGY FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEMATOLOGY ICD-10", "
NATIONAL HEMATOLOGY FY21-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
379
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATL ONC/CHEMO INF FY21-Q1
\n", "
21
\n", "
0
\n", "
133
\n", "
149
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL ONC/CHEMO INF FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL ONC/CHEMO INF FY21-Q1
\n", "
1
\n", "
44
\n", "
39
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL ONC/CHEMO INF FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL NURSING CLINIC FY13-Q4
\n", "
14
\n", "
0
\n", "
133
\n", "
86
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL ONC/CHEMO INF FY21-Q1
\n", "
171
\n", "
0
\n", "
132
\n", "
489
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL THORACIC SURG FY21-Q1
\n", "
1
\n", "
56
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL THORACIC SURG FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL THORACIC SURG FY21-Q1
\n", "
18
\n", "
0
\n", "
133
\n", "
33
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL THORACIC SURG FY21-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL THORACIC SURG FY21-Q1
\n", "
52
\n", "
0
\n", "
132
\n", "
153
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL EMP HEALTH FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EMP HEALTH FY21-Q1
\n", "
1
\n", "
56
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EMP HEALTH FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EMP HEALTH FY21-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
48
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["FUTURE APPOINTMENTS - SAME DAY", "
DEFAULTS
\n", "
87
\n", "
0
\n", "
50
\n", "
7
\n", "
SOLID LINE
\n", "
TODAY'S LATTER APPOINTMENTS
\n", "
CR
\n", "
Data fields - appointments for latter in the same day
\n", "
0
\n", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATL NURSING CLINIC FY13-Q4
\n", "
101
\n", "
0
\n", "
132
\n", "
119
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL EMP HEALTH FY21-Q1
\n", "
66
\n", "
0
\n", "
132
\n", "
344
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEUROLOGY FY21-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "", "
CRU
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL NEUROLOGY FY21-Q1
\n", "
2
\n", "
55
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEUROLOGY FY21-Q1
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL NEUROLOGY FY21-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
64
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["NEUROLOGY ICD-10", "
NATIONAL NEUROLOGY FY21-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
369
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATIONAL NEUROSURGERY FY21-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
23
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEUROSURGERY FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL NEUROSURGERY FY21-Q1
\n", "
1
\n", "
49
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEUROSURGERY FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["WOMEN'S CLINIC PROCEDURES", "
NATIONAL OB/GYN FY13-Q4
\n", "
19
\n", "
0
\n", "
132
\n", "
33
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
WOMEN'S CLINIC PROCEDURES
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL NEUROSURGERY FY21-Q1
\n", "
41
\n", "
0
\n", "
132
\n", "
249
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL RHEUMATOLOGY FY21-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
18
\n", "
SOLID LINE
\n", "
PLEASE CHECK CPT CODES THAT APPLY
\n", "
CUB
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL RHEUMATOLOGY FY21-Q1
\n", "
1
\n", "
54
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL RHEUMATOLOGY FY21-Q1
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL RHEUMATOLOGY FY21-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CUB
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["RHEUMATOLOGY ICD-10", "
NATIONAL RHEUMATOLOGY FY21-Q1
\n", "
36
\n", "
0
\n", "
132
\n", "
744
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ADHC FY21-Q1
\n", "
1
\n", "
47
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ADHC FY21-Q1
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ADHC FY21-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
5
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ADHC FY21-Q1
\n", "
13
\n", "
0
\n", "
133
\n", "
12
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL OB/GYN FY13-Q4
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["ADHC ICD-10", "
NATIONAL ADHC FY21-Q1
\n", "
26
\n", "
0
\n", "
132
\n", "
279
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CARDIOLOGY/CATH FY21-Q1
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CARDIOLOGY/CATH FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CARDIOLOGY/CATH FY21-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY/CARDIAC CATH ICD-10", "
NATL CARDIOLOGY/CATH FY21-Q1
\n", "
491
\n", "
0
\n", "
132
\n", "
509
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATL CARDIOLOGY/CATH FY21-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
473
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
EPS PROCEDURES
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CHIROPRACTIC FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CHIROPRACTIC FY21-Q1
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CHIROPRACTIC FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CHIROPRACTIC FY21-Q1
\n", "
15
\n", "
0
\n", "
133
\n", "
25
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL OB/GYN FY13-Q4
\n", "
1
\n", "
49
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CHIROPRACTIC ICD-10", "
NATIONAL CHIROPRACTIC FY21-Q1
\n", "
41
\n", "
0
\n", "
132
\n", "
249
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CIH/WHOLE HLTH FY21-Q1
\n", "
1
\n", "
49
\n", "
46
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CIH/WHOLE HLTH FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL CIH/WHOLE HLTH FY21-Q1
\n", "
53
\n", "
0
\n", "
133
\n", "
49
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CIH ICD-10", "
NATL CIH/WHOLE HLTH FY21-Q1
\n", "
103
\n", "
0
\n", "
132
\n", "
457
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CIH/WHOLE HLTH FY21-Q1
\n", "
43
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT HEALTH FACTORS (V2.1)", "
NATL CIH/WHOLE HLTH FY21-Q1
\n", "
6
\n", "
0
\n", "
55
\n", "
36
\n", "
SOLID LINE
\n", "", "
CR
\n", "
Patient health factors
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DAY SURGERY FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DAY SURGERY FY21-Q1
\n", "
1
\n", "
55
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DAY SURGERY FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL OB/GYN FY13-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL DAY SURGERY FY21-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
114
\n", "
SOLID LINE
\n", "", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DAY/GENERAL SURG ICD-10", "
NATIONAL DAY SURGERY FY21-Q1
\n", "
131
\n", "
0
\n", "
132
\n", "
1399
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DERMATOLOGY FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DERMATOLOGY FY21-Q1
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DERMATOLOGY FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DERMATOLOGY FY21-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
293
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DERM/TELEDERM ICD-10", "
NATIONAL DERMATOLOGY FY21-Q1
\n", "
311
\n", "
0
\n", "
132
\n", "
539
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIABETES FY21-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
20
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIABETES FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL DIABETES FY21-Q1
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATIONAL OB/GYN FY13-Q4
\n", "
53
\n", "
0
\n", "
132
\n", "
169
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIABETES FY21-Q1
\n", "
26
\n", "
0
\n", "
132
\n", "
24
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIABETES ICD-10", "
NATIONAL DIABETES FY21-Q1
\n", "
51
\n", "
0
\n", "
132
\n", "
239
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIALYSIS FY21-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIALYSIS FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL DIALYSIS FY21-Q1
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIALYSIS FY21-Q1
\n", "
21
\n", "
0
\n", "
132
\n", "
89
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["NEPHROLOGY ICD-10", "
NATIONAL DIALYSIS FY21-Q1
\n", "
111
\n", "
0
\n", "
132
\n", "
404
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL E-CONSULT FY21-Q1
\n", "
1
\n", "
56
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL E-CONSULT FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL E-CONSULT FY21-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
1449
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["DIAGNOSES", "
NATIONAL ONCOLOGY FY13-Q4
\n", "
58
\n", "
0
\n", "
133
\n", "
192
\n", "
SOLID LINE
\n", "", "
CRUB
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL E-CONSULT FY21-Q1
\n", "
7
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ED FY21-Q1
\n", "
21
\n", "
0
\n", "
133
\n", "
109
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ED FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ED FY21-Q1
\n", "
1
\n", "
56
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ED FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["EMERGENCY DEPT ICD-10", "
NATIONAL ED FY21-Q1
\n", "
131
\n", "
0
\n", "
132
\n", "
759
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ENT FY21-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
78
\n", "
SOLID LINE
\n", "
FILL IN BUBBLES FOR ALL PROCEDURES PERFORMED THIS VISIT
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL ENT FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ENT FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ENT FY21-Q1
\n", "
1
\n", "
48
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT PROCEDURE", "
NATIONAL ONCOLOGY FY13-Q4
\n", "
16
\n", "
0
\n", "
133
\n", "
41
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL ENT FY21-Q1
\n", "
96
\n", "
0
\n", "
132
\n", "
229
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EYE TECH FY21-Q1
\n", "
1
\n", "
54
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EYE TECH FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EYE TECH FY21-Q1
\n", "
7
\n", "
0
\n", "
133
\n", "
43
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["EYE/TELERETINAL ICD-10", "
NATIONAL EYE TECH FY21-Q1
\n", "
51
\n", "
0
\n", "
132
\n", "
729
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL EYE FY21-Q1
\n", "
1
\n", "
60
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EYE FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL EYE FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EYE FY21-Q1
\n", "
41
\n", "
0
\n", "
133
\n", "
109
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["EYE/TELERETINAL ICD-10", "
NATIONAL EYE FY21-Q1
\n", "
151
\n", "
0
\n", "
132
\n", "
729
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ONCOLOGY FY13-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL GEN SURG FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL GEN SURG FY21-Q1
\n", "
15
\n", "
0
\n", "
132
\n", "
50
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL GEN SURG FY21-Q1
\n", "
1
\n", "
54
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL GEN SURG FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DAY/GENERAL SURG ICD-10", "
NATIONAL GEN SURG FY21-Q1
\n", "
66
\n", "
0
\n", "
132
\n", "
1399
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL GERIATRICS FY21-Q1
\n", "
1
\n", "
51
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["E&M CODES", "
NATIONAL GERIATRICS FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL GERIATRICS FY21-Q1
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL GERIATRICS FY21-Q1
\n", "
18
\n", "
0
\n", "
132
\n", "
22
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["GERIATRICS ICD-10", "
NATIONAL GERIATRICS FY21-Q1
\n", "
41
\n", "
0
\n", "
132
\n", "
1664
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ONCOLOGY FY13-Q4
\n", "
1
\n", "
56
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL GI/HEPATOLOGY FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL GI/HEPATOLOGY FY21-Q1
\n", "
1
\n", "
54
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL GI/HEPATOLOGY FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL GI/HEPATOLOGY FY21-Q1
\n", "
101
\n", "
0
\n", "
132
\n", "
709
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL GI/HEPATOLOGY FY21-Q1
\n", "
15
\n", "
0
\n", "
132
\n", "
85
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC CLIN FY21-Q1
\n", "
1
\n", "
58
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC CLIN FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HBPC CLIN FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
TYPE OF HOME VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATL HBPC CLIN FY21-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC CLIN FY21-Q1
\n", "
15
\n", "
0
\n", "
133
\n", "
60
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["FUTURE APPTS - SAME CLINIC", "
DEFAULTS
\n", "
94
\n", "
0
\n", "
50
\n", "
7
\n", "
SOLID LINE
\n", "
CLINIC'S FUTURE APPOINTMENTS
\n", "
CR
\n", "
Data fields - future appointments for the same clinic
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ONCOLOGY FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC NURSING FY21-Q1
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURE CODES", "
NATL HBPC NURSING FY21-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURE CODES PERFORMED AT THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["NURSING ICD-10", "
NATL HBPC NURSING FY21-Q1
\n", "
51
\n", "
0
\n", "
132
\n", "
634
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL HBPC NURSING FY21-Q1
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC REHAB FY21-Q1
\n", "
6
\n", "
0
\n", "
133
\n", "
34
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC REHAB FY21-Q1
\n", "
1
\n", "
49
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC REHAB FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["REHAB ICD-10 CODES", "
NATL HBPC REHAB FY21-Q1
\n", "
41
\n", "
0
\n", "
132
\n", "
1524
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HT CLINICIAN FY21-Q1
\n", "
1
\n", "
49
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT CLINICIAN FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ORTHOPEDICS FY13-Q4
\n", "
16
\n", "
0
\n", "
133
\n", "
95
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HT CLINICIAN FY21-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT CLINICIAN FY21-Q1
\n", "
18
\n", "
0
\n", "
132
\n", "
22
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HT ICD-10", "
NATL HT CLINICIAN FY21-Q1
\n", "
41
\n", "
0
\n", "
132
\n", "
699
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HT NURSE FY21-Q1
\n", "
1
\n", "
49
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT NURSE FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HT NURSE FY21-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT NURSE FY21-Q1
\n", "
14
\n", "
0
\n", "
132
\n", "
21
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HT ICD-10", "
NATL HT NURSE FY21-Q1
\n", "
36
\n", "
0
\n", "
132
\n", "
699
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INFECTIOUS DX FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL INFECTIOUS DX FY21-Q1
\n", "
1
\n", "
56
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ORTHOPEDICS FY13-Q4
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INFECTIOUS DX FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL INFECTIOUS DX FY21-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
33
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL INFECTIOUS DX FY21-Q1
\n", "
51
\n", "
0
\n", "
132
\n", "
424
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INPATIENT FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL INPATIENT FY21-Q1
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INPATIENT FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL INPATIENT FY21-Q1
\n", "
26
\n", "
0
\n", "
133
\n", "
24
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["INPATIENT ICD-10", "
NATIONAL INPATIENT FY21-Q1
\n", "
51
\n", "
0
\n", "
132
\n", "
1159
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MED FOSTER HOME FY21-Q1
\n", "
1
\n", "
56
\n", "
28
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MED FOSTER HOME FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL ORTHOPEDICS FY13-Q4
\n", "
112
\n", "
0
\n", "
133
\n", "
252
\n", "
SOLID LINE
\n", "", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL MED FOSTER HOME FY21-Q1
\n", "
6
\n", "
0
\n", "
133
\n", "
39
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATL MED FOSTER HOME FY21-Q1
\n", "
46
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL MEDICINE FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MEDICINE FY21-Q1
\n", "
1
\n", "
56
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MEDICINE FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MEDICINE FY21-Q1
\n", "
21
\n", "
0
\n", "
133
\n", "
89
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL MEDICINE FY21-Q1
\n", "
111
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEPHROLOGY FY21-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEPHROLOGY FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL NEPHROLOGY FY21-Q1
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["POST OP & F/U DX", "
NATIONAL ORTHOPEDICS FY13-Q4
\n", "
81
\n", "
0
\n", "
133
\n", "
16
\n", "
SOLID LINE
\n", "", "
CR
\n", "
Common V-Code Secondary Only ICD-9 codes
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL NEPHROLOGY FY21-Q1
\n", "
36
\n", "
0
\n", "
133
\n", "
29
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["NEPHROLOGY ICD-10", "
NATIONAL NEPHROLOGY FY21-Q1
\n", "
66
\n", "
0
\n", "
132
\n", "
404
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL NURSING CLINIC FY21-Q1
\n", "
1
\n", "
46
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL NURSING CLINIC FY21-Q1
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL NURSING CLINIC FY21-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL NURSING CLINIC FY21-Q1
\n", "
14
\n", "
0
\n", "
133
\n", "
121
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["NURSING ICD-10", "
NATL NURSING CLINIC FY21-Q1
\n", "
136
\n", "
0
\n", "
132
\n", "
634
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATL OPTOM LOW VISION FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
12
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL OPTOM LOW VISION FY21-Q1
\n", "
1
\n", "
57
\n", "
31
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL OPTOM LOW VISION FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ORTHOPEDICS FY13-Q4
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["LOW VISION ICD-10", "
NATL OPTOM LOW VISION FY21-Q1
\n", "
146
\n", "
0
\n", "
132
\n", "
874
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATL OPTOM LOW VISION FY21-Q1
\n", "
19
\n", "
0
\n", "
132
\n", "
126
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ORTHOPEDICS FY21-Q1
\n", "
16
\n", "
0
\n", "
133
\n", "
104
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ORTHOPEDICS FY21-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ORTHOPEDICS FY21-Q1
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ORTHOPEDICS FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL ORTHOPEDICS FY21-Q1
\n", "
121
\n", "
0
\n", "
132
\n", "
674
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST INPT FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST INPT FY21-Q1
\n", "
21
\n", "
0
\n", "
133
\n", "
54
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST INPT FY21-Q1
\n", "
1
\n", "
58
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ORTHOPEDICS FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST INPT FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL PHYSIATRIST INPT FY21-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
744
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST OTPT FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST OTPT FY21-Q1
\n", "
1
\n", "
58
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST OTPT FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST OTPT FY21-Q1
\n", "
16
\n", "
0
\n", "
133
\n", "
59
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL PHYSIATRIST OTPT FY21-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
744
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL POD NAIL NURS FY21-Q1
\n", "
14
\n", "
0
\n", "
133
\n", "
16
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL POD NAIL NURS FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL POD NAIL NURS FY21-Q1
\n", "
1
\n", "
58
\n", "
37
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PAIN FY13-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL POD NAIL NURS FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PODIATRY ICD-10", "
NATIONAL POD NAIL NURS FY21-Q1
\n", "
31
\n", "
0
\n", "
132
\n", "
1149
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL POLYTRAUMA FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL POLYTRAUMA FY21-Q1
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL POLYTRAUMA FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL POLYTRAUMA FY21-Q1
\n", "
16
\n", "
0
\n", "
133
\n", "
54
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL POLYTRAUMA FY21-Q1
\n", "
71
\n", "
0
\n", "
132
\n", "
179
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PRIMARY CARE FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PRIMARY CARE FY21-Q1
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PRIMARY CARE FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL PAIN FY13-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
39
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PRIMARY CARE FY21-Q1
\n", "
21
\n", "
0
\n", "
133
\n", "
124
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL PRIMARY CARE FY21-Q1
\n", "
146
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL PULMONARY FY21-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
63
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PULMONARY FY21-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PULMONARY FY21-Q1
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PULMONARY FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["RESPIRATORY THERAPY ICD-10", "
NATIONAL PULMONARY FY21-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
874
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL REHAB-PT/OT/KT FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REHAB-PT/OT/KT FY21-Q1
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REHAB-PT/OT/KT FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL PAIN FY13-Q4
\n", "
1
\n", "
49
\n", "
13
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REHAB-PT/OT/KT FY21-Q1
\n", "
16
\n", "
0
\n", "
133
\n", "
239
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["REHAB ICD-10 CODES", "
NATL REHAB-PT/OT/KT FY21-Q1
\n", "
256
\n", "
0
\n", "
132
\n", "
1524
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL RESP THERAPY FY21-Q1
\n", "
14
\n", "
0
\n", "
132
\n", "
66
\n", "
SOLID LINE
\n", "
PLEASE MARK PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL RESP THERAPY FY21-Q1
\n", "
1
\n", "
43
\n", "
47
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL RESP THERAPY FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL RESP THERAPY FY21-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["RESPIRATORY THERAPY ICD-10", "
NATIONAL RESP THERAPY FY21-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
874
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL SCI FY21-Q1
\n", "
1
\n", "
52
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SCI FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL SCI FY21-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
78
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CLINIC COMMON PROBLEM LIST", "
DEFAULTS
\n", "
101
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
CLINIC COMMON PROBLEM LIST
\n", "
CR
\n", "
Clinic's common problems
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PAIN FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SCI FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["SCI ICD-10", "
NATIONAL SCI FY21-Q1
\n", "
96
\n", "
0
\n", "
132
\n", "
254
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TBI FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TBI FY21-Q1
\n", "
1
\n", "
49
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TBI FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL TBI FY21-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
53
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL TBI FY21-Q1
\n", "
71
\n", "
0
\n", "
132
\n", "
109
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TELEDERM FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TELEDERM FY21-Q1
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEDERM FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSES CODES", "
NATIONAL PAIN FY13-Q4
\n", "
56
\n", "
0
\n", "
132
\n", "
49
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELEDERM FY21-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DERM/TELEDERM ICD-10", "
NATIONAL TELEDERM FY21-Q1
\n", "
24
\n", "
0
\n", "
132
\n", "
539
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL TELEHLTH-PT SITE FY21-Q1
\n", "
1
\n", "
49
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL TELEHLTH-PT SITE FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL TELEHLTH-PT SITE FY21-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["TELEHEALTH ICD-10", "
NATL TELEHLTH-PT SITE FY21-Q1
\n", "
14
\n", "
0
\n", "
132
\n", "
586
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TELEPHONE FY21-Q1
\n", "
1
\n", "
59
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEPHONE FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TELEPHONE ICD-10", "
NATIONAL TELEPHONE FY21-Q1
\n", "
21
\n", "
0
\n", "
132
\n", "
104
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL TELEPHONE FY21-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
FILL IN BUBBLE FOR TELEPHONE CALL PERFORMED
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST INPT FY13-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELE-EYE FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL TELE-EYE FY21-Q1
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELE-EYE FY21-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["EYE/TELERETINAL ICD-10", "
NATIONAL TELE-EYE FY21-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
729
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL URGENT CARE FY21-Q1
\n", "
1
\n", "
49
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL URGENT CARE FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["E&M OUTPATIENT CODES", "
NATIONAL URGENT CARE FY21-Q1
\n", "
6
\n", "
0
\n", "
90
\n", "
11
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL URGENT CARE FY21-Q1
\n", "
18
\n", "
0
\n", "
132
\n", "
102
\n", "
SOLID LINE
\n", "
FILL IN BUBBLES FOR ALL PROCEDURES PERFORMED THIS VISIT
\n", "
URCB
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL URGENT CARE FY21-Q1
\n", "
121
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL UROLOGY FY21-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST INPT FY13-Q4
\n", "
18
\n", "
0
\n", "
133
\n", "
32
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL UROLOGY FY21-Q1
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL UROLOGY FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL UROLOGY FY21-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
94
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["UROLOGY ICD-10", "
NATIONAL UROLOGY FY21-Q1
\n", "
111
\n", "
0
\n", "
132
\n", "
324
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL WOMENS HEALTH FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL WOMENS HEALTH FY21-Q1
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL WOMENS HEALTH FY21-Q1
\n", "
2
\n", "
52
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["WOMEN'S HEALTH ICD-10", "
NATIONAL WOMENS HEALTH FY21-Q1
\n", "
91
\n", "
0
\n", "
132
\n", "
744
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["WOMEN'S CLINIC PROCEDURES", "
NATIONAL WOMENS HEALTH FY21-Q1
\n", "
20
\n", "
0
\n", "
132
\n", "
70
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
WOMEN'S CLINIC PROCEDURES
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ANESTHESIA FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATL PHYSIATRIST INPT FY13-Q4
\n", "
67
\n", "
0
\n", "
132
\n", "
163
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ANESTHESIA FY21-Q1
\n", "
1
\n", "
54
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ANESTHESIA FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ANESTHESIA ICD-10", "
NATIONAL ANESTHESIA FY21-Q1
\n", "
106
\n", "
0
\n", "
132
\n", "
404
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ANESTHESIA FY21-Q1
\n", "
13
\n", "
0
\n", "
132
\n", "
92
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CLC FY21-Q1
\n", "
1
\n", "
51
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["VISIT TYPE CODES", "
NATIONAL CLC FY21-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CLC FY21-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CLC FY21-Q1
\n", "
23
\n", "
0
\n", "
132
\n", "
22
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["GERIATRICS ICD-10", "
NATIONAL CLC FY21-Q1
\n", "
46
\n", "
0
\n", "
132
\n", "
1664
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATL HOSP/PALL INPT FY21-Q1
\n", "
26
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST INPT FY13-Q4
\n", "
1
\n", "
58
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HOSP/PALL INPT FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATL HOSP/PALL INPT FY21-Q1
\n", "
1
\n", "
48
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HOSPICE/PALLIATIVE CARE ICD-10", "
NATL HOSP/PALL INPT FY21-Q1
\n", "
41
\n", "
0
\n", "
132
\n", "
349
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HOSP/PALL INPT FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATL HOSP/PALL OTPT FY21-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HOSP/PALL OTPT FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HOSP/PALL OTPT FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HOSP/PALL OTPT FY21-Q1
\n", "
1
\n", "
48
\n", "
43
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HOSPICE/PALLIATIVE CARE ICD-10", "
NATL HOSP/PALL OTPT FY21-Q1
\n", "
36
\n", "
0
\n", "
132
\n", "
349
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL GTWY TO HLTHY LIV FY21-Q1
\n", "
1
\n", "
54
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST INPT FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL GTWY TO HLTHY LIV FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL GTWY TO HLTHY LIV FY21-Q1
\n", "
7
\n", "
0
\n", "
133
\n", "
13
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATL GTWY TO HLTHY LIV FY21-Q1
\n", "
21
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL TELESTROKE FY21-Q1
\n", "
1
\n", "
54
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELESTROKE FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELESTROKE FY21-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["TELESTROKE ICD-10", "
NATIONAL TELESTROKE FY21-Q1
\n", "
20
\n", "
0
\n", "
132
\n", "
150
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL WHLE HLTH SPLMNTL FY21-Q1
\n", "
1
\n", "
49
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT HEALTH FACTORS (V2.1)", "
NATL WHLE HLTH SPLMNTL FY21-Q1
\n", "
4
\n", "
0
\n", "
55
\n", "
36
\n", "
SOLID LINE
\n", "", "
CR
\n", "
Patient health factors
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL MH CWT FY21-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
18
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PRIMARY DX-TBI", "
NATL PHYSIATRIST INPT FY13-Q4
\n", "
51
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
PRIMARY DX IF TBI
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MH CWT FY21-Q1
\n", "
1
\n", "
58
\n", "
15
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH CWT FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL MH CWT FY21-Q1
\n", "
26
\n", "
0
\n", "
132
\n", "
759
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL TEL COVID19 SPMTL FY21-Q1
\n", "
1
\n", "
49
\n", "
45
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL TEL COVID19 SPMTL FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATL TEL COVID19 SPMTL FY21-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
48
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["COVID-19 ICD CODES", "
NATL TEL COVID19 SPMTL FY21-Q1
\n", "
56
\n", "
0
\n", "
132
\n", "
23
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL CHAPLAIN FY21-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CHAPLAIN FY21-Q1
\n", "
1
\n", "
54
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CHAPLAIN FY21-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST OTPT FY13-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL CHAPLAIN FY21-Q1
\n", "
21
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ALLERGY FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ALLERGY FY21-Q2
\n", "
1
\n", "
56
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ALLERGY FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ALLERGY ICD-10", "
NATIONAL ALLERGY FY21-Q2
\n", "
46
\n", "
0
\n", "
132
\n", "
144
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ALLERGY FY21-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
28
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CAREGIVER ASSESS FY21-Q2
\n", "
1
\n", "
54
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CAREGIVER ASSESS FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CAREGIVER ASSESSMENT ICD-10", "
NATL CAREGIVER ASSESS FY21-Q2
\n", "
41
\n", "
0
\n", "
132
\n", "
59
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL CAREGIVER ASSESS FY21-Q2
\n", "
18
\n", "
0
\n", "
132
\n", "
22
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST OTPT FY13-Q4
\n", "
16
\n", "
0
\n", "
133
\n", "
34
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CAREGIVER ASSESS FY21-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DEMENTIA FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DEMENTIA FY21-Q2
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DEMENTIA FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL DEMENTIA FY21-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
13
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DEMENTIA ICD-10", "
NATIONAL DEMENTIA FY21-Q2
\n", "
31
\n", "
0
\n", "
132
\n", "
108
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ECOE E&M FY21-Q2
\n", "
1
\n", "
57
\n", "
38
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ECOE E&M FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ECOE E&M FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ECOE E&M FY21-Q2
\n", "
26
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ACTIVE PROBLEMS", "
DEFAULTS
\n", "
130
\n", "
0
\n", "
59
\n", "
18
\n", "
SOLID LINE
\n", "
ACTIVE PROBLEM LIST
\n", "
CR
\n", "
Patient's active problems
\n", "", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST OTPT FY13-Q4
\n", "
1
\n", "
58
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["ECOE ICD-10", "
NATIONAL ECOE E&M FY21-Q2
\n", "
35
\n", "
0
\n", "
132
\n", "
129
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL MOVE! FY21-Q2
\n", "
1
\n", "
59
\n", "
14
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES", "
NATIONAL MOVE! FY21-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
29
\n", "
SOLID LINE
\n", "
FILL IN BUBBLE FOR PROCEDURES PERFORMED
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MOVE! FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL MOVE! FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["MOVE! ICD-10", "
NATIONAL MOVE! FY21-Q2
\n", "
46
\n", "
0
\n", "
132
\n", "
59
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PREVENTIVE HEALTH FY21-Q2
\n", "
1
\n", "
49
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PREVENTIVE HEALTH FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PREVENTIVE HEALTH ICD-10", "
NATL PREVENTIVE HEALTH FY21-Q2
\n", "
36
\n", "
0
\n", "
132
\n", "
199
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PREVENTIVE HEALTH FY21-Q2
\n", "
7
\n", "
0
\n", "
133
\n", "
28
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST OTPT FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATL RADIATION ONC FY21-Q2
\n", "
1
\n", "
47
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["EVALUATION/MANAGEMENT - MED", "
NATL RADIATION ONC FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
EVALUATION/MANAGEMENT
\n", "
UBC
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL RADIATION ONC FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["RADIATION THERAPY ICD-10", "
NATL RADIATION ONC FY21-Q2
\n", "
61
\n", "
0
\n", "
132
\n", "
1049
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURE", "
NATL RADIATION ONC FY21-Q2
\n", "
17
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "
RADIATION THERAPY PROCEDURES
\n", "
BUC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL SLEEP MED FY21-Q2
\n", "
17
\n", "
0
\n", "
132
\n", "
38
\n", "
SOLID LINE
\n", "
PLEASE MARK PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SLEEP MED FY21-Q2
\n", "
1
\n", "
49
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SLEEP MED FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SLEEP MED FY21-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["SLEEP MEDICINE ICD-10", "
NATIONAL SLEEP MED FY21-Q2
\n", "
56
\n", "
0
\n", "
132
\n", "
109
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PRIMARY DX-TBI", "
NATL PHYSIATRIST OTPT FY13-Q4
\n", "
51
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
PRIMARY DX IF TBI
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["CPT PROCEDURE", "
NATIONAL HEMATOLOGY FY21-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
63
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL HEMATOLOGY FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL HEMATOLOGY FY21-Q2
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL HEMATOLOGY FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEMATOLOGY ICD-10", "
NATIONAL HEMATOLOGY FY21-Q2
\n", "
81
\n", "
0
\n", "
132
\n", "
379
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATL ONC/CHEMO INF FY21-Q2
\n", "
21
\n", "
0
\n", "
133
\n", "
149
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL ONC/CHEMO INF FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL ONC/CHEMO INF FY21-Q2
\n", "
1
\n", "
44
\n", "
39
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL ONC/CHEMO INF FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL ONC/CHEMO INF FY21-Q2
\n", "
171
\n", "
0
\n", "
132
\n", "
489
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATL PHYSIATRIST OTPT FY13-Q4
\n", "
67
\n", "
0
\n", "
132
\n", "
163
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL THORACIC SURG FY21-Q2
\n", "
1
\n", "
56
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL THORACIC SURG FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL THORACIC SURG FY21-Q2
\n", "
18
\n", "
0
\n", "
133
\n", "
33
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL THORACIC SURG FY21-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL THORACIC SURG FY21-Q2
\n", "
52
\n", "
0
\n", "
132
\n", "
153
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL EMP HEALTH FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EMP HEALTH FY21-Q2
\n", "
1
\n", "
56
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EMP HEALTH FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EMP HEALTH FY21-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
48
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL EMP HEALTH FY21-Q2
\n", "
66
\n", "
0
\n", "
132
\n", "
344
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PLASTIC SURG FY13-Q4
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEUROLOGY FY21-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "", "
CRU
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL NEUROLOGY FY21-Q2
\n", "
2
\n", "
55
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEUROLOGY FY21-Q2
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL NEUROLOGY FY21-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
64
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["NEUROLOGY ICD-10", "
NATIONAL NEUROLOGY FY21-Q2
\n", "
81
\n", "
0
\n", "
132
\n", "
369
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATIONAL NEUROSURGERY FY21-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
23
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEUROSURGERY FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL NEUROSURGERY FY21-Q2
\n", "
1
\n", "
49
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEUROSURGERY FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL NEUROSURGERY FY21-Q2
\n", "
41
\n", "
0
\n", "
132
\n", "
249
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PLASTIC SURG FY13-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PAIN FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL PAIN FY21-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
74
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PAIN FY21-Q2
\n", "
1
\n", "
49
\n", "
13
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PAIN FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PAIN ICD-10", "
NATIONAL PAIN FY21-Q2
\n", "
91
\n", "
0
\n", "
132
\n", "
204
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL RHEUMATOLOGY FY21-Q2
\n", "
17
\n", "
0
\n", "
132
\n", "
23
\n", "
SOLID LINE
\n", "
PLEASE CHECK CPT CODES THAT APPLY
\n", "
CUB
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL RHEUMATOLOGY FY21-Q2
\n", "
1
\n", "
54
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL RHEUMATOLOGY FY21-Q2
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL RHEUMATOLOGY FY21-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CUB
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["RHEUMATOLOGY ICD-10", "
NATIONAL RHEUMATOLOGY FY21-Q2
\n", "
41
\n", "
0
\n", "
132
\n", "
744
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PLASTIC SURG FY13-Q4
\n", "
17
\n", "
0
\n", "
133
\n", "
33
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL ADDICTION FY21-Q2
\n", "
51
\n", "
0
\n", "
132
\n", "
49
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ADDICTION FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ADDICTION FY21-Q2
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL ADDICTION FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
44
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL ADDICTION FY21-Q2
\n", "
101
\n", "
0
\n", "
132
\n", "
764
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL AUDIO FY21-Q2
\n", "
1
\n", "
54
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL AUDIO FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["AUDIOLOGY CPT CODES", "
NATIONAL AUDIO FY21-Q2
\n", "
17
\n", "
0
\n", "
132
\n", "
113
\n", "
SOLID LINE
\n", "
AUDIOLOGY PROCEDURES PERFORMED THIS VISIT
\n", "
C
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["AUDIOLOGY ICD-10 DIAGNOSES", "
NATIONAL AUDIO FY21-Q2
\n", "
131
\n", "
0
\n", "
132
\n", "
324
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL AUDIO FY21-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PLASTIC SURG FY13-Q4
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATL CARDIOLOGY/CATH FY21-Q2
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CARDIOLOGY/CATH FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CARDIOLOGY/CATH FY21-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY/CARDIAC CATH ICD-10", "
NATL CARDIOLOGY/CATH FY21-Q2
\n", "
491
\n", "
0
\n", "
132
\n", "
509
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATL CARDIOLOGY/CATH FY21-Q2
\n", "
17
\n", "
0
\n", "
132
\n", "
473
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
EPS PROCEDURES
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CHIROPRACTIC FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CHIROPRACTIC FY21-Q2
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CHIROPRACTIC FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CHIROPRACTIC FY21-Q2
\n", "
15
\n", "
0
\n", "
133
\n", "
30
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CHIROPRACTIC ICD-10", "
NATIONAL CHIROPRACTIC FY21-Q2
\n", "
46
\n", "
0
\n", "
132
\n", "
249
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL PLASTIC SURG FY13-Q4
\n", "
51
\n", "
0
\n", "
132
\n", "
80
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CIH/WHOLE HLTH FY21-Q2
\n", "
1
\n", "
49
\n", "
46
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CIH/WHOLE HLTH FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL CIH/WHOLE HLTH FY21-Q2
\n", "
53
\n", "
0
\n", "
133
\n", "
49
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CIH ICD-10", "
NATL CIH/WHOLE HLTH FY21-Q2
\n", "
103
\n", "
0
\n", "
132
\n", "
457
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CIH/WHOLE HLTH FY21-Q2
\n", "
43
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT HEALTH FACTORS (V2.1)", "
NATL CIH/WHOLE HLTH FY21-Q2
\n", "
6
\n", "
0
\n", "
55
\n", "
36
\n", "
SOLID LINE
\n", "", "
CR
\n", "
Patient health factors
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CRITICAL CARE FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CRITICAL CARE FY21-Q2
\n", "
1
\n", "
56
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CRITICAL CARE FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CRITICAL CARE FY21-Q2
\n", "
21
\n", "
0
\n", "
133
\n", "
49
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TELEDERM FY13-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["INTENSIVE/CRITICAL CARE ICD-10", "
NATIONAL CRITICAL CARE FY21-Q2
\n", "
71
\n", "
0
\n", "
132
\n", "
309
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DAY SURGERY FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DAY SURGERY FY21-Q2
\n", "
1
\n", "
55
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DAY SURGERY FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL DAY SURGERY FY21-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
114
\n", "
SOLID LINE
\n", "", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DAY/GENERAL SURG ICD-10", "
NATIONAL DAY SURGERY FY21-Q2
\n", "
131
\n", "
0
\n", "
132
\n", "
1399
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DERMATOLOGY FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DERMATOLOGY FY21-Q2
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DERMATOLOGY FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DERMATOLOGY FY21-Q2
\n", "
17
\n", "
0
\n", "
132
\n", "
293
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PROVIDER", "
DEFAULTS
\n", "
0
\n", "
0
\n", "
38
\n", "
12
\n", "
SOLID LINE
\n", "
PROVIDER
\n", "
RC
\n", "
Selection list of clinic's providers.
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELEDERM FY13-Q4
\n", "
17
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DERM/TELEDERM ICD-10", "
NATIONAL DERMATOLOGY FY21-Q2
\n", "
311
\n", "
0
\n", "
132
\n", "
549
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIABETES FY21-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
20
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIABETES FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL DIABETES FY21-Q2
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIABETES FY21-Q2
\n", "
26
\n", "
0
\n", "
132
\n", "
24
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIABETES ICD-10", "
NATIONAL DIABETES FY21-Q2
\n", "
51
\n", "
0
\n", "
132
\n", "
239
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIALYSIS FY21-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIALYSIS FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL DIALYSIS FY21-Q2
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIALYSIS FY21-Q2
\n", "
21
\n", "
0
\n", "
132
\n", "
89
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TELEDERM FY13-Q4
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["NEPHROLOGY ICD-10", "
NATIONAL DIALYSIS FY21-Q2
\n", "
111
\n", "
0
\n", "
132
\n", "
404
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL E-CONSULT FY21-Q2
\n", "
1
\n", "
56
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL E-CONSULT FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL E-CONSULT FY21-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
1449
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL E-CONSULT FY21-Q2
\n", "
7
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ED FY21-Q2
\n", "
21
\n", "
0
\n", "
133
\n", "
114
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ED FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ED FY21-Q2
\n", "
1
\n", "
56
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ED FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["EMERGENCY DEPT ICD-10", "
NATIONAL ED FY21-Q2
\n", "
136
\n", "
0
\n", "
132
\n", "
759
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEDERM FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ENDOCRINOLOGY FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ENDOCRINOLOGY FY21-Q2
\n", "
1
\n", "
54
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ENDOCRINOLOGY FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ENDOCRINE ICD-10", "
NATIONAL ENDOCRINOLOGY FY21-Q2
\n", "
36
\n", "
0
\n", "
132
\n", "
114
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ENDOCRINOLOGY FY21-Q2
\n", "
15
\n", "
0
\n", "
132
\n", "
20
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ENT FY21-Q2
\n", "
17
\n", "
0
\n", "
132
\n", "
78
\n", "
SOLID LINE
\n", "
FILL IN BUBBLES FOR ALL PROCEDURES PERFORMED THIS VISIT
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL ENT FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ENT FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ENT FY21-Q2
\n", "
1
\n", "
48
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL ENT FY21-Q2
\n", "
96
\n", "
0
\n", "
132
\n", "
229
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL TELEDERM FY13-Q4
\n", "
24
\n", "
0
\n", "
132
\n", "
274
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EYE FY21-Q2
\n", "
1
\n", "
60
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EYE FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL EYE FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EYE FY21-Q2
\n", "
41
\n", "
0
\n", "
133
\n", "
109
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["EYE/TELERETINAL ICD-10", "
NATIONAL EYE FY21-Q2
\n", "
151
\n", "
0
\n", "
132
\n", "
729
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL GEN SURG FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL GEN SURG FY21-Q2
\n", "
15
\n", "
0
\n", "
132
\n", "
50
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL GEN SURG FY21-Q2
\n", "
1
\n", "
54
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL GEN SURG FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DAY/GENERAL SURG ICD-10", "
NATIONAL GEN SURG FY21-Q2
\n", "
66
\n", "
0
\n", "
132
\n", "
1399
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL TELEHLTH-PT SITE FY13-Q4
\n", "
1
\n", "
49
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATIONAL GERIATRICS FY21-Q2
\n", "
1
\n", "
51
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["E&M CODES", "
NATIONAL GERIATRICS FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL GERIATRICS FY21-Q2
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL GERIATRICS FY21-Q2
\n", "
18
\n", "
0
\n", "
132
\n", "
32
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["GERIATRICS ICD-10", "
NATIONAL GERIATRICS FY21-Q2
\n", "
51
\n", "
0
\n", "
132
\n", "
1674
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL GI/HEPATOLOGY FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL GI/HEPATOLOGY FY21-Q2
\n", "
1
\n", "
54
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL GI/HEPATOLOGY FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL GI/HEPATOLOGY FY21-Q2
\n", "
101
\n", "
0
\n", "
132
\n", "
709
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL GI/HEPATOLOGY FY21-Q2
\n", "
15
\n", "
0
\n", "
132
\n", "
85
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL TELEHLTH-PT SITE FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATL HBPC CLIN FY21-Q2
\n", "
1
\n", "
58
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC CLIN FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HBPC CLIN FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
TYPE OF HOME VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATL HBPC CLIN FY21-Q2
\n", "
81
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC CLIN FY21-Q2
\n", "
15
\n", "
0
\n", "
133
\n", "
65
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC NURSING FY21-Q2
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURE CODES", "
NATL HBPC NURSING FY21-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURE CODES PERFORMED AT THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC NURSING FY21-Q2
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["NURSING ICD-10", "
NATL HBPC NURSING FY21-Q2
\n", "
51
\n", "
0
\n", "
132
\n", "
634
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL HBPC PSYCHOLOGIST FY21-Q2
\n", "
1
\n", "
49
\n", "
37
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL TELEHLTH-PT SITE FY13-Q4
\n", "
14
\n", "
0
\n", "
132
\n", "
146
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC PSYCHOLOGIST FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HBPC PSYCHOLOGIST FY21-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATL HBPC PSYCHOLOGIST FY21-Q2
\n", "
51
\n", "
0
\n", "
132
\n", "
764
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL HOMELESS FY21-Q2
\n", "
25
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL HOMELESS FY21-Q2
\n", "
1
\n", "
55
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL HOMELESS FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["SWS-HOMELESS ICD-10", "
NATIONAL HOMELESS FY21-Q2
\n", "
56
\n", "
0
\n", "
132
\n", "
959
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL HOMELESS FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
18
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HT CLINICIAN FY21-Q2
\n", "
1
\n", "
49
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT CLINICIAN FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL TELEHLTH-PT SITE FY13-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HT CLINICIAN FY21-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT CLINICIAN FY21-Q2
\n", "
19
\n", "
0
\n", "
132
\n", "
36
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HT ICD-10", "
NATL HT CLINICIAN FY21-Q2
\n", "
56
\n", "
0
\n", "
132
\n", "
699
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HT NURSE FY21-Q2
\n", "
1
\n", "
49
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT NURSE FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HT NURSE FY21-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT NURSE FY21-Q2
\n", "
14
\n", "
0
\n", "
132
\n", "
21
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HT ICD-10", "
NATL HT NURSE FY21-Q2
\n", "
36
\n", "
0
\n", "
132
\n", "
699
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INFECTIOUS DX FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL INFECTIOUS DX FY21-Q2
\n", "
1
\n", "
56
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL THORACIC SURG FY13-Q4
\n", "
52
\n", "
0
\n", "
133
\n", "
99
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INFECTIOUS DX FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL INFECTIOUS DX FY21-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
33
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL INFECTIOUS DX FY21-Q2
\n", "
51
\n", "
0
\n", "
132
\n", "
424
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INPATIENT FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL INPATIENT FY21-Q2
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INPATIENT FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL INPATIENT FY21-Q2
\n", "
26
\n", "
0
\n", "
133
\n", "
24
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["INPATIENT ICD-10", "
NATIONAL INPATIENT FY21-Q2
\n", "
51
\n", "
0
\n", "
132
\n", "
1159
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL IR FY21-Q2
\n", "
1
\n", "
49
\n", "
33
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL IR FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL THORACIC SURG FY13-Q4
\n", "
1
\n", "
56
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES", "
NATIONAL IR FY21-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
84
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL IR FY21-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["INTERVENTIONAL RAD ICD-10", "
NATIONAL IR FY21-Q2
\n", "
101
\n", "
0
\n", "
132
\n", "
569
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MED FOSTER HOME FY21-Q2
\n", "
1
\n", "
56
\n", "
28
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MED FOSTER HOME FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL MED FOSTER HOME FY21-Q2
\n", "
6
\n", "
0
\n", "
133
\n", "
39
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATL MED FOSTER HOME FY21-Q2
\n", "
46
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL MEDICINE FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MEDICINE FY21-Q2
\n", "
1
\n", "
56
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MEDICINE FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["VISIT TYPE", "
DEFAULTS
\n", "
150
\n", "
0
\n", "
117
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
Visit types
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL THORACIC SURG FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MEDICINE FY21-Q2
\n", "
21
\n", "
0
\n", "
133
\n", "
94
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL MEDICINE FY21-Q2
\n", "
116
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL MH MHICM FY21-Q2
\n", "
47
\n", "
0
\n", "
132
\n", "
87
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MH MHICM FY21-Q2
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH MHICM FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL MH MHICM FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
40
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL MH MHICM FY21-Q2
\n", "
135
\n", "
0
\n", "
132
\n", "
764
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL MH NURSE FY21-Q2
\n", "
1
\n", "
49
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH NURSE FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATIONAL MH NURSE FY21-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL THORACIC SURG FY13-Q4
\n", "
18
\n", "
0
\n", "
133
\n", "
33
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL MH NURSE FY21-Q2
\n", "
14
\n", "
0
\n", "
132
\n", "
56
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL MH NURSE FY21-Q2
\n", "
71
\n", "
0
\n", "
132
\n", "
764
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL MH PHARM FY21-Q2
\n", "
1
\n", "
57
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH PHARM FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MH PHARM FY21-Q2
\n", "
7
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
MANAGEMENT OF MEDICATION THERAPY
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL MH PHARM FY21-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
764
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL MH PSYCHIATRIST FY21-Q2
\n", "
1
\n", "
55
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MH PSYCHIATRIST FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATL MH PSYCHIATRIST FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
39
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL MH PSYCHIATRIST FY21-Q2
\n", "
46
\n", "
0
\n", "
132
\n", "
69
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL THORACIC SURG FY13-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATL MH PSYCHIATRIST FY21-Q2
\n", "
116
\n", "
0
\n", "
132
\n", "
764
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL MH PSYCHOLOGIST FY21-Q2
\n", "
1
\n", "
49
\n", "
37
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MH PSYCHOLOGIST FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL MH PSYCHOLOGIST FY21-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
53
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATL MH PSYCHOLOGIST FY21-Q2
\n", "
61
\n", "
0
\n", "
132
\n", "
764
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEPHROLOGY FY21-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEPHROLOGY FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL NEPHROLOGY FY21-Q2
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL NEPHROLOGY FY21-Q2
\n", "
36
\n", "
0
\n", "
133
\n", "
29
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["NEPHROLOGY ICD-10", "
NATIONAL NEPHROLOGY FY21-Q2
\n", "
66
\n", "
0
\n", "
132
\n", "
404
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL UROLOGY FY13-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL NURSING CLINIC FY21-Q2
\n", "
1
\n", "
46
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL NURSING CLINIC FY21-Q2
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL NURSING CLINIC FY21-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL NURSING CLINIC FY21-Q2
\n", "
14
\n", "
0
\n", "
133
\n", "
121
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["NURSING ICD-10", "
NATL NURSING CLINIC FY21-Q2
\n", "
136
\n", "
0
\n", "
132
\n", "
634
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["WOMEN'S CLINIC PROCEDURES", "
NATIONAL OB/GYN FY21-Q2
\n", "
19
\n", "
0
\n", "
132
\n", "
76
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
WOMEN'S CLINIC PROCEDURES
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL OB/GYN FY21-Q2
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL OB/GYN FY21-Q2
\n", "
1
\n", "
49
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL OB/GYN FY21-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL OB/GYN FY21-Q2
\n", "
96
\n", "
0
\n", "
132
\n", "
1149
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL UROLOGY FY13-Q4
\n", "
5
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATL OPTOM LOW VISION FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
12
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL OPTOM LOW VISION FY21-Q2
\n", "
1
\n", "
57
\n", "
31
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL OPTOM LOW VISION FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["LOW VISION ICD-10", "
NATL OPTOM LOW VISION FY21-Q2
\n", "
146
\n", "
0
\n", "
132
\n", "
874
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATL OPTOM LOW VISION FY21-Q2
\n", "
19
\n", "
0
\n", "
132
\n", "
126
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ORTHOPEDICS FY21-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
104
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ORTHOPEDICS FY21-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ORTHOPEDICS FY21-Q2
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ORTHOPEDICS FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL ORTHOPEDICS FY21-Q2
\n", "
121
\n", "
0
\n", "
132
\n", "
674
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL UROLOGY FY13-Q4
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL PEER SUPPORT FY21-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PEER SUPPORT FY21-Q2
\n", "
1
\n", "
58
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PEER SUPPORT FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL PEER SUPPORT FY21-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
764
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST OTPT FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST OTPT FY21-Q2
\n", "
1
\n", "
58
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST OTPT FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST OTPT FY21-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
59
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL PHYSIATRIST OTPT FY21-Q2
\n", "
81
\n", "
0
\n", "
132
\n", "
744
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PLASTIC SURG FY21-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL UROLOGY FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PLASTIC SURG FY21-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PLASTIC SURG FY21-Q2
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PLASTIC SURGERY ICD-10", "
NATIONAL PLASTIC SURG FY21-Q2
\n", "
312
\n", "
0
\n", "
132
\n", "
483
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL PLASTIC SURG FY21-Q2
\n", "
18
\n", "
0
\n", "
132
\n", "
293
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PODIATRY FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PODIATRY FY21-Q2
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PODIATRY FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PODIATRY FY21-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
198
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PODIATRY ICD-10", "
NATIONAL PODIATRY FY21-Q2
\n", "
216
\n", "
0
\n", "
132
\n", "
1149
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL POLYTRAUMA FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL UROLOGY FY13-Q4
\n", "
51
\n", "
0
\n", "
132
\n", "
119
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL POLYTRAUMA FY21-Q2
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL POLYTRAUMA FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL POLYTRAUMA FY21-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
54
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL POLYTRAUMA FY21-Q2
\n", "
71
\n", "
0
\n", "
132
\n", "
179
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PRIMARY CARE FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PRIMARY CARE FY21-Q2
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PRIMARY CARE FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PRIMARY CARE FY21-Q2
\n", "
21
\n", "
0
\n", "
133
\n", "
129
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL PRIMARY CARE FY21-Q2
\n", "
151
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL PULMONARY FY21-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
63
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL VASCULAR SURG FY13-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PULMONARY FY21-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PULMONARY FY21-Q2
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PULMONARY FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["RESPIRATORY THERAPY ICD-10", "
NATIONAL PULMONARY FY21-Q2
\n", "
81
\n", "
0
\n", "
132
\n", "
874
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL REHAB-PT/OT/KT FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REHAB-PT/OT/KT FY21-Q2
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REHAB-PT/OT/KT FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REHAB-PT/OT/KT FY21-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
239
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["REHAB ICD-10 CODES", "
NATL REHAB-PT/OT/KT FY21-Q2
\n", "
256
\n", "
0
\n", "
132
\n", "
1524
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL RESP THERAPY FY21-Q2
\n", "
14
\n", "
0
\n", "
132
\n", "
66
\n", "
SOLID LINE
\n", "
PLEASE MARK PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL VASCULAR SURG FY13-Q4
\n", "
1
\n", "
54
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATIONAL RESP THERAPY FY21-Q2
\n", "
1
\n", "
43
\n", "
47
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL RESP THERAPY FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL RESP THERAPY FY21-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["RESPIRATORY THERAPY ICD-10", "
NATIONAL RESP THERAPY FY21-Q2
\n", "
81
\n", "
0
\n", "
132
\n", "
874
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL SCI FY21-Q2
\n", "
1
\n", "
52
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SCI FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL SCI FY21-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
78
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SCI FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["SCI ICD-10", "
NATIONAL SCI FY21-Q2
\n", "
96
\n", "
0
\n", "
132
\n", "
254
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL SWS MH FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
39
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["ACTIVE PROBLEMS (V2.1)", "
TOOL KIT
\n", "
35
\n", "
0
\n", "
59
\n", "
18
\n", "
SOLID LINE
\n", "
PATIENT'S ACTIVE PROBLEMS
\n", "
CR
\n", "
Patient's active problems
\n", "
4
\n", "", "", "", ""], ["PATIENT EDUCATION", "
DEFAULTS
\n", "
161
\n", "
0
\n", "
81
\n", "
10
\n", "
SOLID LINE
\n", "
PATIENT EDUCATION
\n", "
CR
\n", "
Patient education topics
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL VASCULAR SURG FY13-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL SWS MH FY21-Q2
\n", "
1
\n", "
55
\n", "
44
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SWS MH FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL SWS MH FY21-Q2
\n", "
46
\n", "
0
\n", "
132
\n", "
764
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TBI FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TBI FY21-Q2
\n", "
1
\n", "
49
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TBI FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL TBI FY21-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
53
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL TBI FY21-Q2
\n", "
71
\n", "
0
\n", "
132
\n", "
109
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TELEDERM FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TELEDERM FY21-Q2
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSES - 1", "
NATIONAL VASCULAR SURG FY13-Q4
\n", "
38
\n", "
0
\n", "
132
\n", "
116
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEDERM FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELEDERM FY21-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DERM/TELEDERM ICD-10", "
NATIONAL TELEDERM FY21-Q2
\n", "
24
\n", "
0
\n", "
132
\n", "
539
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TRANSPLANT FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL TRANSPLANT FY21-Q2
\n", "
15
\n", "
0
\n", "
132
\n", "
40
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TRANSPLANT FY21-Q2
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TRANSPLANT FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL TRANSPLANT FY21-Q2
\n", "
56
\n", "
0
\n", "
132
\n", "
274
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL URGENT CARE FY21-Q2
\n", "
1
\n", "
49
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL URGENT CARE FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL VASCULAR SURG FY13-Q4
\n", "
15
\n", "
0
\n", "
132
\n", "
20
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["E&M OUTPATIENT CODES", "
NATIONAL URGENT CARE FY21-Q2
\n", "
6
\n", "
0
\n", "
90
\n", "
11
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL URGENT CARE FY21-Q2
\n", "
18
\n", "
0
\n", "
132
\n", "
107
\n", "
SOLID LINE
\n", "
FILL IN BUBBLES FOR ALL PROCEDURES PERFORMED THIS VISIT
\n", "
URCB
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL URGENT CARE FY21-Q2
\n", "
126
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL UROLOGY FY21-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL UROLOGY FY21-Q2
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL UROLOGY FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL UROLOGY FY21-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
94
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["UROLOGY ICD-10", "
NATIONAL UROLOGY FY21-Q2
\n", "
111
\n", "
0
\n", "
132
\n", "
324
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL VASCULAR LAB FY21-Q2
\n", "
1
\n", "
54
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL VASCULAR LAB FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL ADDICTION F14-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
24
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL VASCULAR LAB FY21-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
23
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["VASCULAR ICD-10", "
NATIONAL VASCULAR LAB FY21-Q2
\n", "
31
\n", "
0
\n", "
132
\n", "
464
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL VASCULAR SURG FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL VASCULAR SURG FY21-Q2
\n", "
1
\n", "
54
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL VASCULAR SURG FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL VASCULAR SURG FY21-Q2
\n", "
15
\n", "
0
\n", "
132
\n", "
35
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["VASCULAR ICD-10", "
NATIONAL VASCULAR SURG FY21-Q2
\n", "
51
\n", "
0
\n", "
132
\n", "
464
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL WOMENS HEALTH FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL WOMENS HEALTH FY21-Q2
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL WOMENS HEALTH FY21-Q2
\n", "
2
\n", "
52
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ADDICTION F14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["WOMEN'S HEALTH ICD-10", "
NATIONAL WOMENS HEALTH FY21-Q2
\n", "
91
\n", "
0
\n", "
132
\n", "
749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["WOMEN'S CLINIC PROCEDURES", "
NATIONAL WOMENS HEALTH FY21-Q2
\n", "
20
\n", "
0
\n", "
132
\n", "
70
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
WOMEN'S CLINIC PROCEDURES
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL WOUND OSTOMY FY21-Q2
\n", "
1
\n", "
44
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL WOUND OSTOMY FY21-Q2
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL WOUND OSTOMY FY21-Q2
\n", "
21
\n", "
0
\n", "
133
\n", "
59
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL WOUND OSTOMY FY21-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["WOUND OSTOMY ICD-10", "
NATIONAL WOUND OSTOMY FY21-Q2
\n", "
81
\n", "
0
\n", "
132
\n", "
239
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ANESTHESIA FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ANESTHESIA FY21-Q2
\n", "
1
\n", "
54
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ANESTHESIA FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ADDICTION F14-Q1
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["ANESTHESIA ICD-10", "
NATIONAL ANESTHESIA FY21-Q2
\n", "
109
\n", "
0
\n", "
132
\n", "
404
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ANESTHESIA FY21-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
92
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CLC FY21-Q2
\n", "
1
\n", "
51
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["VISIT TYPE CODES", "
NATIONAL CLC FY21-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CLC FY21-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CLC FY21-Q2
\n", "
23
\n", "
0
\n", "
132
\n", "
22
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["GERIATRICS ICD-10", "
NATIONAL CLC FY21-Q2
\n", "
46
\n", "
0
\n", "
132
\n", "
1674
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATL HOSP/PALL INPT FY21-Q2
\n", "
26
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HOSP/PALL INPT FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATL HOSP/PALL INPT FY21-Q2
\n", "
1
\n", "
48
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL ADDICTION F14-Q1
\n", "
31
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["HOSPICE/PALLIATIVE CARE ICD-10", "
NATL HOSP/PALL INPT FY21-Q2
\n", "
41
\n", "
0
\n", "
132
\n", "
349
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HOSP/PALL INPT FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATL HOSP/PALL OTPT FY21-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HOSP/PALL OTPT FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HOSP/PALL OTPT FY21-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HOSP/PALL OTPT FY21-Q2
\n", "
1
\n", "
48
\n", "
43
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HOSPICE/PALLIATIVE CARE ICD-10", "
NATL HOSP/PALL OTPT FY21-Q2
\n", "
36
\n", "
0
\n", "
132
\n", "
349
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL GTWY TO HLTHY LIV FY21-Q2
\n", "
1
\n", "
54
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL GTWY TO HLTHY LIV FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL GTWY TO HLTHY LIV FY21-Q2
\n", "
7
\n", "
0
\n", "
133
\n", "
13
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL ADHC FY14-Q1
\n", "
23
\n", "
0
\n", "
132
\n", "
46
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT
\n", "
UC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATL GTWY TO HLTHY LIV FY21-Q2
\n", "
21
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL COVID19 SPLMNTL FY21-Q2
\n", "
1
\n", "
54
\n", "
35
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL COVID19 SPLMNTL FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["COVID-19 ICD CODES", "
NATL COVID19 SPLMNTL FY21-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
28
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL MH CWT FY21-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
18
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MH CWT FY21-Q2
\n", "
1
\n", "
58
\n", "
15
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH CWT FY21-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL MH CWT FY21-Q2
\n", "
26
\n", "
0
\n", "
132
\n", "
764
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL CAREGIVER ASSESS FY21-Q3
\n", "
1
\n", "
54
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CAREGIVER ASSESS FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ADHC FY14-Q1
\n", "
1
\n", "
47
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CAREGIVER ASSESSMENT ICD-10", "
NATL CAREGIVER ASSESS FY21-Q3
\n", "
41
\n", "
0
\n", "
132
\n", "
59
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL CAREGIVER ASSESS FY21-Q3
\n", "
18
\n", "
0
\n", "
132
\n", "
22
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CAREGIVER ASSESS FY21-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REC THERAPY GRP FY21-Q3
\n", "
6
\n", "
0
\n", "
133
\n", "
14
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REC THERAPY GRP FY21-Q3
\n", "
1
\n", "
58
\n", "
36
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REC THERAPY GRP FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["REC THERAPY ICD-10", "
NATL REC THERAPY GRP FY21-Q3
\n", "
21
\n", "
0
\n", "
132
\n", "
59
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REC THERAPY IND FY21-Q3
\n", "
1
\n", "
58
\n", "
40
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REC THERAPY IND FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REC THERAPY IND FY21-Q3
\n", "
6
\n", "
0
\n", "
133
\n", "
26
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ADHC FY14-Q1
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["REC THERAPY ICD-10", "
NATL REC THERAPY IND FY21-Q3
\n", "
33
\n", "
0
\n", "
132
\n", "
59
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL SLEEP MED FY21-Q3
\n", "
17
\n", "
0
\n", "
132
\n", "
38
\n", "
SOLID LINE
\n", "
PLEASE MARK PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SLEEP MED FY21-Q3
\n", "
1
\n", "
49
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SLEEP MED FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SLEEP MED FY21-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["SLEEP MEDICINE ICD-10", "
NATIONAL SLEEP MED FY21-Q3
\n", "
56
\n", "
0
\n", "
132
\n", "
119
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATL ONC/CHEMO INF FY21-Q3
\n", "
21
\n", "
0
\n", "
133
\n", "
149
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL ONC/CHEMO INF FY21-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL ONC/CHEMO INF FY21-Q3
\n", "
1
\n", "
44
\n", "
39
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL ONC/CHEMO INF FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT IMMUNIZATIONS", "
DEFAULTS
\n", "
171
\n", "
0
\n", "
32
\n", "
11
\n", "
SOLID LINE
\n", "
IMMUNIZATIONS
\n", "
CR
\n", "
Patient immunizations
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ADHC FY14-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
5
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL ONC/CHEMO INF FY21-Q3
\n", "
171
\n", "
0
\n", "
132
\n", "
489
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL THORACIC SURG FY21-Q3
\n", "
1
\n", "
56
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL THORACIC SURG FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL THORACIC SURG FY21-Q3
\n", "
18
\n", "
0
\n", "
133
\n", "
33
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL THORACIC SURG FY21-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL THORACIC SURG FY21-Q3
\n", "
52
\n", "
0
\n", "
132
\n", "
153
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL AUDIO FY21-Q3
\n", "
1
\n", "
54
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL AUDIO FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["AUDIOLOGY ICD-10 DIAGNOSES", "
NATIONAL AUDIO FY21-Q3
\n", "
131
\n", "
0
\n", "
132
\n", "
324
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL AUDIO FY21-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ADHC FY14-Q1
\n", "
13
\n", "
0
\n", "
133
\n", "
9
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["AUDIOLOGY CPT CODES", "
NATIONAL AUDIO FY21-Q3
\n", "
17
\n", "
0
\n", "
132
\n", "
113
\n", "
SOLID LINE
\n", "
AUDIOLOGY PROCEDURES PERFORMED THIS VISIT
\n", "
C
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CARDIOLOGY/CATH FY21-Q3
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CARDIOLOGY/CATH FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CARDIOLOGY/CATH FY21-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY/CARDIAC CATH ICD-10", "
NATL CARDIOLOGY/CATH FY21-Q3
\n", "
496
\n", "
0
\n", "
132
\n", "
509
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATL CARDIOLOGY/CATH FY21-Q3
\n", "
17
\n", "
0
\n", "
132
\n", "
478
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
EPS PROCEDURES
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CIH/WHOLE HLTH FY21-Q3
\n", "
1
\n", "
49
\n", "
46
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CIH/WHOLE HLTH FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL CIH/WHOLE HLTH FY21-Q3
\n", "
56
\n", "
0
\n", "
133
\n", "
49
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CIH ICD-10", "
NATL CIH/WHOLE HLTH FY21-Q3
\n", "
106
\n", "
0
\n", "
132
\n", "
457
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ALLERGY FY14-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CIH/WHOLE HLTH FY21-Q3
\n", "
46
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT HEALTH FACTORS (V2.1)", "
NATL CIH/WHOLE HLTH FY21-Q3
\n", "
6
\n", "
0
\n", "
55
\n", "
39
\n", "
SOLID LINE
\n", "", "
CR
\n", "
Patient health factors
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CLIN PHARM FY21-Q3
\n", "
1
\n", "
57
\n", "
28
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CLIN PHARM FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CLIN PHARM FY21-Q3
\n", "
7
\n", "
0
\n", "
133
\n", "
18
\n", "
SOLID LINE
\n", "
MANAGEMENT OF MEDICATION THERAPY
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CLINICAL PHARMACIST ICD-10", "
NATIONAL CLIN PHARM FY21-Q3
\n", "
26
\n", "
0
\n", "
132
\n", "
129
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CRITICAL CARE FY21-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CRITICAL CARE FY21-Q3
\n", "
1
\n", "
56
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CRITICAL CARE FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CRITICAL CARE FY21-Q3
\n", "
21
\n", "
0
\n", "
133
\n", "
49
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL ALLERGY FY14-Q1
\n", "
42
\n", "
0
\n", "
133
\n", "
54
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["INTENSIVE/CRITICAL CARE ICD-10", "
NATIONAL CRITICAL CARE FY21-Q3
\n", "
71
\n", "
0
\n", "
132
\n", "
309
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DAY SURGERY FY21-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DAY SURGERY FY21-Q3
\n", "
1
\n", "
55
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DAY SURGERY FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL DAY SURGERY FY21-Q3
\n", "
17
\n", "
0
\n", "
132
\n", "
114
\n", "
SOLID LINE
\n", "", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DAY/GENERAL SURG ICD-10", "
NATIONAL DAY SURGERY FY21-Q3
\n", "
132
\n", "
0
\n", "
132
\n", "
1399
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIABETES FY21-Q3
\n", "
5
\n", "
0
\n", "
132
\n", "
20
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIABETES FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL DIABETES FY21-Q3
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIABETES FY21-Q3
\n", "
26
\n", "
0
\n", "
132
\n", "
24
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ALLERGY FY14-Q1
\n", "
1
\n", "
56
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIABETES ICD-10", "
NATIONAL DIABETES FY21-Q3
\n", "
51
\n", "
0
\n", "
132
\n", "
239
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIALYSIS FY21-Q3
\n", "
5
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIALYSIS FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL DIALYSIS FY21-Q3
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIALYSIS FY21-Q3
\n", "
21
\n", "
0
\n", "
132
\n", "
89
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["NEPHROLOGY ICD-10", "
NATIONAL DIALYSIS FY21-Q3
\n", "
111
\n", "
0
\n", "
132
\n", "
404
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ED FY21-Q3
\n", "
21
\n", "
0
\n", "
133
\n", "
114
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ED FY21-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ED FY21-Q3
\n", "
1
\n", "
56
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ED FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ALLERGY FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["EMERGENCY DEPT ICD-10", "
NATIONAL ED FY21-Q3
\n", "
136
\n", "
0
\n", "
132
\n", "
814
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ENDOCRINOLOGY FY21-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ENDOCRINOLOGY FY21-Q3
\n", "
1
\n", "
54
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ENDOCRINOLOGY FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ENDOCRINE ICD-10", "
NATIONAL ENDOCRINOLOGY FY21-Q3
\n", "
41
\n", "
0
\n", "
132
\n", "
114
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ENDOCRINOLOGY FY21-Q3
\n", "
15
\n", "
0
\n", "
132
\n", "
25
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL GERIATRICS FY21-Q3
\n", "
1
\n", "
51
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["E&M CODES", "
NATIONAL GERIATRICS FY21-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL GERIATRICS FY21-Q3
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL GERIATRICS FY21-Q3
\n", "
18
\n", "
0
\n", "
132
\n", "
32
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ALLERGY FY14-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
24
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["GERIATRICS ICD-10", "
NATIONAL GERIATRICS FY21-Q3
\n", "
51
\n", "
0
\n", "
132
\n", "
1674
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC REHAB FY21-Q3
\n", "
6
\n", "
0
\n", "
133
\n", "
34
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC REHAB FY21-Q3
\n", "
1
\n", "
49
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC REHAB FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["REHAB ICD-10 CODES", "
NATL HBPC REHAB FY21-Q3
\n", "
41
\n", "
0
\n", "
132
\n", "
1524
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL HOMELESS FY21-Q3
\n", "
25
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL HOMELESS FY21-Q3
\n", "
1
\n", "
55
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL HOMELESS FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["SWS-HOMELESS ICD-10", "
NATIONAL HOMELESS FY21-Q3
\n", "
56
\n", "
0
\n", "
132
\n", "
959
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL HOMELESS FY21-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
18
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL AUDIO FY14-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
3
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HT SWS FY21-Q3
\n", "
1
\n", "
49
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT SWS FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT SWS FY21-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["SWS MEDICAL ICD-10", "
NATL HT SWS FY21-Q3
\n", "
21
\n", "
0
\n", "
132
\n", "
174
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INFECTIOUS DX FY21-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL INFECTIOUS DX FY21-Q3
\n", "
1
\n", "
56
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INFECTIOUS DX FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL INFECTIOUS DX FY21-Q3
\n", "
17
\n", "
0
\n", "
133
\n", "
33
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL INFECTIOUS DX FY21-Q3
\n", "
51
\n", "
0
\n", "
132
\n", "
454
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL MEDICINE FY21-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["AUDIOLOGY DIAGNOSIS CODES", "
NATIONAL AUDIO FY14-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
86
\n", "
SOLID LINE
\n", "
AUDIOLOGY DIAGNOSIS TREATED THIS VISIT
\n", "
C
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MEDICINE FY21-Q3
\n", "
1
\n", "
56
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MEDICINE FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MEDICINE FY21-Q3
\n", "
21
\n", "
0
\n", "
133
\n", "
94
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL MEDICINE FY21-Q3
\n", "
116
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL MH PSYCHIATRIST FY21-Q3
\n", "
1
\n", "
55
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MH PSYCHIATRIST FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATL MH PSYCHIATRIST FY21-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
39
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL MH PSYCHIATRIST FY21-Q3
\n", "
46
\n", "
0
\n", "
132
\n", "
74
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATL MH PSYCHIATRIST FY21-Q3
\n", "
121
\n", "
0
\n", "
132
\n", "
764
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATL OPTOM LOW VISION FY21-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL AUDIO FY14-Q1
\n", "
1
\n", "
54
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATL OPTOM LOW VISION FY21-Q3
\n", "
1
\n", "
57
\n", "
31
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL OPTOM LOW VISION FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["LOW VISION ICD-10", "
NATL OPTOM LOW VISION FY21-Q3
\n", "
149
\n", "
0
\n", "
132
\n", "
874
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATL OPTOM LOW VISION FY21-Q3
\n", "
21
\n", "
0
\n", "
132
\n", "
126
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST INPT FY21-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST INPT FY21-Q3
\n", "
21
\n", "
0
\n", "
133
\n", "
54
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST INPT FY21-Q3
\n", "
1
\n", "
58
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST INPT FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL PHYSIATRIST INPT FY21-Q3
\n", "
81
\n", "
0
\n", "
132
\n", "
749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST OTPT FY21-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT TREATMENTS", "
DEFAULTS
\n", "
192
\n", "
0
\n", "
40
\n", "
10
\n", "
SOLID LINE
\n", "
TREATMENTS
\n", "
CR
\n", "
Patient treatments
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL AUDIO FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST OTPT FY21-Q3
\n", "
1
\n", "
58
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST OTPT FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST OTPT FY21-Q3
\n", "
16
\n", "
0
\n", "
133
\n", "
59
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL PHYSIATRIST OTPT FY21-Q3
\n", "
81
\n", "
0
\n", "
132
\n", "
749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PLASTIC SURG FY21-Q3
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PLASTIC SURG FY21-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PLASTIC SURG FY21-Q3
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PLASTIC SURGERY ICD-10", "
NATIONAL PLASTIC SURG FY21-Q3
\n", "
312
\n", "
0
\n", "
132
\n", "
483
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL PLASTIC SURG FY21-Q3
\n", "
18
\n", "
0
\n", "
132
\n", "
293
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL PRIMARY CARE FY21-Q3
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["AUDIOLOGY CPT CODES", "
NATIONAL AUDIO FY14-Q1
\n", "
9
\n", "
0
\n", "
132
\n", "
71
\n", "
SOLID LINE
\n", "
AUDIOLOGY PROCEDURES PERFORMED THIS VISIT
\n", "
C
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PRIMARY CARE FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PRIMARY CARE FY21-Q3
\n", "
21
\n", "
0
\n", "
133
\n", "
129
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL PRIMARY CARE FY21-Q3
\n", "
151
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PRIMARY CARE FY21-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL REHAB-PT/OT/KT FY21-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REHAB-PT/OT/KT FY21-Q3
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REHAB-PT/OT/KT FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REHAB-PT/OT/KT FY21-Q3
\n", "
16
\n", "
0
\n", "
133
\n", "
214
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["REHAB ICD-10 CODES", "
NATL REHAB-PT/OT/KT FY21-Q3
\n", "
231
\n", "
0
\n", "
132
\n", "
1524
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL SCI FY21-Q3
\n", "
1
\n", "
52
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATIONAL BLIND REHAB FY14-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
4
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SCI FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL SCI FY21-Q3
\n", "
17
\n", "
0
\n", "
133
\n", "
78
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SCI FY21-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["SCI ICD-10", "
NATIONAL SCI FY21-Q3
\n", "
96
\n", "
0
\n", "
132
\n", "
274
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SOCIAL WORK FY21-Q3
\n", "
1
\n", "
56
\n", "
44
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SOCIAL WORK FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL SOCIAL WORK FY21-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
23
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["SWS MEDICAL ICD-10", "
NATIONAL SOCIAL WORK FY21-Q3
\n", "
31
\n", "
0
\n", "
132
\n", "
174
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL SWS MH FY21-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
39
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SWS MH FY21-Q3
\n", "
1
\n", "
55
\n", "
44
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["SECONDARY DIAGNOSES CODES", "
NATIONAL BLIND REHAB FY14-Q1
\n", "
45
\n", "
0
\n", "
132
\n", "
40
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT
\n", "
BC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SWS MH FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL SWS MH FY21-Q3
\n", "
46
\n", "
0
\n", "
132
\n", "
764
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL TELEHLTH-PT SITE FY21-Q3
\n", "
1
\n", "
49
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL TELEHLTH-PT SITE FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL TELEHLTH-PT SITE FY21-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["TELEHEALTH ICD-10", "
NATL TELEHLTH-PT SITE FY21-Q3
\n", "
14
\n", "
0
\n", "
132
\n", "
596
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TRANSPLANT FY21-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL TRANSPLANT FY21-Q3
\n", "
15
\n", "
0
\n", "
132
\n", "
40
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TRANSPLANT FY21-Q3
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TRANSPLANT FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL BLIND REHAB FY14-Q1
\n", "
1
\n", "
56
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL TRANSPLANT FY21-Q3
\n", "
56
\n", "
0
\n", "
132
\n", "
274
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL UROLOGY FY21-Q3
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL UROLOGY FY21-Q3
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL UROLOGY FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL UROLOGY FY21-Q3
\n", "
16
\n", "
0
\n", "
132
\n", "
94
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["UROLOGY ICD-10", "
NATIONAL UROLOGY FY21-Q3
\n", "
111
\n", "
0
\n", "
132
\n", "
324
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL VASCULAR LAB FY21-Q3
\n", "
1
\n", "
54
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL VASCULAR LAB FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL VASCULAR LAB FY21-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
28
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["VASCULAR ICD-10", "
NATIONAL VASCULAR LAB FY21-Q3
\n", "
36
\n", "
0
\n", "
132
\n", "
464
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL BLIND REHAB FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL VASCULAR SURG FY21-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL VASCULAR SURG FY21-Q3
\n", "
1
\n", "
54
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL VASCULAR SURG FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL VASCULAR SURG FY21-Q3
\n", "
15
\n", "
0
\n", "
132
\n", "
35
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["VASCULAR ICD-10", "
NATIONAL VASCULAR SURG FY21-Q3
\n", "
51
\n", "
0
\n", "
132
\n", "
464
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL WOMENS HEALTH FY21-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL WOMENS HEALTH FY21-Q3
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL WOMENS HEALTH FY21-Q3
\n", "
2
\n", "
52
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["WOMEN'S HEALTH ICD-10", "
NATIONAL WOMENS HEALTH FY21-Q3
\n", "
91
\n", "
0
\n", "
132
\n", "
749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["WOMEN'S CLINIC PROCEDURES", "
NATIONAL WOMENS HEALTH FY21-Q3
\n", "
20
\n", "
0
\n", "
132
\n", "
70
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
WOMEN'S CLINIC PROCEDURES
\n", "
0
\n", "", "", "", ""], ["PRIMARY DIAGNOSIS CODES", "
NATIONAL BLIND REHAB FY14-Q1
\n", "
37
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
PRIMARY DIAGNOSIS
\n", "
UC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ANESTHESIA FY21-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ANESTHESIA FY21-Q3
\n", "
1
\n", "
54
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ANESTHESIA FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ANESTHESIA ICD-10", "
NATIONAL ANESTHESIA FY21-Q3
\n", "
109
\n", "
0
\n", "
132
\n", "
404
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ANESTHESIA FY21-Q3
\n", "
16
\n", "
0
\n", "
132
\n", "
92
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATL HOSP/PALL OTPT FY21-Q3
\n", "
16
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HOSP/PALL OTPT FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HOSP/PALL OTPT FY21-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HOSP/PALL OTPT FY21-Q3
\n", "
1
\n", "
48
\n", "
43
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HOSPICE/PALLIATIVE CARE ICD-10", "
NATL HOSP/PALL OTPT FY21-Q3
\n", "
36
\n", "
0
\n", "
132
\n", "
349
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL BLIND REHAB FY14-Q1
\n", "
11
\n", "
0
\n", "
132
\n", "
25
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL WHLE HLTH SPLMNTL FY21-Q3
\n", "
1
\n", "
49
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT HEALTH FACTORS (V2.1)", "
NATL WHLE HLTH SPLMNTL FY21-Q3
\n", "
7
\n", "
0
\n", "
55
\n", "
40
\n", "
SOLID LINE
\n", "", "
CR
\n", "
Patient health factors
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL COVID19 SPLMNTL FY21-Q3
\n", "
1
\n", "
54
\n", "
35
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL COVID19 SPLMNTL FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["COVID-19 ICD CODES", "
NATL COVID19 SPLMNTL FY21-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
28
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL TEL COVID19 SPMTL FY21-Q3
\n", "
1
\n", "
49
\n", "
45
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL TEL COVID19 SPMTL FY21-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATL TEL COVID19 SPMTL FY21-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
48
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["COVID-19 ICD CODES", "
NATL TEL COVID19 SPMTL FY21-Q3
\n", "
56
\n", "
0
\n", "
132
\n", "
28
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REC THERAPY GRP FY21-Q4
\n", "
6
\n", "
0
\n", "
133
\n", "
14
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY DIAGNOSIS CODES", "
NATIONAL CARD CATH FY14-Q1
\n", "
131
\n", "
0
\n", "
132
\n", "
149
\n", "
SOLID LINE
\n", "
CARDIOLOGY DIAGNOSES
\n", "
CR
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REC THERAPY GRP FY21-Q4
\n", "
1
\n", "
58
\n", "
36
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REC THERAPY GRP FY21-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["REC THERAPY ICD-10", "
NATL REC THERAPY GRP FY21-Q4
\n", "
21
\n", "
0
\n", "
132
\n", "
69
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REC THERAPY IND FY21-Q4
\n", "
1
\n", "
58
\n", "
40
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REC THERAPY IND FY21-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REC THERAPY IND FY21-Q4
\n", "
6
\n", "
0
\n", "
133
\n", "
26
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["REC THERAPY ICD-10", "
NATL REC THERAPY IND FY21-Q4
\n", "
33
\n", "
0
\n", "
132
\n", "
69
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT PROCEDURE", "
NATL ONC/CHEMO INF FY21-Q4
\n", "
21
\n", "
0
\n", "
133
\n", "
149
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL ONC/CHEMO INF FY21-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL ONC/CHEMO INF FY21-Q4
\n", "
1
\n", "
44
\n", "
39
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATIONAL CARD CATH FY14-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
124
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
EPS PROCEDURES
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL ONC/CHEMO INF FY21-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL ONC/CHEMO INF FY21-Q4
\n", "
171
\n", "
0
\n", "
132
\n", "
489
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CLIN PHARM FY21-Q4
\n", "
1
\n", "
57
\n", "
28
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CLIN PHARM FY21-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CLIN PHARM FY21-Q4
\n", "
7
\n", "
0
\n", "
133
\n", "
18
\n", "
SOLID LINE
\n", "
MANAGEMENT OF MEDICATION THERAPY
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CLINICAL PHARMACIST ICD-10", "
NATIONAL CLIN PHARM FY21-Q4
\n", "
26
\n", "
0
\n", "
132
\n", "
129
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ED FY21-Q4
\n", "
21
\n", "
0
\n", "
133
\n", "
114
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ED FY21-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ED FY21-Q4
\n", "
1
\n", "
56
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ED FY21-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT HEALTH FACTORS", "
DEFAULTS
\n", "
302
\n", "
0
\n", "
55
\n", "
10
\n", "
SOLID LINE
\n", "
HEALTH FACTORS
\n", "
CR
\n", "
Patient health factors
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL CARD CATH FY14-Q1
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["EMERGENCY DEPT ICD-10", "
NATIONAL ED FY21-Q4
\n", "
136
\n", "
0
\n", "
132
\n", "
814
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ENDOCRINOLOGY FY21-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ENDOCRINOLOGY FY21-Q4
\n", "
1
\n", "
54
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ENDOCRINOLOGY FY21-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ENDOCRINE ICD-10", "
NATIONAL ENDOCRINOLOGY FY21-Q4
\n", "
46
\n", "
0
\n", "
132
\n", "
144
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ENDOCRINOLOGY FY21-Q4
\n", "
15
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL GERIATRICS FY21-Q4
\n", "
1
\n", "
51
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["E&M CODES", "
NATIONAL GERIATRICS FY21-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL GERIATRICS FY21-Q4
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["GERIATRICS ICD-10", "
NATIONAL GERIATRICS FY21-Q4
\n", "
51
\n", "
0
\n", "
132
\n", "
1674
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CARD CATH FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL GERIATRICS FY21-Q4
\n", "
18
\n", "
0
\n", "
132
\n", "
32
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC CLIN FY21-Q4
\n", "
1
\n", "
58
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC CLIN FY21-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HBPC CLIN FY21-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
TYPE OF HOME VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATL HBPC CLIN FY21-Q4
\n", "
81
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC CLIN FY21-Q4
\n", "
15
\n", "
0
\n", "
133
\n", "
65
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HT CLINICIAN FY21-Q4
\n", "
1
\n", "
49
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT CLINICIAN FY21-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HT CLINICIAN FY21-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT CLINICIAN FY21-Q4
\n", "
19
\n", "
0
\n", "
132
\n", "
36
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATIONAL CARDIOLOGY FY14-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
49
\n", "
SOLID LINE
\n", "
CARDIOLOGY PROCEDURES
\n", "
CR
\n", "
CARDIOLOGY PROCEDURES
\n", "
0
\n", "", "", "", ""], ["HT ICD-10", "
NATL HT CLINICIAN FY21-Q4
\n", "
56
\n", "
0
\n", "
132
\n", "
699
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INPATIENT FY21-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
29
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL INPATIENT FY21-Q4
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INPATIENT FY21-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL INPATIENT FY21-Q4
\n", "
36
\n", "
0
\n", "
133
\n", "
24
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["INPATIENT ICD-10", "
NATIONAL INPATIENT FY21-Q4
\n", "
61
\n", "
0
\n", "
132
\n", "
1159
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL MEDICINE FY21-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MEDICINE FY21-Q4
\n", "
1
\n", "
56
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MEDICINE FY21-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MEDICINE FY21-Q4
\n", "
26
\n", "
0
\n", "
133
\n", "
94
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CARDIOLOGY FY14-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL MEDICINE FY21-Q4
\n", "
121
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST INPT FY21-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST INPT FY21-Q4
\n", "
21
\n", "
0
\n", "
133
\n", "
54
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST INPT FY21-Q4
\n", "
1
\n", "
58
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST INPT FY21-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL PHYSIATRIST INPT FY21-Q4
\n", "
81
\n", "
0
\n", "
132
\n", "
794
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST OTPT FY21-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST OTPT FY21-Q4
\n", "
1
\n", "
58
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST OTPT FY21-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST OTPT FY21-Q4
\n", "
16
\n", "
0
\n", "
133
\n", "
59
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CARDIOLOGY FY14-Q1
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL PHYSIATRIST OTPT FY21-Q4
\n", "
76
\n", "
0
\n", "
132
\n", "
794
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PLASTIC SURG FY21-Q4
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PLASTIC SURG FY21-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PLASTIC SURG FY21-Q4
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PLASTIC SURGERY ICD-10", "
NATIONAL PLASTIC SURG FY21-Q4
\n", "
312
\n", "
0
\n", "
132
\n", "
458
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL PLASTIC SURG FY21-Q4
\n", "
18
\n", "
0
\n", "
132
\n", "
293
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL PRIMARY CARE FY21-Q4
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PRIMARY CARE FY21-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PRIMARY CARE FY21-Q4
\n", "
27
\n", "
0
\n", "
133
\n", "
129
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL PRIMARY CARE FY21-Q4
\n", "
157
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CARDIOLOGY FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PRIMARY CARE FY21-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
20
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SCI FY21-Q4
\n", "
1
\n", "
52
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SCI FY21-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL SCI FY21-Q4
\n", "
17
\n", "
0
\n", "
133
\n", "
78
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SCI FY21-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["SCI ICD-10", "
NATIONAL SCI FY21-Q4
\n", "
96
\n", "
0
\n", "
132
\n", "
314
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TBI FY21-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TBI FY21-Q4
\n", "
1
\n", "
49
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TBI FY21-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL TBI FY21-Q4
\n", "
17
\n", "
0
\n", "
133
\n", "
53
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY DIAGNOSIS CODES", "
NATIONAL CARDIOLOGY FY14-Q1
\n", "
66
\n", "
0
\n", "
132
\n", "
149
\n", "
SOLID LINE
\n", "
CARDIOLOGY DIAGNOSES
\n", "
CR
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL TBI FY21-Q4
\n", "
71
\n", "
0
\n", "
132
\n", "
109
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL TELEHLTH-PT SITE FY21-Q4
\n", "
1
\n", "
49
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL TELEHLTH-PT SITE FY21-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL TELEHLTH-PT SITE FY21-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["TELEHEALTH ICD-10", "
NATL TELEHLTH-PT SITE FY21-Q4
\n", "
14
\n", "
0
\n", "
132
\n", "
596
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TELEPHONE FY21-Q4
\n", "
1
\n", "
59
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEPHONE FY21-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TELEPHONE ICD-10", "
NATIONAL TELEPHONE FY21-Q4
\n", "
21
\n", "
0
\n", "
132
\n", "
104
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL TELEPHONE FY21-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
FILL IN BUBBLE FOR TELEPHONE CALL PERFORMED
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL URGENT CARE FY21-Q4
\n", "
1
\n", "
49
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATL CCHT SWS FY14-Q1
\n", "
1
\n", "
49
\n", "
36
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL URGENT CARE FY21-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["E&M OUTPATIENT CODES", "
NATIONAL URGENT CARE FY21-Q4
\n", "
6
\n", "
0
\n", "
90
\n", "
11
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL URGENT CARE FY21-Q4
\n", "
18
\n", "
0
\n", "
132
\n", "
107
\n", "
SOLID LINE
\n", "
FILL IN BUBBLES FOR ALL PROCEDURES PERFORMED THIS VISIT
\n", "
URCB
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL URGENT CARE FY21-Q4
\n", "
126
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ANESTHESIA FY21-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ANESTHESIA FY21-Q4
\n", "
1
\n", "
54
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ANESTHESIA FY21-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ANESTHESIA ICD-10", "
NATIONAL ANESTHESIA FY21-Q4
\n", "
114
\n", "
0
\n", "
132
\n", "
406
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ANESTHESIA FY21-Q4
\n", "
21
\n", "
0
\n", "
132
\n", "
92
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ALLERGY FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CCHT SWS FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ALLERGY FY22-Q1
\n", "
1
\n", "
56
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ALLERGY FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ALLERGY ICD-10", "
NATIONAL ALLERGY FY22-Q1
\n", "
46
\n", "
0
\n", "
132
\n", "
144
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ALLERGY FY22-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
28
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CAREGIVER ASSESS FY22-Q1
\n", "
1
\n", "
54
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CAREGIVER ASSESS FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CAREGIVER ASSESSMENT ICD-10", "
NATL CAREGIVER ASSESS FY22-Q1
\n", "
41
\n", "
0
\n", "
132
\n", "
64
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL CAREGIVER ASSESS FY22-Q1
\n", "
18
\n", "
0
\n", "
132
\n", "
22
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CAREGIVER ASSESS FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DEMENTIA FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL CCHT SWS FY14-Q1
\n", "
34
\n", "
0
\n", "
132
\n", "
209
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DEMENTIA FY22-Q1
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DEMENTIA FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL DEMENTIA FY22-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
13
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DEMENTIA ICD-10", "
NATIONAL DEMENTIA FY22-Q1
\n", "
31
\n", "
0
\n", "
132
\n", "
108
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ECOE E&M FY22-Q1
\n", "
1
\n", "
57
\n", "
38
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ECOE E&M FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ECOE E&M FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ECOE E&M FY22-Q1
\n", "
26
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ECOE ICD-10", "
NATIONAL ECOE E&M FY22-Q1
\n", "
35
\n", "
0
\n", "
132
\n", "
129
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ECOE E-CON FY22-Q1
\n", "
1
\n", "
57
\n", "
51
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT EXAMINATIONS", "
DEFAULTS
\n", "
182
\n", "
0
\n", "
50
\n", "
10
\n", "
SOLID LINE
\n", "
EXAMINATIONS
\n", "
CR
\n", "
Patient examinations
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL CCHT SWS FY14-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
16
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ECOE E-CON FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ECOE E-CON FY22-Q1
\n", "
7
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ECOE ICD-10", "
NATIONAL ECOE E-CON FY22-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
129
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ECOE PROC FY22-Q1
\n", "
1
\n", "
57
\n", "
51
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ECOE PROC FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ECOE PROC FY22-Q1
\n", "
7
\n", "
0
\n", "
133
\n", "
33
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ECOE ICD-10", "
NATIONAL ECOE PROC FY22-Q1
\n", "
41
\n", "
0
\n", "
132
\n", "
129
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ECOE TELE FY22-Q1
\n", "
1
\n", "
57
\n", "
50
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ECOE TELE FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL ECOE TELE FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
FILL IN BUBBLE FOR TELEPHONE CALL PERFORMED
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL CCHT SWS FY14-Q1
\n", "
24
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["ECOE ICD-10", "
NATIONAL ECOE TELE FY22-Q1
\n", "
21
\n", "
0
\n", "
132
\n", "
129
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL MOVE! FY22-Q1
\n", "
1
\n", "
59
\n", "
14
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES", "
NATIONAL MOVE! FY22-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
29
\n", "
SOLID LINE
\n", "
FILL IN BUBBLE FOR PROCEDURES PERFORMED
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MOVE! FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["MOVE! ICD-10", "
NATIONAL MOVE! FY22-Q1
\n", "
46
\n", "
0
\n", "
132
\n", "
59
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL MOVE! FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PREVENTIVE HEALTH FY22-Q1
\n", "
1
\n", "
49
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PREVENTIVE HEALTH FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PREVENTIVE HEALTH ICD-10", "
NATL PREVENTIVE HEALTH FY22-Q1
\n", "
36
\n", "
0
\n", "
132
\n", "
199
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PREVENTIVE HEALTH FY22-Q1
\n", "
7
\n", "
0
\n", "
133
\n", "
28
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATIONAL CHEMO INFUSN FY14-Q1
\n", "
16
\n", "
0
\n", "
133
\n", "
54
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL RADIATION ONC FY22-Q1
\n", "
1
\n", "
47
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["EVALUATION/MANAGEMENT - MED", "
NATL RADIATION ONC FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
EVALUATION/MANAGEMENT
\n", "
UBC
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL RADIATION ONC FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["RADIATION THERAPY ICD-10", "
NATL RADIATION ONC FY22-Q1
\n", "
61
\n", "
0
\n", "
132
\n", "
1049
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURE", "
NATL RADIATION ONC FY22-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "
RADIATION THERAPY PROCEDURES
\n", "
BUC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REC THERAPY GRP FY22-Q1
\n", "
6
\n", "
0
\n", "
133
\n", "
14
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REC THERAPY GRP FY22-Q1
\n", "
1
\n", "
58
\n", "
36
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REC THERAPY GRP FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["REC THERAPY ICD-10", "
NATL REC THERAPY GRP FY22-Q1
\n", "
21
\n", "
0
\n", "
132
\n", "
109
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REC THERAPY IND FY22-Q1
\n", "
1
\n", "
58
\n", "
40
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CHEMO INFUSN FY14-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REC THERAPY IND FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REC THERAPY IND FY22-Q1
\n", "
6
\n", "
0
\n", "
133
\n", "
26
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["REC THERAPY ICD-10", "
NATL REC THERAPY IND FY22-Q1
\n", "
33
\n", "
0
\n", "
132
\n", "
109
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL SLEEP MED FY22-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
38
\n", "
SOLID LINE
\n", "
PLEASE MARK PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SLEEP MED FY22-Q1
\n", "
1
\n", "
49
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SLEEP MED FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SLEEP MED FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["SLEEP MEDICINE ICD-10", "
NATIONAL SLEEP MED FY22-Q1
\n", "
56
\n", "
0
\n", "
132
\n", "
124
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATIONAL HEMATOLOGY FY22-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
63
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL HEMATOLOGY FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CHEMO INFUSN FY14-Q1
\n", "
1
\n", "
56
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATIONAL HEMATOLOGY FY22-Q1
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL HEMATOLOGY FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEMATOLOGY ICD-10", "
NATIONAL HEMATOLOGY FY22-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
379
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATL ONC/CHEMO INF FY22-Q1
\n", "
21
\n", "
0
\n", "
133
\n", "
149
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL ONC/CHEMO INF FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL ONC/CHEMO INF FY22-Q1
\n", "
1
\n", "
44
\n", "
39
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL ONC/CHEMO INF FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL ONC/CHEMO INF FY22-Q1
\n", "
171
\n", "
0
\n", "
132
\n", "
494
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PROSTHETICS FY22-Q1
\n", "
1
\n", "
56
\n", "
33
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PROSTHETICS FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CHEMO INFUSN FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PROSTHETICS FY22-Q1
\n", "
7
\n", "
0
\n", "
133
\n", "
11
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL PROSTHETICS FY22-Q1
\n", "
19
\n", "
0
\n", "
132
\n", "
451
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL THORACIC SURG FY22-Q1
\n", "
1
\n", "
56
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL THORACIC SURG FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL THORACIC SURG FY22-Q1
\n", "
18
\n", "
0
\n", "
133
\n", "
33
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL THORACIC SURG FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL THORACIC SURG FY22-Q1
\n", "
52
\n", "
0
\n", "
132
\n", "
158
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL EMP HEALTH FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EMP HEALTH FY22-Q1
\n", "
1
\n", "
56
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EMP HEALTH FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSES", "
NATIONAL CHEMO INFUSN FY14-Q1
\n", "
81
\n", "
0
\n", "
133
\n", "
209
\n", "
SOLID LINE
\n", "", "
CRUB
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EMP HEALTH FY22-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
48
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL EMP HEALTH FY22-Q1
\n", "
66
\n", "
0
\n", "
132
\n", "
354
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEUROLOGY FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "", "
CRU
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL NEUROLOGY FY22-Q1
\n", "
2
\n", "
55
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEUROLOGY FY22-Q1
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL NEUROLOGY FY22-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
64
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["NEUROLOGY ICD-10", "
NATIONAL NEUROLOGY FY22-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
374
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATIONAL NEUROSURGERY FY22-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
23
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEUROSURGERY FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL NEUROSURGERY FY22-Q1
\n", "
1
\n", "
49
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CHIROPRACTIC FY14-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEUROSURGERY FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL NEUROSURGERY FY22-Q1
\n", "
41
\n", "
0
\n", "
132
\n", "
259
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PAIN FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL PAIN FY22-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
74
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PAIN FY22-Q1
\n", "
1
\n", "
49
\n", "
13
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PAIN FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PAIN ICD-10", "
NATIONAL PAIN FY22-Q1
\n", "
91
\n", "
0
\n", "
132
\n", "
209
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL RHEUMATOLOGY FY22-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
23
\n", "
SOLID LINE
\n", "
PLEASE CHECK CPT CODES THAT APPLY
\n", "
CUB
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL RHEUMATOLOGY FY22-Q1
\n", "
1
\n", "
54
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL RHEUMATOLOGY FY22-Q1
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL CHIROPRACTIC FY14-Q1
\n", "
33
\n", "
0
\n", "
132
\n", "
76
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL RHEUMATOLOGY FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CUB
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["RHEUMATOLOGY ICD-10", "
NATIONAL RHEUMATOLOGY FY22-Q1
\n", "
41
\n", "
0
\n", "
132
\n", "
744
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL ADDICTION FY22-Q1
\n", "
51
\n", "
0
\n", "
132
\n", "
49
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ADDICTION FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ADDICTION FY22-Q1
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL ADDICTION FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
44
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL ADDICTION FY22-Q1
\n", "
101
\n", "
0
\n", "
132
\n", "
774
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL AUDIO FY22-Q1
\n", "
1
\n", "
54
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL AUDIO FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["AUDIOLOGY ICD-10 DIAGNOSES", "
NATIONAL AUDIO FY22-Q1
\n", "
131
\n", "
0
\n", "
132
\n", "
324
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CHIROPRACTIC FY14-Q1
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL AUDIO FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["AUDIOLOGY CPT CODES", "
NATIONAL AUDIO FY22-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
113
\n", "
SOLID LINE
\n", "
AUDIOLOGY PROCEDURES PERFORMED THIS VISIT
\n", "
C
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL BLIND REHAB FY22-Q1
\n", "
1
\n", "
56
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL BLIND REHAB FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL BLIND REHAB FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
23
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["BLIND REHAB ICD-10", "
NATIONAL BLIND REHAB FY22-Q1
\n", "
31
\n", "
0
\n", "
132
\n", "
174
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CARDIOLOGY/CATH FY22-Q1
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CARDIOLOGY/CATH FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CARDIOLOGY/CATH FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY/CARDIAC CATH ICD-10", "
NATL CARDIOLOGY/CATH FY22-Q1
\n", "
496
\n", "
0
\n", "
132
\n", "
509
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["APPOINTMENT CHECKOUT", "
DEFAULTS
\n", "
1
\n", "
39
\n", "
35
\n", "
11
\n", "
SOLID LINE
\n", "
CHECKOUT
\n", "
CR
\n", "
Appointment checkout
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CHIROPRACTIC FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATL CARDIOLOGY/CATH FY22-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
478
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
EPS PROCEDURES
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CHIROPRACTIC FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CHIROPRACTIC FY22-Q1
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CHIROPRACTIC FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CHIROPRACTIC FY22-Q1
\n", "
15
\n", "
0
\n", "
133
\n", "
30
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CHIROPRACTIC ICD-10", "
NATIONAL CHIROPRACTIC FY22-Q1
\n", "
46
\n", "
0
\n", "
132
\n", "
249
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CIH/WHOLE HLTH FY22-Q1
\n", "
1
\n", "
49
\n", "
46
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CIH/WHOLE HLTH FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL CIH/WHOLE HLTH FY22-Q1
\n", "
56
\n", "
0
\n", "
133
\n", "
49
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CIH ICD-10", "
NATL CIH/WHOLE HLTH FY22-Q1
\n", "
106
\n", "
0
\n", "
132
\n", "
464
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CHIROPRACTIC FY14-Q1
\n", "
15
\n", "
0
\n", "
133
\n", "
17
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CIH/WHOLE HLTH FY22-Q1
\n", "
46
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT HEALTH FACTORS (V2.1)", "
NATL CIH/WHOLE HLTH FY22-Q1
\n", "
6
\n", "
0
\n", "
55
\n", "
39
\n", "
SOLID LINE
\n", "", "
CR
\n", "
Patient health factors
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CLIN PHARM FY22-Q1
\n", "
1
\n", "
57
\n", "
28
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CLIN PHARM FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CLIN PHARM FY22-Q1
\n", "
7
\n", "
0
\n", "
133
\n", "
18
\n", "
SOLID LINE
\n", "
MANAGEMENT OF MEDICATION THERAPY
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CLINICAL PHARMACIST ICD-10", "
NATIONAL CLIN PHARM FY22-Q1
\n", "
26
\n", "
0
\n", "
132
\n", "
174
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CRITICAL CARE FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CRITICAL CARE FY22-Q1
\n", "
1
\n", "
56
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CRITICAL CARE FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CRITICAL CARE FY22-Q1
\n", "
21
\n", "
0
\n", "
133
\n", "
49
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CRITICAL CARE FY14-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["INTENSIVE/CRITICAL CARE ICD-10", "
NATIONAL CRITICAL CARE FY22-Q1
\n", "
71
\n", "
0
\n", "
132
\n", "
309
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DAY SURGERY FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DAY SURGERY FY22-Q1
\n", "
1
\n", "
55
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DAY SURGERY FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL DAY SURGERY FY22-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
118
\n", "
SOLID LINE
\n", "", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DAY/GENERAL SURG ICD-10", "
NATIONAL DAY SURGERY FY22-Q1
\n", "
136
\n", "
0
\n", "
132
\n", "
1404
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DERMATOLOGY FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DERMATOLOGY FY22-Q1
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DERMATOLOGY FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DERMATOLOGY FY22-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
293
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL CRITICAL CARE FY14-Q1
\n", "
66
\n", "
0
\n", "
133
\n", "
534
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["DERM/TELEDERM ICD-10", "
NATIONAL DERMATOLOGY FY22-Q1
\n", "
311
\n", "
0
\n", "
132
\n", "
549
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIABETES FY22-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
20
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIABETES FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL DIABETES FY22-Q1
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIABETES FY22-Q1
\n", "
26
\n", "
0
\n", "
132
\n", "
24
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIABETES ICD-10", "
NATIONAL DIABETES FY22-Q1
\n", "
51
\n", "
0
\n", "
132
\n", "
249
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIALYSIS FY22-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIALYSIS FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL DIALYSIS FY22-Q1
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIALYSIS FY22-Q1
\n", "
21
\n", "
0
\n", "
132
\n", "
89
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CRITICAL CARE FY14-Q1
\n", "
1
\n", "
56
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["NEPHROLOGY ICD-10", "
NATIONAL DIALYSIS FY22-Q1
\n", "
111
\n", "
0
\n", "
132
\n", "
404
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL E-CONSULT FY22-Q1
\n", "
1
\n", "
56
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL E-CONSULT FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL E-CONSULT FY22-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
1454
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL E-CONSULT FY22-Q1
\n", "
7
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ED FY22-Q1
\n", "
21
\n", "
0
\n", "
133
\n", "
119
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ED FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ED FY22-Q1
\n", "
1
\n", "
56
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ED FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["EMERGENCY DEPT ICD-10", "
NATIONAL ED FY22-Q1
\n", "
141
\n", "
0
\n", "
132
\n", "
829
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CRITICAL CARE FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ENDOCRINOLOGY FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ENDOCRINOLOGY FY22-Q1
\n", "
1
\n", "
54
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ENDOCRINOLOGY FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ENDOCRINE ICD-10", "
NATIONAL ENDOCRINOLOGY FY22-Q1
\n", "
46
\n", "
0
\n", "
132
\n", "
149
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ENDOCRINOLOGY FY22-Q1
\n", "
15
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ENT FY22-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
78
\n", "
SOLID LINE
\n", "
FILL IN BUBBLES FOR ALL PROCEDURES PERFORMED THIS VISIT
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL ENT FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ENT FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ENT FY22-Q1
\n", "
1
\n", "
48
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL ENT FY22-Q1
\n", "
96
\n", "
0
\n", "
132
\n", "
324
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CRITICAL CARE FY14-Q1
\n", "
21
\n", "
0
\n", "
133
\n", "
44
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EYE TECH FY22-Q1
\n", "
1
\n", "
54
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EYE TECH FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EYE TECH FY22-Q1
\n", "
7
\n", "
0
\n", "
133
\n", "
43
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["EYE/TELERETINAL ICD-10", "
NATIONAL EYE TECH FY22-Q1
\n", "
51
\n", "
0
\n", "
132
\n", "
734
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EYE FY22-Q1
\n", "
1
\n", "
60
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EYE FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL EYE FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EYE FY22-Q1
\n", "
41
\n", "
0
\n", "
133
\n", "
109
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["EYE/TELERETINAL ICD-10", "
NATIONAL EYE FY22-Q1
\n", "
151
\n", "
0
\n", "
132
\n", "
734
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL GEN SURG FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DAY SURGERY FY14-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL GEN SURG FY22-Q1
\n", "
15
\n", "
0
\n", "
132
\n", "
50
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL GEN SURG FY22-Q1
\n", "
1
\n", "
54
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL GEN SURG FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DAY/GENERAL SURG ICD-10", "
NATIONAL GEN SURG FY22-Q1
\n", "
66
\n", "
0
\n", "
132
\n", "
1404
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL GERIATRICS FY22-Q1
\n", "
1
\n", "
51
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["E&M CODES", "
NATIONAL GERIATRICS FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL GERIATRICS FY22-Q1
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL GERIATRICS FY22-Q1
\n", "
18
\n", "
0
\n", "
132
\n", "
32
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["GERIATRICS ICD-10", "
NATIONAL GERIATRICS FY22-Q1
\n", "
51
\n", "
0
\n", "
132
\n", "
1674
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL GI/HEPATOLOGY FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL DAY SURGERY FY14-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
99
\n", "
SOLID LINE
\n", "", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL GI/HEPATOLOGY FY22-Q1
\n", "
1
\n", "
54
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL GI/HEPATOLOGY FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL GI/HEPATOLOGY FY22-Q1
\n", "
101
\n", "
0
\n", "
132
\n", "
709
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL GI/HEPATOLOGY FY22-Q1
\n", "
15
\n", "
0
\n", "
132
\n", "
85
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC CLIN FY22-Q1
\n", "
1
\n", "
58
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC CLIN FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HBPC CLIN FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF HOME VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATL HBPC CLIN FY22-Q1
\n", "
101
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC CLIN FY22-Q1
\n", "
21
\n", "
0
\n", "
133
\n", "
79
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC NURSING FY22-Q1
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL DAY SURGERY FY14-Q1
\n", "
1
\n", "
55
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PROCEDURE CODES", "
NATL HBPC NURSING FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURE CODES PERFORMED AT THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC NURSING FY22-Q1
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["NURSING ICD-10", "
NATL HBPC NURSING FY22-Q1
\n", "
51
\n", "
0
\n", "
132
\n", "
634
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC PSYCHOLOGIST FY22-Q1
\n", "
1
\n", "
49
\n", "
37
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC PSYCHOLOGIST FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HBPC PSYCHOLOGIST FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATL HBPC PSYCHOLOGIST FY22-Q1
\n", "
51
\n", "
0
\n", "
132
\n", "
774
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC REHAB FY22-Q1
\n", "
6
\n", "
0
\n", "
133
\n", "
34
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC REHAB FY22-Q1
\n", "
1
\n", "
49
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC REHAB FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["INSURANCE-ACTIVE ONLY", "
DEFAULTS
\n", "
51
\n", "
0
\n", "
52
\n", "
8
\n", "
SOLID LINE
\n", "", "
CR
\n", "
Active Insurance Policies
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DAY SURGERY FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["REHAB ICD-10 CODES", "
NATL HBPC REHAB FY22-Q1
\n", "
41
\n", "
0
\n", "
132
\n", "
1524
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL HOMELESS FY22-Q1
\n", "
25
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL HOMELESS FY22-Q1
\n", "
1
\n", "
55
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL HOMELESS FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["SWS-HOMELESS ICD-10", "
NATIONAL HOMELESS FY22-Q1
\n", "
56
\n", "
0
\n", "
132
\n", "
959
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL HOMELESS FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
18
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HT CLINICIAN FY22-Q1
\n", "
1
\n", "
49
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT CLINICIAN FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HT CLINICIAN FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT CLINICIAN FY22-Q1
\n", "
19
\n", "
0
\n", "
132
\n", "
36
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS", "
NATIONAL DAY SURGERY FY14-Q1
\n", "
116
\n", "
0
\n", "
132
\n", "
214
\n", "
SOLID LINE
\n", "", "
RC
\n", "
ICD-9
\n", "
0
\n", "", "", "", ""], ["HT ICD-10", "
NATL HT CLINICIAN FY22-Q1
\n", "
56
\n", "
0
\n", "
132
\n", "
699
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HT NURSE FY22-Q1
\n", "
1
\n", "
49
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT NURSE FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HT NURSE FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT NURSE FY22-Q1
\n", "
14
\n", "
0
\n", "
132
\n", "
21
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HT ICD-10", "
NATL HT NURSE FY22-Q1
\n", "
36
\n", "
0
\n", "
132
\n", "
699
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL HT SWS FY22-Q1
\n", "
1
\n", "
49
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT SWS FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT SWS FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["SWS MEDICAL ICD-10", "
NATL HT SWS FY22-Q1
\n", "
21
\n", "
0
\n", "
132
\n", "
174
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL GI FY14-Q1
\n", "
91
\n", "
0
\n", "
132
\n", "
68
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INFECTIOUS DX FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL INFECTIOUS DX FY22-Q1
\n", "
1
\n", "
56
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INFECTIOUS DX FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL INFECTIOUS DX FY22-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
33
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL INFECTIOUS DX FY22-Q1
\n", "
51
\n", "
0
\n", "
132
\n", "
454
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INPATIENT FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
29
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL INPATIENT FY22-Q1
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INPATIENT FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL INPATIENT FY22-Q1
\n", "
36
\n", "
0
\n", "
133
\n", "
24
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["INPATIENT ICD-10", "
NATIONAL INPATIENT FY22-Q1
\n", "
61
\n", "
0
\n", "
132
\n", "
1159
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL GI FY14-Q1
\n", "
15
\n", "
0
\n", "
132
\n", "
75
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL IR FY22-Q1
\n", "
1
\n", "
49
\n", "
33
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL IR FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL IR FY22-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
84
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL IR FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["INTERVENTIONAL RAD ICD-10", "
NATIONAL IR FY22-Q1
\n", "
101
\n", "
0
\n", "
132
\n", "
579
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MED FOSTER HOME FY22-Q1
\n", "
1
\n", "
56
\n", "
28
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MED FOSTER HOME FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL MED FOSTER HOME FY22-Q1
\n", "
6
\n", "
0
\n", "
133
\n", "
39
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATL MED FOSTER HOME FY22-Q1
\n", "
46
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL MEDICINE FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL GI FY14-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MEDICINE FY22-Q1
\n", "
1
\n", "
56
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MEDICINE FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MEDICINE FY22-Q1
\n", "
26
\n", "
0
\n", "
133
\n", "
94
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL MEDICINE FY22-Q1
\n", "
121
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL MH MHICM FY22-Q1
\n", "
47
\n", "
0
\n", "
132
\n", "
87
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MH MHICM FY22-Q1
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH MHICM FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL MH MHICM FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
40
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL MH MHICM FY22-Q1
\n", "
135
\n", "
0
\n", "
132
\n", "
774
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL MH NURSE FY22-Q1
\n", "
1
\n", "
49
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATIONAL GI FY14-Q1
\n", "
1
\n", "
61
\n", "
11
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH NURSE FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATIONAL MH NURSE FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL MH NURSE FY22-Q1
\n", "
14
\n", "
0
\n", "
132
\n", "
56
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL MH NURSE FY22-Q1
\n", "
71
\n", "
0
\n", "
132
\n", "
774
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL MH PHARM FY22-Q1
\n", "
1
\n", "
57
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH PHARM FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MH PHARM FY22-Q1
\n", "
7
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
MANAGEMENT OF MEDICATION THERAPY
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL MH PHARM FY22-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
774
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL MH PSYCHIATRIST FY22-Q1
\n", "
1
\n", "
55
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MH PSYCHIATRIST FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL GI FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATL MH PSYCHIATRIST FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
39
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL MH PSYCHIATRIST FY22-Q1
\n", "
46
\n", "
0
\n", "
132
\n", "
74
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATL MH PSYCHIATRIST FY22-Q1
\n", "
121
\n", "
0
\n", "
132
\n", "
774
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL MH PSYCHOLOGIST FY22-Q1
\n", "
1
\n", "
49
\n", "
37
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MH PSYCHOLOGIST FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL MH PSYCHOLOGIST FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
53
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATL MH PSYCHOLOGIST FY22-Q1
\n", "
61
\n", "
0
\n", "
132
\n", "
774
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEPHROLOGY FY22-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEPHROLOGY FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL NEPHROLOGY FY22-Q1
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATL HBPC CLIN FY14-Q1
\n", "
1
\n", "
58
\n", "
24
\n", "
3
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL NEPHROLOGY FY22-Q1
\n", "
36
\n", "
0
\n", "
133
\n", "
29
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["NEPHROLOGY ICD-10", "
NATIONAL NEPHROLOGY FY22-Q1
\n", "
66
\n", "
0
\n", "
132
\n", "
404
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL NURSING CLINIC FY22-Q1
\n", "
1
\n", "
46
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL NURSING CLINIC FY22-Q1
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL NURSING CLINIC FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL NURSING CLINIC FY22-Q1
\n", "
14
\n", "
0
\n", "
133
\n", "
121
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["NURSING ICD-10", "
NATL NURSING CLINIC FY22-Q1
\n", "
136
\n", "
0
\n", "
132
\n", "
634
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["WOMEN'S CLINIC PROCEDURES", "
NATIONAL OB/GYN FY22-Q1
\n", "
19
\n", "
0
\n", "
132
\n", "
76
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
WOMEN'S CLINIC PROCEDURES
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL OB/GYN FY22-Q1
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL OB/GYN FY22-Q1
\n", "
1
\n", "
49
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC CLIN FY14-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL OB/GYN FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL OB/GYN FY22-Q1
\n", "
96
\n", "
0
\n", "
132
\n", "
1149
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATL OPTOM LOW VISION FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL OPTOM LOW VISION FY22-Q1
\n", "
1
\n", "
57
\n", "
31
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL OPTOM LOW VISION FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["LOW VISION ICD-10", "
NATL OPTOM LOW VISION FY22-Q1
\n", "
149
\n", "
0
\n", "
132
\n", "
874
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATL OPTOM LOW VISION FY22-Q1
\n", "
21
\n", "
0
\n", "
132
\n", "
126
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ORTHOPEDICS FY22-Q1
\n", "
16
\n", "
0
\n", "
133
\n", "
104
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ORTHOPEDICS FY22-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ORTHOPEDICS FY22-Q1
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HBPC CLIN FY14-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF HOME VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ORTHOPEDICS FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL ORTHOPEDICS FY22-Q1
\n", "
121
\n", "
0
\n", "
132
\n", "
674
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL PEER SUPPORT FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PEER SUPPORT FY22-Q1
\n", "
1
\n", "
58
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PEER SUPPORT FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL PEER SUPPORT FY22-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
774
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST INPT FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST INPT FY22-Q1
\n", "
21
\n", "
0
\n", "
133
\n", "
54
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST INPT FY22-Q1
\n", "
1
\n", "
58
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST INPT FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS", "
DEFAULTS
\n", "
115
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT
\n", "
CR
\n", "
Diagnosis codes
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC CLIN FY14-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
23
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL PHYSIATRIST INPT FY22-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
799
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST OTPT FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST OTPT FY22-Q1
\n", "
1
\n", "
58
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST OTPT FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST OTPT FY22-Q1
\n", "
16
\n", "
0
\n", "
133
\n", "
59
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL PHYSIATRIST OTPT FY22-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
799
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PLASTIC SURG FY22-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PLASTIC SURG FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PLASTIC SURG FY22-Q1
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PLASTIC SURGERY ICD-10", "
NATIONAL PLASTIC SURG FY22-Q1
\n", "
312
\n", "
0
\n", "
132
\n", "
528
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATL HBPC CLIN FY14-Q1
\n", "
41
\n", "
0
\n", "
133
\n", "
596
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL PLASTIC SURG FY22-Q1
\n", "
18
\n", "
0
\n", "
132
\n", "
293
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL POD NAIL NURS FY22-Q1
\n", "
14
\n", "
0
\n", "
133
\n", "
16
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL POD NAIL NURS FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL POD NAIL NURS FY22-Q1
\n", "
1
\n", "
58
\n", "
37
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL POD NAIL NURS FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PODIATRY ICD-10", "
NATIONAL POD NAIL NURS FY22-Q1
\n", "
31
\n", "
0
\n", "
132
\n", "
1159
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PODIATRY FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PODIATRY FY22-Q1
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PODIATRY FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PODIATRY FY22-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
198
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC NURSING FY14-Q1
\n", "
1
\n", "
46
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PODIATRY ICD-10", "
NATIONAL PODIATRY FY22-Q1
\n", "
216
\n", "
0
\n", "
132
\n", "
1159
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL POLYTRAUMA FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL POLYTRAUMA FY22-Q1
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL POLYTRAUMA FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL POLYTRAUMA FY22-Q1
\n", "
16
\n", "
0
\n", "
133
\n", "
54
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL POLYTRAUMA FY22-Q1
\n", "
71
\n", "
0
\n", "
132
\n", "
184
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PRIMARY CARE FY22-Q1
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PRIMARY CARE FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PRIMARY CARE FY22-Q1
\n", "
27
\n", "
0
\n", "
133
\n", "
129
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PRIMARY CARE FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
20
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATL HBPC NURSING FY14-Q1
\n", "
37
\n", "
0
\n", "
132
\n", "
60
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL PRIMARY CARE FY22-Q1
\n", "
161
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL PULMONARY FY22-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
63
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PULMONARY FY22-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PULMONARY FY22-Q1
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PULMONARY FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["RESPIRATORY THERAPY ICD-10", "
NATIONAL PULMONARY FY22-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
884
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL REHAB-PT/OT/KT FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REHAB-PT/OT/KT FY22-Q1
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REHAB-PT/OT/KT FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REHAB-PT/OT/KT FY22-Q1
\n", "
16
\n", "
0
\n", "
133
\n", "
214
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HOME VISIT CODES", "
NATL HBPC NURSING FY14-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF HOME VISIT - PER 15 MINUTES
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["REHAB ICD-10 CODES", "
NATL REHAB-PT/OT/KT FY22-Q1
\n", "
231
\n", "
0
\n", "
132
\n", "
1524
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL RESP THERAPY FY22-Q1
\n", "
14
\n", "
0
\n", "
132
\n", "
66
\n", "
SOLID LINE
\n", "
PLEASE MARK PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL RESP THERAPY FY22-Q1
\n", "
1
\n", "
43
\n", "
47
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL RESP THERAPY FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL RESP THERAPY FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["RESPIRATORY THERAPY ICD-10", "
NATIONAL RESP THERAPY FY22-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
884
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL SCI FY22-Q1
\n", "
1
\n", "
52
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SCI FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL SCI FY22-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
78
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SCI FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC NURSING FY14-Q1
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["SCI ICD-10", "
NATIONAL SCI FY22-Q1
\n", "
96
\n", "
0
\n", "
132
\n", "
329
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SOCIAL WORK FY22-Q1
\n", "
1
\n", "
56
\n", "
44
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SOCIAL WORK FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL SOCIAL WORK FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
23
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["SWS MEDICAL ICD-10", "
NATIONAL SOCIAL WORK FY22-Q1
\n", "
31
\n", "
0
\n", "
132
\n", "
179
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL SWS MH FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
39
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SWS MH FY22-Q1
\n", "
1
\n", "
55
\n", "
44
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SWS MH FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL SWS MH FY22-Q1
\n", "
46
\n", "
0
\n", "
132
\n", "
774
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TBI FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURE CODES", "
NATL HBPC NURSING FY14-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
21
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURE CODES PERFORMED AT THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TBI FY22-Q1
\n", "
1
\n", "
49
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TBI FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL TBI FY22-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
53
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL TBI FY22-Q1
\n", "
71
\n", "
0
\n", "
132
\n", "
109
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TELEDERM FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TELEDERM FY22-Q1
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEDERM FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELEDERM FY22-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DERM/TELEDERM ICD-10", "
NATIONAL TELEDERM FY22-Q1
\n", "
24
\n", "
0
\n", "
132
\n", "
549
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL TELEHLTH-PT SITE FY22-Q1
\n", "
1
\n", "
49
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC PT/OT FY14-Q1
\n", "
6
\n", "
0
\n", "
133
\n", "
13
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL TELEHLTH-PT SITE FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL TELEHLTH-PT SITE FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["TELEHEALTH ICD-10", "
NATL TELEHLTH-PT SITE FY22-Q1
\n", "
14
\n", "
0
\n", "
132
\n", "
601
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TELEPHONE FY22-Q1
\n", "
1
\n", "
59
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEPHONE FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TELEPHONE ICD-10", "
NATIONAL TELEPHONE FY22-Q1
\n", "
21
\n", "
0
\n", "
132
\n", "
104
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL TELEPHONE FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
FILL IN BUBBLE FOR TELEPHONE CALL PERFORMED
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELE-EYE FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL TELE-EYE FY22-Q1
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELE-EYE FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC PT/OT FY14-Q1
\n", "
1
\n", "
49
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["EYE/TELERETINAL ICD-10", "
NATIONAL TELE-EYE FY22-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
729
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL URGENT CARE FY22-Q1
\n", "
1
\n", "
49
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL URGENT CARE FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["E&M OUTPATIENT CODES", "
NATIONAL URGENT CARE FY22-Q1
\n", "
6
\n", "
0
\n", "
90
\n", "
11
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL URGENT CARE FY22-Q1
\n", "
18
\n", "
0
\n", "
132
\n", "
107
\n", "
SOLID LINE
\n", "
FILL IN BUBBLES FOR ALL PROCEDURES PERFORMED THIS VISIT
\n", "
URCB
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL URGENT CARE FY22-Q1
\n", "
126
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL UROLOGY FY22-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL UROLOGY FY22-Q1
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL UROLOGY FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL UROLOGY FY22-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
94
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC PT/OT FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["UROLOGY ICD-10", "
NATIONAL UROLOGY FY22-Q1
\n", "
111
\n", "
0
\n", "
132
\n", "
324
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL VASCULAR LAB FY22-Q1
\n", "
1
\n", "
54
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL VASCULAR LAB FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL VASCULAR LAB FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
28
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["VASCULAR ICD-10", "
NATIONAL VASCULAR LAB FY22-Q1
\n", "
36
\n", "
0
\n", "
132
\n", "
464
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL VASCULAR SURG FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL VASCULAR SURG FY22-Q1
\n", "
1
\n", "
54
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL VASCULAR SURG FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL VASCULAR SURG FY22-Q1
\n", "
15
\n", "
0
\n", "
132
\n", "
35
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["VASCULAR ICD-10", "
NATIONAL VASCULAR SURG FY22-Q1
\n", "
51
\n", "
0
\n", "
132
\n", "
464
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT-4 PROCEDURES", "
DEFAULTS
\n", "
12
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
CPT-4 PROCEDURES
\n", "
0
\n", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL HBPC PT/OT FY14-Q1
\n", "
20
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
PRIMARY DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL WOMENS HEALTH FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL WOMENS HEALTH FY22-Q1
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL WOMENS HEALTH FY22-Q1
\n", "
2
\n", "
52
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["WOMEN'S HEALTH ICD-10", "
NATIONAL WOMENS HEALTH FY22-Q1
\n", "
91
\n", "
0
\n", "
132
\n", "
754
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["WOMEN'S CLINIC PROCEDURES", "
NATIONAL WOMENS HEALTH FY22-Q1
\n", "
20
\n", "
0
\n", "
132
\n", "
70
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
WOMEN'S CLINIC PROCEDURES
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ANESTHESIA FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ANESTHESIA FY22-Q1
\n", "
1
\n", "
54
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ANESTHESIA FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ANESTHESIA ICD-10", "
NATIONAL ANESTHESIA FY22-Q1
\n", "
114
\n", "
0
\n", "
132
\n", "
406
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ANESTHESIA FY22-Q1
\n", "
21
\n", "
0
\n", "
132
\n", "
92
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATL HBPC PT/OT FY14-Q1
\n", "
30
\n", "
0
\n", "
132
\n", "
74
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CLC FY22-Q1
\n", "
1
\n", "
51
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["VISIT TYPE CODES", "
NATIONAL CLC FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CLC FY22-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CLC FY22-Q1
\n", "
23
\n", "
0
\n", "
132
\n", "
22
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["GERIATRICS ICD-10", "
NATIONAL CLC FY22-Q1
\n", "
46
\n", "
0
\n", "
132
\n", "
1674
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL GTWY TO HLTHY LIV FY22-Q1
\n", "
1
\n", "
54
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL GTWY TO HLTHY LIV FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL GTWY TO HLTHY LIV FY22-Q1
\n", "
7
\n", "
0
\n", "
133
\n", "
13
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATL GTWY TO HLTHY LIV FY22-Q1
\n", "
21
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL TELESTROKE FY22-Q1
\n", "
1
\n", "
54
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HBPC PSYCHOLOGIST FY14-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
35
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELESTROKE FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELESTROKE FY22-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["TELESTROKE ICD-10", "
NATIONAL TELESTROKE FY22-Q1
\n", "
20
\n", "
0
\n", "
132
\n", "
155
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL COVID19 SPLMNTL FY22-Q1
\n", "
1
\n", "
54
\n", "
35
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL COVID19 SPLMNTL FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["COVID-19 ICD CODES", "
NATL COVID19 SPLMNTL FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
28
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL MH CWT FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
18
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MH CWT FY22-Q1
\n", "
1
\n", "
58
\n", "
15
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH CWT FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL MH CWT FY22-Q1
\n", "
26
\n", "
0
\n", "
132
\n", "
774
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL HBPC PSYCHOLOGIST FY14-Q1
\n", "
1
\n", "
49
\n", "
37
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATL TEL COVID19 SPMTL FY22-Q1
\n", "
1
\n", "
49
\n", "
45
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL TEL COVID19 SPMTL FY22-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATL TEL COVID19 SPMTL FY22-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
48
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["COVID-19 ICD CODES", "
NATL TEL COVID19 SPMTL FY22-Q1
\n", "
56
\n", "
0
\n", "
132
\n", "
28
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ALLERGY FY22-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ALLERGY FY22-Q2
\n", "
1
\n", "
56
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ALLERGY FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ALLERGY ICD-10", "
NATIONAL ALLERGY FY22-Q2
\n", "
46
\n", "
0
\n", "
132
\n", "
144
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ALLERGY FY22-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
28
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATIONAL HEMATOLOGY FY22-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
63
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC PSYCHOLOGIST FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL HEMATOLOGY FY22-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL HEMATOLOGY FY22-Q2
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL HEMATOLOGY FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEMATOLOGY ICD-10", "
NATIONAL HEMATOLOGY FY22-Q2
\n", "
81
\n", "
0
\n", "
132
\n", "
379
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATL ONC/CHEMO INF FY22-Q2
\n", "
21
\n", "
0
\n", "
133
\n", "
159
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL ONC/CHEMO INF FY22-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL ONC/CHEMO INF FY22-Q2
\n", "
1
\n", "
44
\n", "
39
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL ONC/CHEMO INF FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL ONC/CHEMO INF FY22-Q2
\n", "
181
\n", "
0
\n", "
132
\n", "
494
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL AUDIO FY22-Q2
\n", "
1
\n", "
54
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL HBPC PSYCHOLOGIST FY14-Q1
\n", "
43
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL AUDIO FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["AUDIOLOGY ICD-10 DIAGNOSES", "
NATIONAL AUDIO FY22-Q2
\n", "
131
\n", "
0
\n", "
132
\n", "
324
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL AUDIO FY22-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["AUDIOLOGY CPT CODES", "
NATIONAL AUDIO FY22-Q2
\n", "
17
\n", "
0
\n", "
132
\n", "
113
\n", "
SOLID LINE
\n", "
AUDIOLOGY PROCEDURES PERFORMED THIS VISIT
\n", "
C
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CARDIOLOGY/CATH FY22-Q2
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CARDIOLOGY/CATH FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CARDIOLOGY/CATH FY22-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY/CARDIAC CATH ICD-10", "
NATL CARDIOLOGY/CATH FY22-Q2
\n", "
511
\n", "
0
\n", "
132
\n", "
509
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATL CARDIOLOGY/CATH FY22-Q2
\n", "
17
\n", "
0
\n", "
132
\n", "
493
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
EPS PROCEDURES
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CHIROPRACTIC FY22-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL HEPATOLOGY FY14-Q1
\n", "
91
\n", "
0
\n", "
132
\n", "
109
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CHIROPRACTIC FY22-Q2
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CHIROPRACTIC FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CHIROPRACTIC FY22-Q2
\n", "
15
\n", "
0
\n", "
133
\n", "
30
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CHIROPRACTIC ICD-10", "
NATIONAL CHIROPRACTIC FY22-Q2
\n", "
46
\n", "
0
\n", "
132
\n", "
254
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CLIN PHARM FY22-Q2
\n", "
1
\n", "
57
\n", "
28
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CLIN PHARM FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CLIN PHARM FY22-Q2
\n", "
7
\n", "
0
\n", "
133
\n", "
18
\n", "
SOLID LINE
\n", "
MANAGEMENT OF MEDICATION THERAPY
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CLINICAL PHARMACIST ICD-10", "
NATIONAL CLIN PHARM FY22-Q2
\n", "
26
\n", "
0
\n", "
132
\n", "
174
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIABETES FY22-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
20
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIABETES FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL HEPATOLOGY FY14-Q1
\n", "
15
\n", "
0
\n", "
132
\n", "
75
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DIABETES FY22-Q2
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIABETES FY22-Q2
\n", "
26
\n", "
0
\n", "
132
\n", "
24
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIABETES ICD-10", "
NATIONAL DIABETES FY22-Q2
\n", "
51
\n", "
0
\n", "
132
\n", "
249
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIALYSIS FY22-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIALYSIS FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL DIALYSIS FY22-Q2
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIALYSIS FY22-Q2
\n", "
21
\n", "
0
\n", "
132
\n", "
89
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["NEPHROLOGY ICD-10", "
NATIONAL DIALYSIS FY22-Q2
\n", "
111
\n", "
0
\n", "
132
\n", "
404
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL E-CONSULT FY22-Q2
\n", "
1
\n", "
56
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL E-CONSULT FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL HEPATOLOGY FY14-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL E-CONSULT FY22-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
1474
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL E-CONSULT FY22-Q2
\n", "
7
\n", "
0
\n", "
133
\n", "
8
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ENDOCRINOLOGY FY22-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ENDOCRINOLOGY FY22-Q2
\n", "
1
\n", "
54
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ENDOCRINOLOGY FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ENDOCRINE ICD-10", "
NATIONAL ENDOCRINOLOGY FY22-Q2
\n", "
47
\n", "
0
\n", "
132
\n", "
153
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ENDOCRINOLOGY FY22-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EYE FY22-Q2
\n", "
1
\n", "
60
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EYE FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL EYE FY22-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL HEPATOLOGY FY14-Q1
\n", "
1
\n", "
61
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EYE FY22-Q2
\n", "
41
\n", "
0
\n", "
133
\n", "
214
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["EYE/TELERETINAL ICD-10", "
NATIONAL EYE FY22-Q2
\n", "
256
\n", "
0
\n", "
132
\n", "
734
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL GI/HEPATOLOGY FY22-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL GI/HEPATOLOGY FY22-Q2
\n", "
1
\n", "
54
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL GI/HEPATOLOGY FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL GI/HEPATOLOGY FY22-Q2
\n", "
101
\n", "
0
\n", "
132
\n", "
709
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL GI/HEPATOLOGY FY22-Q2
\n", "
15
\n", "
0
\n", "
132
\n", "
85
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC CLIN FY22-Q2
\n", "
1
\n", "
58
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC CLIN FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HBPC CLIN FY22-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF HOME VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["SC CONDITIONS (V2.1)", "
AMBULATORY SURGERY SAMPLE V2.1
\n", "
31
\n", "
0
\n", "
90
\n", "
11
\n", "
SOLID LINE
\n", "
SERVICE CONNECTED CONDITIONS
\n", "
RC
\n", "
SC conditions,indicators, visit classifications
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL HEPATOLOGY FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATL HBPC CLIN FY22-Q2
\n", "
101
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC CLIN FY22-Q2
\n", "
21
\n", "
0
\n", "
133
\n", "
79
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL HOMELESS FY22-Q2
\n", "
25
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL HOMELESS FY22-Q2
\n", "
1
\n", "
55
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL HOMELESS FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["SWS-HOMELESS ICD-10", "
NATIONAL HOMELESS FY22-Q2
\n", "
56
\n", "
0
\n", "
132
\n", "
959
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL HOMELESS FY22-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
18
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEPHROLOGY FY22-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEPHROLOGY FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL NEPHROLOGY FY22-Q2
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES", "
NATL HOSP/PALL INPT FY14-Q1
\n", "
21
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL NEPHROLOGY FY22-Q2
\n", "
36
\n", "
0
\n", "
133
\n", "
29
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["NEPHROLOGY ICD-10", "
NATIONAL NEPHROLOGY FY22-Q2
\n", "
66
\n", "
0
\n", "
132
\n", "
404
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL NURSING CLINIC FY22-Q2
\n", "
1
\n", "
46
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL NURSING CLINIC FY22-Q2
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL NURSING CLINIC FY22-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL NURSING CLINIC FY22-Q2
\n", "
14
\n", "
0
\n", "
133
\n", "
121
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["NURSING ICD-10", "
NATL NURSING CLINIC FY22-Q2
\n", "
136
\n", "
0
\n", "
132
\n", "
634
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATL OPTOM LOW VISION FY22-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL OPTOM LOW VISION FY22-Q2
\n", "
1
\n", "
57
\n", "
31
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL OPTOM LOW VISION FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HOSP/PALL INPT FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["LOW VISION ICD-10", "
NATL OPTOM LOW VISION FY22-Q2
\n", "
149
\n", "
0
\n", "
132
\n", "
874
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATL OPTOM LOW VISION FY22-Q2
\n", "
21
\n", "
0
\n", "
132
\n", "
126
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ORTHOPEDICS FY22-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
104
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ORTHOPEDICS FY22-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ORTHOPEDICS FY22-Q2
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ORTHOPEDICS FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL ORTHOPEDICS FY22-Q2
\n", "
121
\n", "
0
\n", "
132
\n", "
674
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST OTPT FY22-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST OTPT FY22-Q2
\n", "
1
\n", "
58
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST OTPT FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HOSP/PALL INPT FY14-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST OTPT FY22-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
59
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL PHYSIATRIST OTPT FY22-Q2
\n", "
81
\n", "
0
\n", "
132
\n", "
799
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PRIMARY CARE FY22-Q2
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PRIMARY CARE FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PRIMARY CARE FY22-Q2
\n", "
27
\n", "
0
\n", "
133
\n", "
133
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PRIMARY CARE FY22-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
20
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL PRIMARY CARE FY22-Q2
\n", "
161
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL PULMONARY FY22-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
63
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PULMONARY FY22-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PULMONARY FY22-Q2
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATL HOSP/PALL INPT FY14-Q1
\n", "
1
\n", "
48
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PULMONARY FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["RESPIRATORY THERAPY ICD-10", "
NATIONAL PULMONARY FY22-Q2
\n", "
81
\n", "
0
\n", "
132
\n", "
919
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL REHAB-PT/OT/KT FY22-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REHAB-PT/OT/KT FY22-Q2
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REHAB-PT/OT/KT FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REHAB-PT/OT/KT FY22-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
219
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["REHAB ICD-10 CODES", "
NATL REHAB-PT/OT/KT FY22-Q2
\n", "
236
\n", "
0
\n", "
132
\n", "
1524
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL RESP THERAPY FY22-Q2
\n", "
14
\n", "
0
\n", "
132
\n", "
66
\n", "
SOLID LINE
\n", "
PLEASE MARK PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL RESP THERAPY FY22-Q2
\n", "
1
\n", "
43
\n", "
47
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL RESP THERAPY FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL HOSP/PALL INPT FY14-Q1
\n", "
29
\n", "
0
\n", "
132
\n", "
75
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT
\n", "
UC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL RESP THERAPY FY22-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["RESPIRATORY THERAPY ICD-10", "
NATIONAL RESP THERAPY FY22-Q2
\n", "
81
\n", "
0
\n", "
132
\n", "
919
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL SCI FY22-Q2
\n", "
1
\n", "
52
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SCI FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL SCI FY22-Q2
\n", "
26
\n", "
0
\n", "
133
\n", "
74
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SCI FY22-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["SCI ICD-10", "
NATIONAL SCI FY22-Q2
\n", "
101
\n", "
0
\n", "
132
\n", "
359
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TELEDERM FY22-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TELEDERM FY22-Q2
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEDERM FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATL HOSP/PALL OTPT FY14-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELEDERM FY22-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DERM/TELEDERM ICD-10", "
NATIONAL TELEDERM FY22-Q2
\n", "
24
\n", "
0
\n", "
132
\n", "
549
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL TELEHLTH-PT SITE FY22-Q2
\n", "
1
\n", "
49
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL TELEHLTH-PT SITE FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL TELEHLTH-PT SITE FY22-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["TELEHEALTH ICD-10", "
NATL TELEHLTH-PT SITE FY22-Q2
\n", "
14
\n", "
0
\n", "
132
\n", "
601
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TELEPHONE FY22-Q2
\n", "
1
\n", "
59
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEPHONE FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TELEPHONE ICD-10", "
NATIONAL TELEPHONE FY22-Q2
\n", "
21
\n", "
0
\n", "
132
\n", "
109
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL TELEPHONE FY22-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
FILL IN BUBBLE FOR TELEPHONE CALL PERFORMED
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HOSP/PALL OTPT FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL WOMENS HEALTH FY22-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL WOMENS HEALTH FY22-Q2
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL WOMENS HEALTH FY22-Q2
\n", "
2
\n", "
52
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["WOMEN'S HEALTH ICD-10", "
NATIONAL WOMENS HEALTH FY22-Q2
\n", "
91
\n", "
0
\n", "
132
\n", "
754
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["WOMEN'S CLINIC PROCEDURES", "
NATIONAL WOMENS HEALTH FY22-Q2
\n", "
20
\n", "
0
\n", "
132
\n", "
70
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
WOMEN'S CLINIC PROCEDURES
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ANESTHESIA FY22-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ANESTHESIA FY22-Q2
\n", "
1
\n", "
54
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ANESTHESIA FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ANESTHESIA ICD-10", "
NATIONAL ANESTHESIA FY22-Q2
\n", "
202
\n", "
0
\n", "
132
\n", "
406
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ANESTHESIA FY22-Q2
\n", "
21
\n", "
0
\n", "
132
\n", "
180
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HOSP/PALL OTPT FY14-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL COVID19 SPLMNTL FY22-Q2
\n", "
1
\n", "
54
\n", "
35
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL COVID19 SPLMNTL FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["COVID-19 ICD CODES", "
NATL COVID19 SPLMNTL FY22-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
33
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL TEL COVID19 SPMTL FY22-Q2
\n", "
1
\n", "
49
\n", "
45
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL TEL COVID19 SPMTL FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATL TEL COVID19 SPMTL FY22-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
48
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["COVID-19 ICD CODES", "
NATL TEL COVID19 SPMTL FY22-Q2
\n", "
56
\n", "
0
\n", "
132
\n", "
33
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL MH NURSE FY22-Q2
\n", "
1
\n", "
49
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH NURSE FY22-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATIONAL MH NURSE FY22-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HOSP/PALL OTPT FY14-Q1
\n", "
1
\n", "
48
\n", "
43
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL MH NURSE FY22-Q2
\n", "
14
\n", "
0
\n", "
132
\n", "
56
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["MENTAL HEALTH ICD-10", "
NATIONAL MH NURSE FY22-Q2
\n", "
72
\n", "
0
\n", "
132
\n", "
774
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ALLERGY FY22-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ALLERGY FY22-Q3
\n", "
1
\n", "
56
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ALLERGY FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ALLERGY ICD-10", "
NATIONAL ALLERGY FY22-Q3
\n", "
46
\n", "
0
\n", "
132
\n", "
154
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ALLERGY FY22-Q3
\n", "
17
\n", "
0
\n", "
133
\n", "
28
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REC THERAPY GRP FY22-Q3
\n", "
6
\n", "
0
\n", "
133
\n", "
14
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REC THERAPY GRP FY22-Q3
\n", "
1
\n", "
58
\n", "
36
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REC THERAPY GRP FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ALLERGIES (V2.1)", "
TOOL KIT
\n", "
57
\n", "
0
\n", "
60
\n", "
10
\n", "
SOLID LINE
\n", "
****** PATIENT ALLERGIES ******
\n", "
CR
\n", "
Patient's allergies
\n", "
5
\n", "", "", "", ""], ["CHECKOUT (V2.1)", "
AMBULATORY SURGERY SAMPLE V2.1
\n", "
31
\n", "
95
\n", "
38
\n", "
11
\n", "
SOLID LINE
\n", "
CHECKOUT
\n", "
CR
\n", "
Appointment checkout
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL HOSP/PALL OTPT FY14-Q1
\n", "
25
\n", "
0
\n", "
132
\n", "
75
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT
\n", "
UC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["REC THERAPY ICD-10", "
NATL REC THERAPY GRP FY22-Q3
\n", "
21
\n", "
0
\n", "
132
\n", "
109
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REC THERAPY IND FY22-Q3
\n", "
1
\n", "
58
\n", "
40
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REC THERAPY IND FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REC THERAPY IND FY22-Q3
\n", "
6
\n", "
0
\n", "
133
\n", "
26
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["REC THERAPY ICD-10", "
NATL REC THERAPY IND FY22-Q3
\n", "
33
\n", "
0
\n", "
132
\n", "
109
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT PROCEDURE", "
NATL ONC/CHEMO INF FY22-Q3
\n", "
21
\n", "
0
\n", "
133
\n", "
154
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL ONC/CHEMO INF FY22-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL ONC/CHEMO INF FY22-Q3
\n", "
1
\n", "
44
\n", "
39
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL ONC/CHEMO INF FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL ONC/CHEMO INF FY22-Q3
\n", "
176
\n", "
0
\n", "
132
\n", "
494
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL IR FY14-Q1
\n", "
1
\n", "
49
\n", "
33
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATIONAL ADHC FY22-Q3
\n", "
1
\n", "
47
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ADHC FY22-Q3
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ADHC FY22-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
5
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ADHC FY22-Q3
\n", "
13
\n", "
0
\n", "
133
\n", "
12
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ADHC ICD-10", "
NATIONAL ADHC FY22-Q3
\n", "
26
\n", "
0
\n", "
132
\n", "
279
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL AUDIO FY22-Q3
\n", "
1
\n", "
54
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL AUDIO FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["AUDIOLOGY ICD-10 DIAGNOSES", "
NATIONAL AUDIO FY22-Q3
\n", "
131
\n", "
0
\n", "
132
\n", "
324
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL AUDIO FY22-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["AUDIOLOGY CPT CODES", "
NATIONAL AUDIO FY22-Q3
\n", "
17
\n", "
0
\n", "
132
\n", "
113
\n", "
SOLID LINE
\n", "
AUDIOLOGY PROCEDURES PERFORMED THIS VISIT
\n", "
C
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL IR FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATL CARDIOLOGY/CATH FY22-Q3
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CARDIOLOGY/CATH FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CARDIOLOGY/CATH FY22-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY/CARDIAC CATH ICD-10", "
NATL CARDIOLOGY/CATH FY22-Q3
\n", "
511
\n", "
0
\n", "
132
\n", "
509
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATL CARDIOLOGY/CATH FY22-Q3
\n", "
17
\n", "
0
\n", "
132
\n", "
493
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
EPS PROCEDURES
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CIH/WHOLE HLTH FY22-Q3
\n", "
1
\n", "
49
\n", "
46
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CIH/WHOLE HLTH FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL CIH/WHOLE HLTH FY22-Q3
\n", "
56
\n", "
0
\n", "
133
\n", "
49
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CIH ICD-10", "
NATL CIH/WHOLE HLTH FY22-Q3
\n", "
106
\n", "
0
\n", "
132
\n", "
464
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CIH/WHOLE HLTH FY22-Q3
\n", "
46
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSES - 1", "
NATIONAL IR FY14-Q1
\n", "
51
\n", "
0
\n", "
132
\n", "
192
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["PATIENT HEALTH FACTORS (V2.1)", "
NATL CIH/WHOLE HLTH FY22-Q3
\n", "
6
\n", "
0
\n", "
55
\n", "
39
\n", "
SOLID LINE
\n", "", "
CR
\n", "
Patient health factors
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DERMATOLOGY FY22-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DERMATOLOGY FY22-Q3
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DERMATOLOGY FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DERMATOLOGY FY22-Q3
\n", "
17
\n", "
0
\n", "
132
\n", "
293
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DERM/TELEDERM ICD-10", "
NATIONAL DERMATOLOGY FY22-Q3
\n", "
311
\n", "
0
\n", "
132
\n", "
569
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIABETES FY22-Q3
\n", "
5
\n", "
0
\n", "
132
\n", "
20
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIABETES FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL DIABETES FY22-Q3
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIABETES FY22-Q3
\n", "
26
\n", "
0
\n", "
132
\n", "
24
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL IR FY14-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIABETES ICD-10", "
NATIONAL DIABETES FY22-Q3
\n", "
51
\n", "
0
\n", "
132
\n", "
339
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ENDOCRINOLOGY FY22-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ENDOCRINOLOGY FY22-Q3
\n", "
1
\n", "
54
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ENDOCRINOLOGY FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ENDOCRINE ICD-10", "
NATIONAL ENDOCRINOLOGY FY22-Q3
\n", "
47
\n", "
0
\n", "
132
\n", "
243
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ENDOCRINOLOGY FY22-Q3
\n", "
16
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EYE FY22-Q3
\n", "
1
\n", "
60
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EYE FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL EYE FY22-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EYE FY22-Q3
\n", "
41
\n", "
0
\n", "
133
\n", "
214
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MED FOSTER HOME FY14-Q1
\n", "
1
\n", "
56
\n", "
28
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["EYE/TELERETINAL ICD-10", "
NATIONAL EYE FY22-Q3
\n", "
256
\n", "
0
\n", "
132
\n", "
734
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL GI/HEPATOLOGY FY22-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL GI/HEPATOLOGY FY22-Q3
\n", "
1
\n", "
54
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL GI/HEPATOLOGY FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL GI/HEPATOLOGY FY22-Q3
\n", "
101
\n", "
0
\n", "
132
\n", "
709
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL GI/HEPATOLOGY FY22-Q3
\n", "
15
\n", "
0
\n", "
132
\n", "
85
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC CLIN FY22-Q3
\n", "
1
\n", "
58
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC CLIN FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HBPC CLIN FY22-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF HOME VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATL HBPC CLIN FY22-Q3
\n", "
101
\n", "
0
\n", "
132
\n", "
2754
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MED FOSTER HOME FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC CLIN FY22-Q3
\n", "
21
\n", "
0
\n", "
133
\n", "
79
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC NURSING FY22-Q3
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURE CODES", "
NATL HBPC NURSING FY22-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURE CODES PERFORMED AT THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC NURSING FY22-Q3
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["NURSING ICD-10", "
NATL HBPC NURSING FY22-Q3
\n", "
51
\n", "
0
\n", "
132
\n", "
644
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC REHAB FY22-Q3
\n", "
6
\n", "
0
\n", "
133
\n", "
34
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC REHAB FY22-Q3
\n", "
1
\n", "
49
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC REHAB FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["REHAB ICD-10 CODES", "
NATL HBPC REHAB FY22-Q3
\n", "
41
\n", "
0
\n", "
132
\n", "
1419
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL HOMELESS FY22-Q3
\n", "
25
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL MED FOSTER HOME FY14-Q1
\n", "
6
\n", "
0
\n", "
133
\n", "
39
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL HOMELESS FY22-Q3
\n", "
1
\n", "
55
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL HOMELESS FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["SWS-HOMELESS ICD-10", "
NATIONAL HOMELESS FY22-Q3
\n", "
56
\n", "
0
\n", "
132
\n", "
959
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL HOMELESS FY22-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
18
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HT CLINICIAN FY22-Q3
\n", "
1
\n", "
49
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT CLINICIAN FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HT CLINICIAN FY22-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT CLINICIAN FY22-Q3
\n", "
19
\n", "
0
\n", "
132
\n", "
31
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HT ICD-10", "
NATL HT CLINICIAN FY22-Q3
\n", "
51
\n", "
0
\n", "
132
\n", "
699
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HT NURSE FY22-Q3
\n", "
1
\n", "
49
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS MED FOSTER HOME", "
NATL MED FOSTER HOME FY14-Q1
\n", "
46
\n", "
0
\n", "
133
\n", "
524
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT NURSE FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HT NURSE FY22-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT NURSE FY22-Q3
\n", "
14
\n", "
0
\n", "
132
\n", "
21
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HT ICD-10", "
NATL HT NURSE FY22-Q3
\n", "
36
\n", "
0
\n", "
132
\n", "
699
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INPATIENT FY22-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
29
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL INPATIENT FY22-Q3
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INPATIENT FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL INPATIENT FY22-Q3
\n", "
36
\n", "
0
\n", "
133
\n", "
24
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["INPATIENT ICD-10", "
NATIONAL INPATIENT FY22-Q3
\n", "
61
\n", "
0
\n", "
132
\n", "
1159
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MED FOSTER HOME FY22-Q3
\n", "
1
\n", "
56
\n", "
28
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL MEDICINE FY14-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
12
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MED FOSTER HOME FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL MED FOSTER HOME FY22-Q3
\n", "
6
\n", "
0
\n", "
133
\n", "
39
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATL MED FOSTER HOME FY22-Q3
\n", "
46
\n", "
0
\n", "
132
\n", "
2754
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL MEDICINE FY22-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MEDICINE FY22-Q3
\n", "
1
\n", "
56
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MEDICINE FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MEDICINE FY22-Q3
\n", "
26
\n", "
0
\n", "
133
\n", "
94
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL MEDICINE FY22-Q3
\n", "
121
\n", "
0
\n", "
132
\n", "
2754
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL NURSING CLINIC FY22-Q3
\n", "
1
\n", "
46
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL NURSING CLINIC FY22-Q3
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
AMBULATORY SURGERY SAMPLE V2.1
\n", "
42
\n", "
0
\n", "
90
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1994 visit types
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MEDICINE FY14-Q1
\n", "
1
\n", "
56
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL NURSING CLINIC FY22-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL NURSING CLINIC FY22-Q3
\n", "
14
\n", "
0
\n", "
133
\n", "
121
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["NURSING ICD-10", "
NATL NURSING CLINIC FY22-Q3
\n", "
136
\n", "
0
\n", "
132
\n", "
644
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST INPT FY22-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST INPT FY22-Q3
\n", "
21
\n", "
0
\n", "
133
\n", "
54
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST INPT FY22-Q3
\n", "
1
\n", "
58
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST INPT FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL PHYSIATRIST INPT FY22-Q3
\n", "
81
\n", "
0
\n", "
132
\n", "
869
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST OTPT FY22-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST OTPT FY22-Q3
\n", "
1
\n", "
58
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MEDICINE FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST OTPT FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST OTPT FY22-Q3
\n", "
16
\n", "
0
\n", "
133
\n", "
59
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL PHYSIATRIST OTPT FY22-Q3
\n", "
81
\n", "
0
\n", "
132
\n", "
869
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL PRIMARY CARE FY22-Q3
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PRIMARY CARE FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PRIMARY CARE FY22-Q3
\n", "
27
\n", "
0
\n", "
133
\n", "
133
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PRIMARY CARE FY22-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
20
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL PRIMARY CARE FY22-Q3
\n", "
161
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL PULMONARY FY22-Q3
\n", "
16
\n", "
0
\n", "
132
\n", "
63
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PULMONARY FY22-Q3
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MEDICINE FY14-Q1
\n", "
19
\n", "
0
\n", "
133
\n", "
55
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PULMONARY FY22-Q3
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PULMONARY FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["RESPIRATORY THERAPY ICD-10", "
NATIONAL PULMONARY FY22-Q3
\n", "
81
\n", "
0
\n", "
132
\n", "
949
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL REHAB-PT/OT/KT FY22-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REHAB-PT/OT/KT FY22-Q3
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REHAB-PT/OT/KT FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REHAB-PT/OT/KT FY22-Q3
\n", "
16
\n", "
0
\n", "
133
\n", "
219
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["REHAB ICD-10 CODES", "
NATL REHAB-PT/OT/KT FY22-Q3
\n", "
236
\n", "
0
\n", "
132
\n", "
1419
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL RESP THERAPY FY22-Q3
\n", "
14
\n", "
0
\n", "
132
\n", "
66
\n", "
SOLID LINE
\n", "
PLEASE MARK PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL RESP THERAPY FY22-Q3
\n", "
1
\n", "
43
\n", "
47
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL MEDICINE FY14-Q1
\n", "
81
\n", "
0
\n", "
133
\n", "
615
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL RESP THERAPY FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL RESP THERAPY FY22-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["RESPIRATORY THERAPY ICD-10", "
NATIONAL RESP THERAPY FY22-Q3
\n", "
81
\n", "
0
\n", "
132
\n", "
949
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL SCI FY22-Q3
\n", "
1
\n", "
52
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SCI FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL SCI FY22-Q3
\n", "
26
\n", "
0
\n", "
133
\n", "
74
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SCI FY22-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["SCI ICD-10", "
NATIONAL SCI FY22-Q3
\n", "
101
\n", "
0
\n", "
132
\n", "
369
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["SPEECH PATHOLOGY CPT CODES", "
NATIONAL SPEECH FY22-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
43
\n", "
SOLID LINE
\n", "
SPEECH PATHOLOGY PROCEDURES PERFORMED THIS VISIT
\n", "
C
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SPEECH FY22-Q3
\n", "
1
\n", "
54
\n", "
15
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL MH PSYCHIATRIST FY14-Q1
\n", "
81
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SPEECH FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL SPEECH FY22-Q3
\n", "
51
\n", "
0
\n", "
132
\n", "
149
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TBI FY22-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TBI FY22-Q3
\n", "
1
\n", "
49
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TBI FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL TBI FY22-Q3
\n", "
17
\n", "
0
\n", "
133
\n", "
53
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL TBI FY22-Q3
\n", "
71
\n", "
0
\n", "
132
\n", "
119
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TELEDERM FY22-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TELEDERM FY22-Q3
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEDERM FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL MH PSYCHIATRIST FY14-Q1
\n", "
26
\n", "
0
\n", "
132
\n", "
49
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELEDERM FY22-Q3
\n", "
16
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DERM/TELEDERM ICD-10", "
NATIONAL TELEDERM FY22-Q3
\n", "
24
\n", "
0
\n", "
132
\n", "
569
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL TELEHLTH-PT SITE FY22-Q3
\n", "
1
\n", "
49
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL TELEHLTH-PT SITE FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL TELEHLTH-PT SITE FY22-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["TELEHEALTH ICD-10", "
NATL TELEHLTH-PT SITE FY22-Q3
\n", "
14
\n", "
0
\n", "
132
\n", "
601
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TRANSPLANT FY22-Q3
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL TRANSPLANT FY22-Q3
\n", "
15
\n", "
0
\n", "
132
\n", "
40
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TRANSPLANT FY22-Q3
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TRANSPLANT FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATL MH PSYCHIATRIST FY14-Q1
\n", "
1
\n", "
55
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL TRANSPLANT FY22-Q3
\n", "
56
\n", "
0
\n", "
132
\n", "
284
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL URGENT CARE FY22-Q3
\n", "
1
\n", "
49
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL URGENT CARE FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["E&M OUTPATIENT CODES", "
NATIONAL URGENT CARE FY22-Q3
\n", "
6
\n", "
0
\n", "
90
\n", "
11
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL URGENT CARE FY22-Q3
\n", "
18
\n", "
0
\n", "
132
\n", "
107
\n", "
SOLID LINE
\n", "
FILL IN BUBBLES FOR ALL PROCEDURES PERFORMED THIS VISIT
\n", "
URCB
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL URGENT CARE FY22-Q3
\n", "
126
\n", "
0
\n", "
132
\n", "
2749
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL GTWY TO HLTHY LIV FY22-Q3
\n", "
1
\n", "
54
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL GTWY TO HLTHY LIV FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL GTWY TO HLTHY LIV FY22-Q3
\n", "
7
\n", "
0
\n", "
133
\n", "
13
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATL GTWY TO HLTHY LIV FY22-Q3
\n", "
21
\n", "
0
\n", "
132
\n", "
2754
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MH PSYCHIATRIST FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATL COVID19 SPLMNTL FY22-Q3
\n", "
1
\n", "
54
\n", "
35
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL COVID19 SPLMNTL FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["COVID-19 ICD CODES", "
NATL COVID19 SPLMNTL FY22-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
38
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL TEL COVID19 SPMTL FY22-Q3
\n", "
1
\n", "
49
\n", "
45
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL TEL COVID19 SPMTL FY22-Q3
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATL TEL COVID19 SPMTL FY22-Q3
\n", "
7
\n", "
0
\n", "
132
\n", "
48
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["COVID-19 ICD CODES", "
NATL TEL COVID19 SPMTL FY22-Q3
\n", "
56
\n", "
0
\n", "
132
\n", "
38
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ECOE TELE FY22-Q4
\n", "
1
\n", "
57
\n", "
50
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ECOE TELE FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL ECOE TELE FY22-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
FILL IN BUBBLE FOR TELEPHONE CALL PERFORMED
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATL MH PSYCHIATRIST FY14-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["ECOE ICD-10", "
NATIONAL ECOE TELE FY22-Q4
\n", "
17
\n", "
0
\n", "
132
\n", "
129
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL PREVENTIVE HEALTH FY22-Q4
\n", "
1
\n", "
49
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PREVENTIVE HEALTH FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PREVENTIVE HEALTH ICD-10", "
NATL PREVENTIVE HEALTH FY22-Q4
\n", "
41
\n", "
0
\n", "
132
\n", "
204
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PREVENTIVE HEALTH FY22-Q4
\n", "
7
\n", "
0
\n", "
133
\n", "
33
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL SLEEP MED FY22-Q4
\n", "
17
\n", "
0
\n", "
132
\n", "
23
\n", "
SOLID LINE
\n", "
PLEASE MARK PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SLEEP MED FY22-Q4
\n", "
1
\n", "
49
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SLEEP MED FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SLEEP MED FY22-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["SLEEP MEDICINE ICD-10", "
NATIONAL SLEEP MED FY22-Q4
\n", "
41
\n", "
0
\n", "
132
\n", "
124
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PREVENTIVE HEALTH FY14-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATL ONC/CHEMO INF FY22-Q4
\n", "
21
\n", "
0
\n", "
133
\n", "
159
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL ONC/CHEMO INF FY22-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL ONC/CHEMO INF FY22-Q4
\n", "
1
\n", "
44
\n", "
39
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL ONC/CHEMO INF FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL ONC/CHEMO INF FY22-Q4
\n", "
181
\n", "
0
\n", "
132
\n", "
494
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEUROLOGY FY22-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "", "
CRU
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL NEUROLOGY FY22-Q4
\n", "
2
\n", "
55
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEUROLOGY FY22-Q4
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL NEUROLOGY FY22-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
69
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["NEUROLOGY ICD-10", "
NATIONAL NEUROLOGY FY22-Q4
\n", "
86
\n", "
0
\n", "
132
\n", "
414
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROVIDER (V2.1)", "
AMBULATORY SURGERY SAMPLE V2.1
\n", "
42
\n", "
95
\n", "
38
\n", "
10
\n", "
SOLID LINE
\n", "
PROVIDER
\n", "
RC
\n", "
Clinic's providers
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PREVENTIVE HEALTH FY14-Q1
\n", "
1
\n", "
49
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATIONAL ADHC FY22-Q4
\n", "
1
\n", "
47
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ADHC FY22-Q4
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ADHC FY22-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
5
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ADHC FY22-Q4
\n", "
13
\n", "
0
\n", "
133
\n", "
12
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ADHC ICD-10", "
NATIONAL ADHC FY22-Q4
\n", "
26
\n", "
0
\n", "
132
\n", "
284
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL BLIND REHAB FY22-Q4
\n", "
1
\n", "
56
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL BLIND REHAB FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL BLIND REHAB FY22-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
23
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["BLIND REHAB ICD-10", "
NATIONAL BLIND REHAB FY22-Q4
\n", "
31
\n", "
0
\n", "
132
\n", "
174
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CARDIOLOGY/CATH FY22-Q4
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PREVENTIVE HEALTH FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CARDIOLOGY/CATH FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CARDIOLOGY/CATH FY22-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY/CARDIAC CATH ICD-10", "
NATL CARDIOLOGY/CATH FY22-Q4
\n", "
511
\n", "
0
\n", "
132
\n", "
509
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATL CARDIOLOGY/CATH FY22-Q4
\n", "
17
\n", "
0
\n", "
132
\n", "
493
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
EPS PROCEDURES
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CHIROPRACTIC FY22-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CHIROPRACTIC FY22-Q4
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CHIROPRACTIC FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CHIROPRACTIC FY22-Q4
\n", "
15
\n", "
0
\n", "
133
\n", "
30
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CHIROPRACTIC ICD-10", "
NATIONAL CHIROPRACTIC FY22-Q4
\n", "
46
\n", "
0
\n", "
132
\n", "
259
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CLIN PHARM FY22-Q4
\n", "
1
\n", "
57
\n", "
28
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PREVENTIVE HEALTH FY14-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
18
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CLIN PHARM FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CLIN PHARM FY22-Q4
\n", "
7
\n", "
0
\n", "
133
\n", "
23
\n", "
SOLID LINE
\n", "
MANAGEMENT OF MEDICATION THERAPY
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CLINICAL PHARMACIST ICD-10", "
NATIONAL CLIN PHARM FY22-Q4
\n", "
31
\n", "
0
\n", "
132
\n", "
179
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DIABETES FY22-Q4
\n", "
5
\n", "
0
\n", "
132
\n", "
20
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DIABETES FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL DIABETES FY22-Q4
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL DIABETES FY22-Q4
\n", "
26
\n", "
0
\n", "
132
\n", "
24
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIABETES ICD-10", "
NATIONAL DIABETES FY22-Q4
\n", "
51
\n", "
0
\n", "
132
\n", "
354
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ED FY22-Q4
\n", "
21
\n", "
0
\n", "
133
\n", "
124
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ED FY22-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATL PREVENTIVE HEALTH FY14-Q1
\n", "
36
\n", "
0
\n", "
133
\n", "
619
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ED FY22-Q4
\n", "
1
\n", "
56
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ED FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["EMERGENCY DEPT ICD-10", "
NATIONAL ED FY22-Q4
\n", "
146
\n", "
0
\n", "
132
\n", "
829
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ENDOCRINOLOGY FY22-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ENDOCRINOLOGY FY22-Q4
\n", "
1
\n", "
54
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ENDOCRINOLOGY FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ENDOCRINE ICD-10", "
NATIONAL ENDOCRINOLOGY FY22-Q4
\n", "
47
\n", "
0
\n", "
132
\n", "
263
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ENDOCRINOLOGY FY22-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EYE TECH FY22-Q4
\n", "
1
\n", "
54
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EYE TECH FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATL RADIATION THERAPY FY14-Q1
\n", "
1
\n", "
47
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EYE TECH FY22-Q4
\n", "
7
\n", "
0
\n", "
133
\n", "
43
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["EYE/TELERETINAL ICD-10", "
NATIONAL EYE TECH FY22-Q4
\n", "
51
\n", "
0
\n", "
132
\n", "
759
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL EYE FY22-Q4
\n", "
1
\n", "
60
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL EYE FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL EYE FY22-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL EYE FY22-Q4
\n", "
41
\n", "
0
\n", "
133
\n", "
219
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["EYE/TELERETINAL ICD-10", "
NATIONAL EYE FY22-Q4
\n", "
261
\n", "
0
\n", "
132
\n", "
759
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL GI/HEPATOLOGY FY22-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL GI/HEPATOLOGY FY22-Q4
\n", "
1
\n", "
54
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL GI/HEPATOLOGY FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL RADIATION THERAPY FY14-Q1
\n", "
54
\n", "
0
\n", "
132
\n", "
137
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
BUC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL GI/HEPATOLOGY FY22-Q4
\n", "
106
\n", "
0
\n", "
132
\n", "
709
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL GI/HEPATOLOGY FY22-Q4
\n", "
15
\n", "
0
\n", "
132
\n", "
90
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC CLIN FY22-Q4
\n", "
1
\n", "
58
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC CLIN FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HBPC CLIN FY22-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF HOME VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATL HBPC CLIN FY22-Q4
\n", "
101
\n", "
0
\n", "
132
\n", "
2754
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC CLIN FY22-Q4
\n", "
21
\n", "
0
\n", "
133
\n", "
79
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC NURSING FY22-Q4
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURE CODES", "
NATL HBPC NURSING FY22-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
48
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURE CODES PERFORMED AT THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC NURSING FY22-Q4
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["EVALUATION/MANAGEMENT - MED", "
NATL RADIATION THERAPY FY14-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
EVALUATION/MANAGEMENT
\n", "
UBC
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["NURSING ICD-10", "
NATL HBPC NURSING FY22-Q4
\n", "
56
\n", "
0
\n", "
132
\n", "
644
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC REHAB FY22-Q4
\n", "
6
\n", "
0
\n", "
133
\n", "
34
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC REHAB FY22-Q4
\n", "
1
\n", "
49
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC REHAB FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["REHAB ICD-10 CODES", "
NATL HBPC REHAB FY22-Q4
\n", "
41
\n", "
0
\n", "
132
\n", "
1419
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INPATIENT FY22-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
29
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL INPATIENT FY22-Q4
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INPATIENT FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL INPATIENT FY22-Q4
\n", "
36
\n", "
0
\n", "
133
\n", "
24
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["INPATIENT ICD-10", "
NATIONAL INPATIENT FY22-Q4
\n", "
61
\n", "
0
\n", "
132
\n", "
1189
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURE", "
NATL RADIATION THERAPY FY14-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
36
\n", "
SOLID LINE
\n", "
RADIATION THERAPY PROCEDURES
\n", "
BUC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL MEDICINE FY22-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MEDICINE FY22-Q4
\n", "
1
\n", "
56
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MEDICINE FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MEDICINE FY22-Q4
\n", "
26
\n", "
0
\n", "
133
\n", "
94
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL MEDICINE FY22-Q4
\n", "
121
\n", "
0
\n", "
132
\n", "
2754
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL NURSING CLINIC FY22-Q4
\n", "
1
\n", "
46
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL NURSING CLINIC FY22-Q4
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL NURSING CLINIC FY22-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL NURSING CLINIC FY22-Q4
\n", "
14
\n", "
0
\n", "
133
\n", "
126
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["NURSING ICD-10", "
NATL NURSING CLINIC FY22-Q4
\n", "
141
\n", "
0
\n", "
132
\n", "
644
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL RADIATION THERAPY FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["WOMEN'S CLINIC PROCEDURES", "
NATIONAL OB/GYN FY22-Q4
\n", "
19
\n", "
0
\n", "
132
\n", "
76
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
WOMEN'S CLINIC PROCEDURES
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL OB/GYN FY22-Q4
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL OB/GYN FY22-Q4
\n", "
1
\n", "
49
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL OB/GYN FY22-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATIONAL OB/GYN FY22-Q4
\n", "
96
\n", "
0
\n", "
132
\n", "
1149
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST INPT FY22-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST INPT FY22-Q4
\n", "
21
\n", "
0
\n", "
133
\n", "
84
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST INPT FY22-Q4
\n", "
1
\n", "
58
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST INPT FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL PHYSIATRIST INPT FY22-Q4
\n", "
106
\n", "
0
\n", "
132
\n", "
894
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL REHAB-PT/OT/KT FY14-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL PHYSIATRIST OTPT FY22-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL PHYSIATRIST OTPT FY22-Q4
\n", "
1
\n", "
58
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL PHYSIATRIST OTPT FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL PHYSIATRIST OTPT FY22-Q4
\n", "
16
\n", "
0
\n", "
133
\n", "
59
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
NATL PHYSIATRIST OTPT FY22-Q4
\n", "
81
\n", "
0
\n", "
132
\n", "
894
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL PRIMARY CARE FY22-Q4
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PRIMARY CARE FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PRIMARY CARE FY22-Q4
\n", "
27
\n", "
0
\n", "
133
\n", "
133
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PRIMARY CARE FY22-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
20
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PRIMARY CARE ICD-10", "
NATIONAL PRIMARY CARE FY22-Q4
\n", "
161
\n", "
0
\n", "
132
\n", "
2754
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
AMBULATORY SURGERY SAMPLE V2.1
\n", "
80
\n", "
0
\n", "
133
\n", "
80
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REHAB-PT/OT/KT FY14-Q1
\n", "
16
\n", "
0
\n", "
133
\n", "
83
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL PULMONARY FY22-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
63
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PULMONARY FY22-Q4
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PULMONARY FY22-Q4
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PULMONARY FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["RESPIRATORY THERAPY ICD-10", "
NATIONAL PULMONARY FY22-Q4
\n", "
81
\n", "
0
\n", "
132
\n", "
949
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SCI FY22-Q4
\n", "
1
\n", "
52
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SCI FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL SCI FY22-Q4
\n", "
26
\n", "
0
\n", "
133
\n", "
74
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SCI FY22-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["SCI ICD-10", "
NATIONAL SCI FY22-Q4
\n", "
101
\n", "
0
\n", "
132
\n", "
369
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REHAB-PT/OT/KT FY14-Q1
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
NATIONAL TELEPHONE FY22-Q4
\n", "
1
\n", "
59
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEPHONE FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL TELEPHONE FY22-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
FILL IN BUBBLE FOR TELEPHONE CALL PERFORMED
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["TELEPHONE ICD-10", "
NATIONAL TELEPHONE FY22-Q4
\n", "
21
\n", "
0
\n", "
132
\n", "
109
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELE-EYE FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL TELE-EYE FY22-Q4
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELE-EYE FY22-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["EYE/TELERETINAL ICD-10", "
NATIONAL TELE-EYE FY22-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
759
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ANESTHESIA FY22-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ANESTHESIA FY22-Q4
\n", "
1
\n", "
54
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REHAB-PT/OT/KT FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ANESTHESIA FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ANESTHESIA ICD-10", "
NATIONAL ANESTHESIA FY22-Q4
\n", "
206
\n", "
0
\n", "
132
\n", "
406
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ANESTHESIA FY22-Q4
\n", "
21
\n", "
0
\n", "
132
\n", "
184
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATL HOSP/PALL INPT FY22-Q4
\n", "
26
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HOSP/PALL INPT FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATL HOSP/PALL INPT FY22-Q4
\n", "
1
\n", "
48
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HOSPICE/PALLIATIVE CARE ICD-10", "
NATL HOSP/PALL INPT FY22-Q4
\n", "
41
\n", "
0
\n", "
132
\n", "
364
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HOSP/PALL INPT FY22-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATL HOSP/PALL OTPT FY22-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HOSP/PALL OTPT FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL REHAB-PT/OT/KT FY14-Q1
\n", "
100
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
PRIMARY DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HOSP/PALL OTPT FY22-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HOSP/PALL OTPT FY22-Q4
\n", "
1
\n", "
48
\n", "
43
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HOSPICE/PALLIATIVE CARE ICD-10", "
NATL HOSP/PALL OTPT FY22-Q4
\n", "
36
\n", "
0
\n", "
132
\n", "
364
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL COVID19 SPLMNTL FY22-Q4
\n", "
1
\n", "
54
\n", "
35
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL COVID19 SPLMNTL FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["COVID-19 ICD CODES", "
NATL COVID19 SPLMNTL FY22-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
48
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL TEL COVID19 SPMTL FY22-Q4
\n", "
1
\n", "
49
\n", "
45
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL TEL COVID19 SPMTL FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATL TEL COVID19 SPMTL FY22-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
48
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["COVID-19 ICD CODES", "
NATL TEL COVID19 SPMTL FY22-Q4
\n", "
56
\n", "
0
\n", "
132
\n", "
48
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATL REHAB-PT/OT/KT FY14-Q1
\n", "
110
\n", "
0
\n", "
132
\n", "
74
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REMOTE MONITORING FY22-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATL REMOTE MONITORING FY22-Q4
\n", "
1
\n", "
49
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL REMOTE MONITORING FY22-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIABETES ICD-10", "
NATL REMOTE MONITORING FY22-Q4
\n", "
21
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL RHEUMATOLOGY FY14-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
PLEASE CHECK CPT CODES THAT APPLY
\n", "
CUB
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL RHEUMATOLOGY FY14-Q1
\n", "
1
\n", "
54
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL RHEUMATOLOGY FY14-Q1
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL RHEUMATOLOGY FY14-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CUB
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["RHEUMATOLOGY DIAGNOSIS 08/11", "
NATIONAL RHEUMATOLOGY FY14-Q1
\n", "
28
\n", "
0
\n", "
132
\n", "
242
\n", "
SOLID LINE
\n", "
DIAGNOSIS (P-PRIMARY, S-SECONDARY, ADD-ADD TO PROBLEM LIST)
\n", "
CUB
\n", "
ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["APPOINTMENT", "
AMBULATORY SURGERY SAMPLE V2.1
\n", "
5
\n", "
67
\n", "
66
\n", "
5
\n", "
SOLID LINE
\n", "
APPOINTMENT INFORMATION
\n", "
RC
\n", "
Cinic & appt. date/time
\n", "
0
\n", "", "", "", ""], ["SPEECH PATH DIAGNOSIS CODES", "
NATIONAL SPEECH FY14-Q1
\n", "
61
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "
SPEECH PATHOLOGY DIAGNOSIS TREATED THIS VISIT
\n", "
BC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SPEECH FY14-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
3
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["SPEECH PATHOLOGY CPT CODES", "
NATIONAL SPEECH FY14-Q1
\n", "
10
\n", "
0
\n", "
132
\n", "
50
\n", "
SOLID LINE
\n", "
SPEECH PATHOLOGY PROCEDURES PERFORMED THIS VISIT
\n", "
C
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SPEECH FY14-Q1
\n", "
1
\n", "
54
\n", "
15
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SPEECH FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL SWS MH FY14-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
39
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SWS MH FY14-Q1
\n", "
1
\n", "
55
\n", "
44
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SWS MH FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL SWS MH FY14-Q1
\n", "
45
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TBI FY14-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["FUTURE APPTS (V2.1)", "
AMBULATORY SURGERY SAMPLE V2.1
\n", "
10
\n", "
67
\n", "
66
\n", "
11
\n", "
SOLID LINE
\n", "
FUTURE APPOINTMENTS
\n", "
RC
\n", "
all future appointments
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TBI FY14-Q1
\n", "
1
\n", "
49
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TBI FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL TBI FY14-Q1
\n", "
31
\n", "
0
\n", "
133
\n", "
119
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL TBI FY14-Q1
\n", "
17
\n", "
0
\n", "
133
\n", "
13
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TELEDERM FY14-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELEDERM FY14-Q1
\n", "
17
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TELEDERM FY14-Q1
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEDERM FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL TELEDERM FY14-Q1
\n", "
24
\n", "
0
\n", "
132
\n", "
274
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["HEADER", "
NATL TELEHLTH-PT SITE FY14-Q1
\n", "
1
\n", "
49
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION (V2.1)", "
AMBULATORY SURGERY SAMPLE V2.1
\n", "
1
\n", "
0
\n", "
63
\n", "
21
\n", "
SOLID LINE
\n", "
PATIENT INFORMATION
\n", "
CR
\n", "
Name,sex,DOB,PID,eligibilty,address,telephone
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL TELEHLTH-PT SITE FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL TELEHLTH-PT SITE FY14-Q1
\n", "
14
\n", "
0
\n", "
132
\n", "
146
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL TELEHLTH-PT SITE FY14-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELERETINAL FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL TELERETINAL FY14-Q1
\n", "
1
\n", "
49
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELERETINAL FY14-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL TELERETINAL FY14-Q1
\n", "
16
\n", "
0
\n", "
133
\n", "
417
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL THORACIC SURG FY14-Q1
\n", "
52
\n", "
0
\n", "
133
\n", "
99
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL THORACIC SURG FY14-Q1
\n", "
1
\n", "
56
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL THORACIC SURG FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["VITALS (V2.1)", "
AMBULATORY SURGERY SAMPLE V2.1
\n", "
21
\n", "
0
\n", "
63
\n", "
10
\n", "
SOLID LINE
\n", "
VITALS
\n", "
RC
\n", "
Blood pressure and weight
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL THORACIC SURG FY14-Q1
\n", "
18
\n", "
0
\n", "
133
\n", "
33
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL THORACIC SURG FY14-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL UROLOGY FY14-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL UROLOGY FY14-Q1
\n", "
5
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL UROLOGY FY14-Q1
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL UROLOGY FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL UROLOGY FY14-Q1
\n", "
51
\n", "
0
\n", "
132
\n", "
124
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL VASCULAR SURG FY14-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL VASCULAR SURG FY14-Q1
\n", "
1
\n", "
54
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL VASCULAR SURG FY14-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ALLERGIES (V2.1)", "
AMBULATORY SURGERY SAMPLE V2.1
\n", "
21
\n", "
67
\n", "
66
\n", "
10
\n", "
SOLID LINE
\n", "
****** PATIENT ALLERGIES ******
\n", "
CR
\n", "
Patient's allergies
\n", "
0
\n", "", "", "", ""], ["DIAGNOSES - 1", "
NATIONAL VASCULAR SURG FY14-Q1
\n", "
38
\n", "
0
\n", "
132
\n", "
116
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL VASCULAR SURG FY14-Q1
\n", "
15
\n", "
0
\n", "
132
\n", "
20
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL ADDICTION FY14-Q2
\n", "
41
\n", "
0
\n", "
132
\n", "
29
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ADDICTION FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ADDICTION FY14-Q2
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL ADDICTION FY14-Q2
\n", "
71
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL ADDICTION FY14-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
33
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL AUDIO FY14-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
3
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["AUDIOLOGY DIAGNOSIS CODES", "
NATIONAL AUDIO FY14-Q2
\n", "
81
\n", "
0
\n", "
132
\n", "
86
\n", "
SOLID LINE
\n", "
AUDIOLOGY DIAGNOSIS TREATED THIS VISIT
\n", "
C
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL AUDIO FY14-Q2
\n", "
1
\n", "
54
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HEADER", "
AMBULATORY SURGERY SAMPLE V2.1
\n", "
1
\n", "
89
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL AUDIO FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["AUDIOLOGY CPT CODES", "
NATIONAL AUDIO FY14-Q2
\n", "
9
\n", "
0
\n", "
132
\n", "
71
\n", "
SOLID LINE
\n", "
AUDIOLOGY PROCEDURES PERFORMED THIS VISIT
\n", "
C
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATIONAL BLIND REHAB FY14-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
4
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""], ["SECONDARY DIAGNOSES CODES", "
NATIONAL BLIND REHAB FY14-Q2
\n", "
36
\n", "
0
\n", "
132
\n", "
40
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT
\n", "
BC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL BLIND REHAB FY14-Q2
\n", "
1
\n", "
56
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL BLIND REHAB FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DIAGNOSIS CODES", "
NATIONAL BLIND REHAB FY14-Q2
\n", "
28
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
PRIMARY DIAGNOSIS
\n", "
UC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL BLIND REHAB FY14-Q2
\n", "
11
\n", "
0
\n", "
132
\n", "
16
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY DIAGNOSIS CODES", "
NATIONAL CARD CATH FY14-Q2
\n", "
141
\n", "
0
\n", "
132
\n", "
149
\n", "
SOLID LINE
\n", "
CARDIOLOGY DIAGNOSES
\n", "
CR
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATIONAL CARD CATH FY14-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
134
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
EPS PROCEDURES
\n", "
0
\n", "", "", "", ""], ["APPOINTMENT (V2.1)", "
TOOL KIT
\n", "
71
\n", "
0
\n", "
40
\n", "
5
\n", "
SOLID LINE
\n", "
APPOINTMENT INFORMATION
\n", "
RC
\n", "
Clinic & appt. date/time
\n", "
6
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
AMBULATORY SURGERY SAMPLE V2.1
\n", "
52
\n", "
0
\n", "
133
\n", "
28
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CARD CATH FY14-Q2
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CARD CATH FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATIONAL CARDIOLOGY FY14-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
54
\n", "
SOLID LINE
\n", "
CARDIOLOGY PROCEDURES
\n", "
CR
\n", "
CARDIOLOGY PROCEDURES
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CARDIOLOGY FY14-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CARDIOLOGY FY14-Q2
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CARDIOLOGY FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CARDIOLOGY DIAGNOSIS CODES", "
NATIONAL CARDIOLOGY FY14-Q2
\n", "
71
\n", "
0
\n", "
132
\n", "
149
\n", "
SOLID LINE
\n", "
CARDIOLOGY DIAGNOSES
\n", "
CR
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["HEADER", "
NATL CCHT CLINICIAN FY14-Q2
\n", "
1
\n", "
49
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CCHT CLINICIAN FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL CCHT CLINICIAN FY14-Q2
\n", "
48
\n", "
0
\n", "
132
\n", "
209
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CHECKOUT (V2.1)", "
EMERGENCY SERVICES SAMPLE V2.1
\n", "
31
\n", "
95
\n", "
38
\n", "
11
\n", "
SOLID LINE
\n", "
CHECKOUT
\n", "
CR
\n", "
Appointment checkout
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CCHT CLINICIAN FY14-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL CCHT CLINICIAN FY14-Q2
\n", "
38
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL CCHT CLINICIAN FY14-Q2
\n", "
18
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CCHT NURSE FY14-Q2
\n", "
1
\n", "
49
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CCHT NURSE FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL CCHT NURSE FY14-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL CCHT NURSE FY14-Q2
\n", "
14
\n", "
0
\n", "
132
\n", "
16
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL CCHT NURSE FY14-Q2
\n", "
31
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL CCHT NURSE FY14-Q2
\n", "
41
\n", "
0
\n", "
132
\n", "
209
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["HEADER", "
NATL CCHT SWS FY14-Q2
\n", "
1
\n", "
49
\n", "
36
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
EMERGENCY SERVICES SAMPLE V2.1
\n", "
42
\n", "
0
\n", "
90
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1994 visit types
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CCHT SWS FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL CCHT SWS FY14-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
16
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL CCHT SWS FY14-Q2
\n", "
24
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL CCHT SWS FY14-Q2
\n", "
34
\n", "
0
\n", "
132
\n", "
209
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["CPT PROCEDURE", "
NATIONAL CHEMO INFUSN FY14-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
104
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CHEMO INFUSN FY14-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CHEMO INFUSN FY14-Q2
\n", "
1
\n", "
56
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CHEMO INFUSN FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSES", "
NATIONAL CHEMO INFUSN FY14-Q2
\n", "
121
\n", "
0
\n", "
133
\n", "
209
\n", "
SOLID LINE
\n", "", "
CRUB
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CHIROPRACTIC FY14-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROVIDER (V2.1)", "
EMERGENCY SERVICES SAMPLE V2.1
\n", "
42
\n", "
95
\n", "
38
\n", "
10
\n", "
SOLID LINE
\n", "
PROVIDER
\n", "
RC
\n", "
Clinic's providers
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL CHIROPRACTIC FY14-Q2
\n", "
33
\n", "
0
\n", "
132
\n", "
76
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CHIROPRACTIC FY14-Q2
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CHIROPRACTIC FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CHIROPRACTIC FY14-Q2
\n", "
15
\n", "
0
\n", "
133
\n", "
17
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["SECONDARY DX", "
NATIONAL C&P FY14-Q2
\n", "
36
\n", "
0
\n", "
132
\n", "
52
\n", "
SOLID LINE
\n", "
SECONDARY DX-AS APPROPRIATE
\n", "
CR
\n", "
SECONDARY DX
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL C&P FY14-Q2
\n", "
1
\n", "
56
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL C&P FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL C&P FY14-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL C&P FY14-Q2
\n", "
13
\n", "
0
\n", "
133
\n", "
6
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY DX", "
NATIONAL C&P FY14-Q2
\n", "
20
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
PRIMARY DIAGNOSIS
\n", "
CR
\n", "
PRIMARY DX
\n", "
0
\n", "", "", "", ""], ["APPOINTMENT", "
EMERGENCY SERVICES SAMPLE V2.1
\n", "
5
\n", "
67
\n", "
66
\n", "
5
\n", "
SOLID LINE
\n", "
APPOINTMENT INFORMATION
\n", "
RC
\n", "
Cinic & appt. date/time
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CRITICAL CARE FY14-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL CRITICAL CARE FY14-Q2
\n", "
66
\n", "
0
\n", "
133
\n", "
534
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CRITICAL CARE FY14-Q2
\n", "
1
\n", "
56
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CRITICAL CARE FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CRITICAL CARE FY14-Q2
\n", "
21
\n", "
0
\n", "
133
\n", "
44
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL GEN SURG FY14-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL GEN SURG FY14-Q2
\n", "
15
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL GEN SURG FY14-Q2
\n", "
1
\n", "
54
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL GEN SURG FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS", "
NATIONAL GEN SURG FY14-Q2
\n", "
31
\n", "
0
\n", "
132
\n", "
224
\n", "
SOLID LINE
\n", "", "
RC
\n", "
ICD-9
\n", "", "", "", "", ""], ["FUTURE APPTS (V2.1)", "
EMERGENCY SERVICES SAMPLE V2.1
\n", "
10
\n", "
67
\n", "
66
\n", "
11
\n", "
SOLID LINE
\n", "
FUTURE APPOINTMENTS
\n", "
RC
\n", "
all future appointments
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL GERIATRICS FY14-Q2
\n", "
1
\n", "
51
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["E&M CODES OUTPNT BRAD'S", "
NATIONAL GERIATRICS FY14-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL GERIATRICS FY14-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL GERIATRICS FY14-Q2
\n", "
18
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL GERIATRICS FY14-Q2
\n", "
28
\n", "
0
\n", "
131
\n", "
73
\n", "
SOLID LINE
\n", "", "
UBRC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL GI FY14-Q2
\n", "
96
\n", "
0
\n", "
132
\n", "
68
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL GI FY14-Q2
\n", "
15
\n", "
0
\n", "
132
\n", "
80
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL GI FY14-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL GI FY14-Q2
\n", "
1
\n", "
61
\n", "
11
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL GI FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PATIENT INFORMATION (V2.1)", "
EMERGENCY SERVICES SAMPLE V2.1
\n", "
1
\n", "
0
\n", "
63
\n", "
21
\n", "
SOLID LINE
\n", "
PATIENT INFORMATION
\n", "
CR
\n", "
Name,sex,DOB,PID,eligibilty,address,telephone
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC CLIN FY14-Q2
\n", "
1
\n", "
58
\n", "
24
\n", "
3
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC CLIN FY14-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HBPC CLIN FY14-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF HOME VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC CLIN FY14-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
25
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATL HBPC CLIN FY14-Q2
\n", "
43
\n", "
0
\n", "
133
\n", "
596
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATL HBPC NURSING FY14-Q2
\n", "
1
\n", "
46
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HOME VISIT CODES", "
NATL HBPC NURSING FY14-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF HOME VISIT - PER 15 MINUTES
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC NURSING FY14-Q2
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURE CODES", "
NATL HBPC NURSING FY14-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
21
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURE CODES PERFORMED AT THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATL HBPC NURSING FY14-Q2
\n", "
38
\n", "
0
\n", "
132
\n", "
119
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "", "", "", "", ""], ["VITALS (V2.1)", "
EMERGENCY SERVICES SAMPLE V2.1
\n", "
21
\n", "
0
\n", "
63
\n", "
10
\n", "
SOLID LINE
\n", "
VITALS
\n", "
RC
\n", "
Blood pressure and weight
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC PT/OT FY14-Q2
\n", "
6
\n", "
0
\n", "
133
\n", "
13
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HBPC PT/OT FY14-Q2
\n", "
1
\n", "
49
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC PT/OT FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL HBPC PT/OT FY14-Q2
\n", "
20
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
PRIMARY DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATL HBPC PT/OT FY14-Q2
\n", "
30
\n", "
0
\n", "
132
\n", "
74
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["DIAGNOSES", "
NATIONAL HEMATOLOGY FY14-Q2
\n", "
81
\n", "
0
\n", "
133
\n", "
109
\n", "
SOLID LINE
\n", "", "
CRUB
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATIONAL HEMATOLOGY FY14-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
58
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL HEMATOLOGY FY14-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL HEMATOLOGY FY14-Q2
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL HEMATOLOGY FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ALLERGIES (V2.1)", "
EMERGENCY SERVICES SAMPLE V2.1
\n", "
21
\n", "
67
\n", "
66
\n", "
10
\n", "
SOLID LINE
\n", "
****** PATIENT ALLERGIES ******
\n", "
CR
\n", "
Patient's allergies
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL HEPATOLOGY FY14-Q2
\n", "
91
\n", "
0
\n", "
132
\n", "
109
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL HEPATOLOGY FY14-Q2
\n", "
15
\n", "
0
\n", "
132
\n", "
75
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL HEPATOLOGY FY14-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL HEPATOLOGY FY14-Q2
\n", "
1
\n", "
61
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL HEPATOLOGY FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INFECTIOUS DX FY14-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL INFECTIOUS DX FY14-Q2
\n", "
1
\n", "
56
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INFECTIOUS DX FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL INFECTIOUS DX FY14-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
13
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL INFECTIOUS DX FY14-Q2
\n", "
31
\n", "
0
\n", "
133
\n", "
129
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
EMERGENCY SERVICES SAMPLE V2.1
\n", "
1
\n", "
89
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INPATIENT FY14-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL INPATIENT FY14-Q2
\n", "
21
\n", "
0
\n", "
133
\n", "
203
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL INPATIENT FY14-Q2
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INPATIENT FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL IR FY14-Q2
\n", "
1
\n", "
49
\n", "
33
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL IR FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSES - 1", "
NATIONAL IR FY14-Q2
\n", "
56
\n", "
0
\n", "
132
\n", "
192
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL IR FY14-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
48
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MED FOSTER HOME FY14-Q2
\n", "
1
\n", "
56
\n", "
28
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MED FOSTER HOME FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CHECKOUT (V2.1)", "
TOOL KIT
\n", "
81
\n", "
0
\n", "
35
\n", "
11
\n", "
SOLID LINE
\n", "
CHECKOUT
\n", "
CR
\n", "
Appointment checkout
\n", "
7
\n", "", "", "", ""], ["SC CONDITIONS (V2.1)", "
EMERGENCY SERVICES SAMPLE V2.1
\n", "
31
\n", "
0
\n", "
90
\n", "
11
\n", "
SOLID LINE
\n", "
SERVICE CONNECTED CONDITIONS
\n", "
RC
\n", "
SC conditions,indicators, visit classifications
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL MED FOSTER HOME FY14-Q2
\n", "
6
\n", "
0
\n", "
133
\n", "
39
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS MED FOSTER HOME", "
NATL MED FOSTER HOME FY14-Q2
\n", "
46
\n", "
0
\n", "
133
\n", "
524
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PLASTIC SURG FY14-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PLASTIC SURG FY14-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PLASTIC SURG FY14-Q2
\n", "
1
\n", "
49
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL PLASTIC SURG FY14-Q2
\n", "
66
\n", "
0
\n", "
132
\n", "
80
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PLASTIC SURG FY14-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
48
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL POLYTRAUMA FY14-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL POLYTRAUMA FY14-Q2
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL POLYTRAUMA FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
EMERGENCY SERVICES SAMPLE V2.1
\n", "
52
\n", "
0
\n", "
133
\n", "
28
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL POLYTRAUMA FY14-Q2
\n", "
61
\n", "
0
\n", "
133
\n", "
64
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL POLYTRAUMA FY14-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
44
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PRIMARY CARE FY14-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PRIMARY CARE FY14-Q2
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PRIMARY CARE FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL PRIMARY CARE FY14-Q2
\n", "
21
\n", "
0
\n", "
133
\n", "
69
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL PRIMARY CARE FY14-Q2
\n", "
91
\n", "
0
\n", "
133
\n", "
596
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL PULMONARY FY14-Q2
\n", "
14
\n", "
0
\n", "
132
\n", "
36
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL PULMONARY FY14-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL PULMONARY FY14-Q2
\n", "
51
\n", "
0
\n", "
132
\n", "
108
\n", "
SOLID LINE
\n", "", "
BC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
EMERGENCY SERVICES SAMPLE V2.1
\n", "
82
\n", "
0
\n", "
133
\n", "
76
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL PULMONARY FY14-Q2
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL PULMONARY FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATL RADIATION THERAPY FY14-Q2
\n", "
1
\n", "
47
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL RADIATION THERAPY FY14-Q2
\n", "
54
\n", "
0
\n", "
132
\n", "
137
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
BUC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["EVALUATION/MANAGEMENT - MED", "
NATL RADIATION THERAPY FY14-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
EVALUATION/MANAGEMENT
\n", "
UBC
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURE", "
NATL RADIATION THERAPY FY14-Q2
\n", "
17
\n", "
0
\n", "
132
\n", "
36
\n", "
SOLID LINE
\n", "
RADIATION THERAPY PROCEDURES
\n", "
BUC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL RADIATION THERAPY FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REC THERAPY GRP FY14-Q2
\n", "
6
\n", "
0
\n", "
133
\n", "
19
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["SECONDARY DIAGNOSES", "
NATL REC THERAPY GRP FY14-Q2
\n", "
36
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "
SECONDARY DX-CONDITION TREATED
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REC THERAPY GRP FY14-Q2
\n", "
1
\n", "
58
\n", "
36
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
PRIMARY CARE SAMPLE V2.1
\n", "
42
\n", "
0
\n", "
90
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1994 visit types
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REC THERAPY GRP FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL REC THERAPY GRP FY14-Q2
\n", "
26
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REC THERAPY IND FY14-Q2
\n", "
6
\n", "
0
\n", "
133
\n", "
24
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REC THERAPY IND FY14-Q2
\n", "
1
\n", "
58
\n", "
40
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REC THERAPY IND FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL REC THERAPY IND FY14-Q2
\n", "
31
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["SECONDARY DIAGNOSES", "
NATL REC THERAPY IND FY14-Q2
\n", "
41
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "
SECONDARY DX-CONDITION TREATED
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL REHAB-PT/OT/KT FY14-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL REHAB-PT/OT/KT FY14-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
69
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL REHAB-PT/OT/KT FY14-Q2
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PROVIDER (V2.1)", "
PRIMARY CARE SAMPLE V2.1
\n", "
42
\n", "
95
\n", "
38
\n", "
10
\n", "
SOLID LINE
\n", "
PROVIDER
\n", "
RC
\n", "
Clinic's providers
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL REHAB-PT/OT/KT FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL REHAB-PT/OT/KT FY14-Q2
\n", "
86
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
PRIMARY DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATL REHAB-PT/OT/KT FY14-Q2
\n", "
96
\n", "
0
\n", "
132
\n", "
74
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL SCI FY14-Q2
\n", "
1
\n", "
52
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SCI FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL SCI FY14-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
63
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL SCI FY14-Q2
\n", "
81
\n", "
0
\n", "
133
\n", "
44
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SCI FY14-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["SPEECH PATH DIAGNOSIS CODES", "
NATIONAL SPEECH FY14-Q2
\n", "
45
\n", "
0
\n", "
132
\n", "
35
\n", "
SOLID LINE
\n", "
SPEECH PATHOLOGY DIAGNOSIS TREATED THIS VISIT
\n", "
BC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL SPEECH FY14-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
3
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
PRIMARY CARE SAMPLE V2.1
\n", "
52
\n", "
0
\n", "
133
\n", "
28
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["SPEECH PATHOLOGY CPT CODES", "
NATIONAL SPEECH FY14-Q2
\n", "
10
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "
SPEECH PATHOLOGY PROCEDURES PERFORMED THIS VISIT
\n", "
C
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SPEECH FY14-Q2
\n", "
1
\n", "
54
\n", "
15
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SPEECH FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL SWS ED FY14-Q2
\n", "
36
\n", "
0
\n", "
133
\n", "
204
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SWS ED FY14-Q2
\n", "
1
\n", "
49
\n", "
51
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SWS ED FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL SWS ED FY14-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
28
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL SWS MH FY14-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
39
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL SWS MH FY14-Q2
\n", "
1
\n", "
55
\n", "
44
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL SWS MH FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["APPOINTMENT", "
PRIMARY CARE SAMPLE V2.1
\n", "
5
\n", "
67
\n", "
66
\n", "
5
\n", "
SOLID LINE
\n", "
APPOINTMENT INFORMATION
\n", "
RC
\n", "
Cinic & appt. date/time
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL SWS MH FY14-Q2
\n", "
45
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TBI FY14-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TBI FY14-Q2
\n", "
1
\n", "
49
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TBI FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL TBI FY14-Q2
\n", "
56
\n", "
0
\n", "
133
\n", "
119
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL TBI FY14-Q2
\n", "
17
\n", "
0
\n", "
133
\n", "
38
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TELEDERM FY14-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TELEDERM FY14-Q2
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEDERM FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL TELEDERM FY14-Q2
\n", "
25
\n", "
0
\n", "
132
\n", "
274
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["FUTURE APPTS (V2.1)", "
PRIMARY CARE SAMPLE V2.1
\n", "
10
\n", "
67
\n", "
66
\n", "
11
\n", "
SOLID LINE
\n", "
FUTURE APPOINTMENTS
\n", "
RC
\n", "
all future appointments
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELEDERM FY14-Q2
\n", "
17
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELERETINAL FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL TELERETINAL FY14-Q2
\n", "
1
\n", "
49
\n", "
20
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELERETINAL FY14-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL TELERETINAL FY14-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
417
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL UROLOGY FY14-Q2
\n", "
16
\n", "
0
\n", "
132
\n", "
34
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL UROLOGY FY14-Q2
\n", "
5
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL UROLOGY FY14-Q2
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL UROLOGY FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL UROLOGY FY14-Q2
\n", "
51
\n", "
0
\n", "
132
\n", "
124
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION (V2.1)", "
PRIMARY CARE SAMPLE V2.1
\n", "
1
\n", "
0
\n", "
63
\n", "
21
\n", "
SOLID LINE
\n", "
PATIENT INFORMATION
\n", "
CR
\n", "
Name,sex,DOB,PID,eligibilty,address,telephone
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL VASCULAR SURG FY14-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL VASCULAR SURG FY14-Q2
\n", "
1
\n", "
54
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL VASCULAR SURG FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSES - 1", "
NATIONAL VASCULAR SURG FY14-Q2
\n", "
46
\n", "
0
\n", "
132
\n", "
116
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL VASCULAR SURG FY14-Q2
\n", "
15
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["WOMEN'S CLINIC PROCEDURES", "
NATIONAL WOMENS HEALTH FY14-Q2
\n", "
20
\n", "
0
\n", "
132
\n", "
50
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
WOMEN'S CLINIC PROCEDURES
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL WOMENS HEALTH FY14-Q2
\n", "
6
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL WOMENS HEALTH FY14-Q2
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATIONAL WOMENS HEALTH FY14-Q2
\n", "
71
\n", "
0
\n", "
132
\n", "
107
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL WOMENS HEALTH FY14-Q2
\n", "
2
\n", "
52
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["VITALS (V2.1)", "
PRIMARY CARE SAMPLE V2.1
\n", "
21
\n", "
0
\n", "
63
\n", "
10
\n", "
SOLID LINE
\n", "
VITALS
\n", "
RC
\n", "
Blood pressure and weight
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL WOUND OSTOMY FY14-Q2
\n", "
1
\n", "
44
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL WOUND OSTOMY FY14-Q2
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL WOUND OSTOMY FY14-Q2
\n", "
16
\n", "
0
\n", "
133
\n", "
13
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL WOUND OSTOMY FY14-Q2
\n", "
30
\n", "
0
\n", "
132
\n", "
50
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL WOUND OSTOMY FY14-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL RESP THERAPY FY14-Q2
\n", "
7
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
PLEASE MARK PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL RESP THERAPY FY14-Q2
\n", "
38
\n", "
0
\n", "
132
\n", "
57
\n", "
SOLID LINE
\n", "
PLEASE MARK DIAGNOSIS TREATED THIS VISIT
\n", "
CR
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL RESP THERAPY FY14-Q2
\n", "
1
\n", "
43
\n", "
47
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL RESP THERAPY FY14-Q2
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
TOOL KIT
\n", "
0
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "
51
\n", "", "", "", ""], ["COMMON PROBLEMS (V2.1)", "
TOOL KIT
\n", "
100
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
CLINIC COMMON PROBLEM LIST
\n", "
CR
\n", "
Common diagnoses from the Clinical Lexicon
\n", "
8
\n", "", "", "", ""], ["ALLERGIES (V2.1)", "
PRIMARY CARE SAMPLE V2.1
\n", "
21
\n", "
67
\n", "
66
\n", "
10
\n", "
SOLID LINE
\n", "
****** PATIENT ALLERGIES ******
\n", "
CR
\n", "
Patient's allergies
\n", "
0
\n", "", "", "", ""], ["ICD-10 DIAGNOSES (V1.0)", "
DEFAULTS
\n", "
204
\n", "
1
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-10 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL ADDICTION FY14-Q4
\n", "
41
\n", "
0
\n", "
132
\n", "
29
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ADDICTION FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ADDICTION FY14-Q4
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL ADDICTION FY14-Q4
\n", "
71
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL ADDICTION FY14-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
33
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ALLERGY FY14-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL ALLERGY FY14-Q4
\n", "
42
\n", "
0
\n", "
133
\n", "
54
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ALLERGY FY14-Q4
\n", "
1
\n", "
56
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ALLERGY FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
PRIMARY CARE SAMPLE V2.1
\n", "
1
\n", "
89
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL ALLERGY FY14-Q4
\n", "
17
\n", "
0
\n", "
133
\n", "
24
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ANESTHESIA FY14-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ANESTHESIA FY14-Q4
\n", "
13
\n", "
0
\n", "
132
\n", "
52
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ANESTHESIA FY14-Q4
\n", "
1
\n", "
54
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ANESTHESIA FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSES CODES", "
NATIONAL ANESTHESIA FY14-Q4
\n", "
66
\n", "
0
\n", "
132
\n", "
44
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL AUDIO FY14-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
3
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["AUDIOLOGY DIAGNOSIS CODES", "
NATIONAL AUDIO FY14-Q4
\n", "
86
\n", "
0
\n", "
132
\n", "
86
\n", "
SOLID LINE
\n", "
AUDIOLOGY DIAGNOSIS TREATED THIS VISIT
\n", "
C
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL AUDIO FY14-Q4
\n", "
1
\n", "
54
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL AUDIO FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CHECKOUT (V2.1)", "
PRIMARY CARE SAMPLE V2.1
\n", "
31
\n", "
95
\n", "
38
\n", "
11
\n", "
SOLID LINE
\n", "
CHECKOUT
\n", "
CR
\n", "
Appointment checkout
\n", "
0
\n", "", "", "", ""], ["AUDIOLOGY CPT CODES", "
NATIONAL AUDIO FY14-Q4
\n", "
9
\n", "
0
\n", "
132
\n", "
76
\n", "
SOLID LINE
\n", "
AUDIOLOGY PROCEDURES PERFORMED THIS VISIT
\n", "
C
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY DIAGNOSIS CODES", "
NATIONAL CARD CATH FY14-Q4
\n", "
141
\n", "
0
\n", "
132
\n", "
149
\n", "
SOLID LINE
\n", "
CARDIOLOGY DIAGNOSES
\n", "
CR
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATIONAL CARD CATH FY14-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
134
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
EPS PROCEDURES
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CARD CATH FY14-Q4
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CARD CATH FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATL HT NURSE FY14-Q4
\n", "
1
\n", "
49
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT NURSE FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HT NURSE FY14-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT NURSE FY14-Q4
\n", "
14
\n", "
0
\n", "
132
\n", "
16
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL HT NURSE FY14-Q4
\n", "
31
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
PRIMARY CARE SAMPLE V2.1
\n", "
80
\n", "
0
\n", "
133
\n", "
80
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL HT NURSE FY14-Q4
\n", "
41
\n", "
0
\n", "
132
\n", "
212
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["HEADER", "
NATL HT SWS FY14-Q4
\n", "
1
\n", "
49
\n", "
34
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT SWS FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT SWS FY14-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
16
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL HT SWS FY14-Q4
\n", "
24
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATL HT SWS FY14-Q4
\n", "
34
\n", "
0
\n", "
133
\n", "
179
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CHIROPRACTIC FY14-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL CHIROPRACTIC FY14-Q4
\n", "
36
\n", "
0
\n", "
132
\n", "
79
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CHIROPRACTIC FY14-Q4
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CHIROPRACTIC FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["SC CONDITIONS (V2.1)", "
PRIMARY CARE SAMPLE V2.1
\n", "
31
\n", "
0
\n", "
90
\n", "
11
\n", "
SOLID LINE
\n", "
SERVICE CONNECTED CONDITIONS
\n", "
RC
\n", "
SC conditions,indicators, visit classifications
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CHIROPRACTIC FY14-Q4
\n", "
15
\n", "
0
\n", "
133
\n", "
20
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CLC FY14-Q4
\n", "
1
\n", "
51
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["VISIT TYPE CODES", "
NATIONAL CLC FY14-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT
\n", "
CR
\n", "
1997 OUTPATIENT E&M TYPES W CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CLC FY14-Q4
\n", "
5
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CLC FY14-Q4
\n", "
19
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL CLC FY14-Q4
\n", "
26
\n", "
0
\n", "
133
\n", "
224
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["SECONDARY DX", "
NATIONAL C&P FY14-Q4
\n", "
56
\n", "
0
\n", "
132
\n", "
52
\n", "
SOLID LINE
\n", "
SECONDARY DX-AS APPROPRIATE
\n", "
CR
\n", "
SECONDARY DX
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL C&P FY14-Q4
\n", "
1
\n", "
56
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL C&P FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL C&P FY14-Q4
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["EYE ART I V3.0", "
TOOL KIT
\n", "
0
\n", "
0
\n", "
64
\n", "
31
\n", "
INVISIBLE
\n", "", "", "
Picture of eyes for Opthamology Clinic
\n", "
29
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL C&P FY14-Q4
\n", "
16
\n", "
0
\n", "
133
\n", "
14
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRIMARY DX", "
NATIONAL C&P FY14-Q4
\n", "
31
\n", "
0
\n", "
132
\n", "
24
\n", "
SOLID LINE
\n", "
PRIMARY DIAGNOSIS
\n", "
CR
\n", "
PRIMARY DX
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CRITICAL CARE FY14-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL CRITICAL CARE FY14-Q4
\n", "
66
\n", "
0
\n", "
133
\n", "
534
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CRITICAL CARE FY14-Q4
\n", "
1
\n", "
56
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CRITICAL CARE FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL CRITICAL CARE FY14-Q4
\n", "
21
\n", "
0
\n", "
133
\n", "
44
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL DAY SURGERY FY14-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL DAY SURGERY FY14-Q4
\n", "
1
\n", "
55
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL DAY SURGERY FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["EYE ART II V3.0", "
TOOL KIT
\n", "
0
\n", "
0
\n", "
64
\n", "
31
\n", "
INVISIBLE
\n", "", "", "
Picture of eyes for Opthamology Clinic
\n", "
30
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL DAY SURGERY FY14-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
104
\n", "
SOLID LINE
\n", "", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS", "
NATIONAL DAY SURGERY FY14-Q4
\n", "
121
\n", "
0
\n", "
132
\n", "
224
\n", "
SOLID LINE
\n", "", "
RC
\n", "
ICD-9
\n", "", "", "", "", ""], ["CPT CODES", "
NATL HOSP/PALL INPT FY14-Q4
\n", "
21
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HOSP/PALL INPT FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HOSP/PALL INPT FY14-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
14
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HOSP/PALL INPT FY14-Q4
\n", "
1
\n", "
48
\n", "
42
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL HOSP/PALL INPT FY14-Q4
\n", "
29
\n", "
0
\n", "
132
\n", "
75
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT
\n", "
UC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATL HOSP/PALL OTPT FY14-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HOSP/PALL OTPT FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HOSP/PALL OTPT FY14-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HIDDEN CLASSIFICATIONS (V3.0)", "
TOOL KIT
\n", "
0
\n", "
0
\n", "
90
\n", "
9
\n", "
SOLID LINE
\n", "
CLASSIFICATION QUESTIONS
\n", "
CR
\n", "
Classifications for visit - scannable
\n", "
31
\n", "", "", "", ""], ["HEADER", "
NATL HOSP/PALL OTPT FY14-Q4
\n", "
1
\n", "
48
\n", "
43
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL HOSP/PALL OTPT FY14-Q4
\n", "
24
\n", "
0
\n", "
132
\n", "
75
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT
\n", "
UC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INFECTIOUS DX FY14-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL INFECTIOUS DX FY14-Q4
\n", "
1
\n", "
56
\n", "
27
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INFECTIOUS DX FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL INFECTIOUS DX FY14-Q4
\n", "
17
\n", "
0
\n", "
133
\n", "
13
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL INFECTIOUS DX FY14-Q4
\n", "
31
\n", "
0
\n", "
133
\n", "
129
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL INPATIENT FY14-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL INPATIENT FY14-Q4
\n", "
36
\n", "
0
\n", "
133
\n", "
209
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL INPATIENT FY14-Q4
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT IMMUNIZATIONS (V3.0)", "
TOOL KIT
\n", "
241
\n", "
0
\n", "
55
\n", "
11
\n", "
SOLID LINE
\n", "
IMMUNIZATIONS
\n", "
CR
\n", "
Patient immunizations
\n", "
32
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL INPATIENT FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL INPATIENT FY14-Q4
\n", "
26
\n", "
0
\n", "
133
\n", "
9
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MED FOSTER HOME FY14-Q4
\n", "
1
\n", "
56
\n", "
28
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MED FOSTER HOME FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL MED FOSTER HOME FY14-Q4
\n", "
6
\n", "
0
\n", "
133
\n", "
39
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS MED FOSTER HOME", "
NATL MED FOSTER HOME FY14-Q4
\n", "
46
\n", "
0
\n", "
133
\n", "
524
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL MEDICINE FY14-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MEDICINE FY14-Q4
\n", "
1
\n", "
56
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MEDICINE FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL MEDICINE FY14-Q4
\n", "
16
\n", "
0
\n", "
133
\n", "
59
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["PRACTITIONER(V3.0)", "
TOOL KIT
\n", "
999
\n", "
0
\n", "
38
\n", "
12
\n", "
SOLID LINE
\n", "
PRACTITIONER
\n", "
RC
\n", "
Clinics practitioner
\n", "
33
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL MEDICINE FY14-Q4
\n", "
81
\n", "
0
\n", "
133
\n", "
675
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL MH MHICM FY14-Q4
\n", "
28
\n", "
0
\n", "
132
\n", "
72
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL MH MHICM FY14-Q4
\n", "
1
\n", "
58
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL MH MHICM FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL MH MHICM FY14-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
21
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL MH MHICM FY14-Q4
\n", "
101
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEPHROLOGY FY14-Q4
\n", "
5
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEPHROLOGY FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL NEPHROLOGY FY14-Q4
\n", "
1
\n", "
49
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATIONAL NEPHROLOGY FY14-Q4
\n", "
46
\n", "
0
\n", "
133
\n", "
154
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
TOOL KIT
\n", "
122
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
9
\n", "", "", "", ""], ["CLINICAL REMINDERS (V3.0)", "
TOOL KIT
\n", "
0
\n", "
0
\n", "
48
\n", "
15
\n", "
SOLID LINE
\n", "
Clinical Reminders
\n", "
CR
\n", "
Clinical Reminders with due date only
\n", "
34
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL NEPHROLOGY FY14-Q4
\n", "
36
\n", "
0
\n", "
133
\n", "
9
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEUROLOGY FY14-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "", "
CRU
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL NEUROLOGY FY14-Q4
\n", "
66
\n", "
0
\n", "
132
\n", "
53
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF DIAGNOSES FROM THIS VISIT
\n", "
BC
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL NEUROLOGY FY14-Q4
\n", "
2
\n", "
55
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEUROLOGY FY14-Q4
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES", "
NATIONAL NEUROLOGY FY14-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
49
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSES", "
NATIONAL NEUROSURGERY FY14-Q4
\n", "
36
\n", "
0
\n", "
133
\n", "
89
\n", "
SOLID LINE
\n", "", "
CRUB
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT PROCEDURE", "
NATIONAL NEUROSURGERY FY14-Q4
\n", "
17
\n", "
0
\n", "
133
\n", "
18
\n", "
SOLID LINE
\n", "
MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY
\n", "
CRUB
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL NEUROSURGERY FY14-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL NEUROSURGERY FY14-Q4
\n", "
1
\n", "
49
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CLINICAL REMINDERS FULL (V3.0)", "
TOOL KIT
\n", "
0
\n", "
0
\n", "
77
\n", "
15
\n", "
SOLID LINE
\n", "
CLINICAL REMINDERS
\n", "
CR
\n", "
Clinical Reminders w/ full display of data
\n", "
35
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL NEUROSURGERY FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATL NURSING CLINIC FY14-Q4
\n", "
1
\n", "
46
\n", "
24
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL NURSING CLINIC FY14-Q4
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL NURSING CLINIC FY14-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL NURSING CLINIC FY14-Q4
\n", "
14
\n", "
0
\n", "
133
\n", "
86
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATL NURSING CLINIC FY14-Q4
\n", "
101
\n", "
0
\n", "
132
\n", "
119
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["WOMEN'S CLINIC PROCEDURES", "
NATIONAL OB/GYN FY14-Q4
\n", "
19
\n", "
0
\n", "
132
\n", "
61
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
WOMEN'S CLINIC PROCEDURES
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL OB/GYN FY14-Q4
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL OB/GYN FY14-Q4
\n", "
1
\n", "
49
\n", "
30
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL OB/GYN FY14-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT MODIFIER DISPLAY", "
TOOL KIT
\n", "
0
\n", "
0
\n", "
45
\n", "
21
\n", "
SOLID LINE
\n", "
CPT MODIFIERS
\n", "
CR
\n", "
Display CPT Modifiers (with sample modifier)
\n", "
36
\n", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATIONAL OB/GYN FY14-Q4
\n", "
81
\n", "
0
\n", "
132
\n", "
169
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TBI FY14-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TBI FY14-Q4
\n", "
1
\n", "
49
\n", "
12
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TBI FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATIONAL TBI FY14-Q4
\n", "
61
\n", "
0
\n", "
133
\n", "
119
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL TBI FY14-Q4
\n", "
17
\n", "
0
\n", "
133
\n", "
43
\n", "
SOLID LINE
\n", "
MARK ALL PROCEDURES PERFORMED
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL TELEDERM FY14-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL TELEDERM FY14-Q4
\n", "
1
\n", "
49
\n", "
17
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEDERM FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL TELEDERM FY14-Q4
\n", "
17
\n", "
0
\n", "
132
\n", "
7
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CPT MODIFIER DISPLY W/O SAMPLE", "
TOOL KIT
\n", "
0
\n", "
0
\n", "
45
\n", "
21
\n", "
SOLID LINE
\n", "
CPT MODIFIERS
\n", "
CR
\n", "
Display CPT Modifiers (without sample modifier)
\n", "
37
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL TELEDERM FY14-Q4
\n", "
25
\n", "
0
\n", "
132
\n", "
274
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL TELEPHONE FY14-Q4
\n", "
1
\n", "
59
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["CPT CODES", "
NATIONAL TELEPHONE FY14-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
FILL IN BUBBLE FOR TELEPHONE CALL PERFORMED
\n", "
UBRC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL TELEPHONE FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL TELEPHONE FY14-Q4
\n", "
15
\n", "
0
\n", "
132
\n", "
15
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL UROLOGY FY14-Q4
\n", "
16
\n", "
0
\n", "
132
\n", "
54
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL UROLOGY FY14-Q4
\n", "
5
\n", "
0
\n", "
132
\n", "
10
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL UROLOGY FY14-Q4
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL UROLOGY FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL UROLOGY FY14-Q4
\n", "
71
\n", "
0
\n", "
132
\n", "
119
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["BASIC DEMOGRAPHICS (MST)", "
TOOL KIT
\n", "
0
\n", "
0
\n", "
47
\n", "
12
\n", "
SOLID LINE
\n", "", "
BUC
\n", "
Data fields - contains patient name,dob,sex,pid,SC conditions (includes MST)
\n", "
38
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL VASCULAR SURG FY14-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL VASCULAR SURG FY14-Q4
\n", "
1
\n", "
54
\n", "
25
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL VASCULAR SURG FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSES - 1", "
NATIONAL VASCULAR SURG FY14-Q4
\n", "
46
\n", "
0
\n", "
132
\n", "
109
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL VASCULAR SURG FY14-Q4
\n", "
15
\n", "
0
\n", "
132
\n", "
30
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["WOMEN'S CLINIC PROCEDURES", "
NATIONAL WOMENS HEALTH FY14-Q4
\n", "
20
\n", "
0
\n", "
132
\n", "
55
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
WOMEN'S CLINIC PROCEDURES
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL WOMENS HEALTH FY14-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL WOMENS HEALTH FY14-Q4
\n", "
3
\n", "
1
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "
0
\n", "", "", "", ""], ["VISN DX W CODE BY BUBBLE (V2.1", "
NATIONAL WOMENS HEALTH FY14-Q4
\n", "
81
\n", "
0
\n", "
132
\n", "
107
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
VISN NEW DX BLOCK WITH ACTIVE PROBLEMS
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL WOMENS HEALTH FY14-Q4
\n", "
2
\n", "
52
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["HIDDEN CLASSIFICATN (V2.1 MST)", "
TOOL KIT
\n", "
0
\n", "
0
\n", "
51
\n", "
2
\n", "
INVISIBLE
\n", "", "
UC
\n", "
Classifications for visit - not scannable (includes MST)
\n", "
39
\n", "", "", "", ""], ["HEADER", "
NATIONAL WOUND OSTOMY FY14-Q4
\n", "
1
\n", "
44
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL WOUND OSTOMY FY14-Q4
\n", "
4
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATIONAL WOUND OSTOMY FY14-Q4
\n", "
21
\n", "
0
\n", "
133
\n", "
13
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["ICD-9 DIAGNOSES (V2.1)", "
NATIONAL WOUND OSTOMY FY14-Q4
\n", "
35
\n", "
0
\n", "
132
\n", "
50
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL WOUND OSTOMY FY14-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
13
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL HT CLINICIAN FY14-Q4
\n", "
1
\n", "
49
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HT CLINICIAN FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL HT CLINICIAN FY14-Q4
\n", "
48
\n", "
0
\n", "
132
\n", "
212
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HT CLINICIAN FY14-Q4
\n", "
7
\n", "
0
\n", "
132
\n", "
11
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PRIMARY DIAGNOSIS", "
NATL HT CLINICIAN FY14-Q4
\n", "
38
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
DIAGNOSIS
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HIDDEN CLASSIFICATN (V3.0 MST)", "
TOOL KIT
\n", "
0
\n", "
0
\n", "
90
\n", "
10
\n", "
SOLID LINE
\n", "
CLASSIFICATION QUESTIONS
\n", "
CR
\n", "
Classifications for visit - scannable (includes MST)
\n", "
40
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL HT CLINICIAN FY14-Q4
\n", "
18
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL MH PSYCHIATRIST FY14-Q4
\n", "
26
\n", "
0
\n", "
132
\n", "
42
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL MH PSYCHIATRIST FY14-Q4
\n", "
1
\n", "
55
\n", "
26
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL MH PSYCHIATRIST FY14-Q4
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATL MH PSYCHIATRIST FY14-Q4
\n", "
6
\n", "
0
\n", "
132
\n", "
19
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL MH PSYCHIATRIST FY14-Q4
\n", "
69
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATIONAL ADDICTION FY15-Q1
\n", "
46
\n", "
0
\n", "
132
\n", "
29
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ADDICTION FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATIONAL ADDICTION FY15-Q1
\n", "
1
\n", "
57
\n", "
18
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["DIAGNOSIS CODES", "
NATIONAL ADDICTION FY15-Q1
\n", "
76
\n", "
0
\n", "
132
\n", "
189
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["HIDDEN SC TREATMNT QUEST (MST)", "
TOOL KIT
\n", "
0
\n", "
0
\n", "
51
\n", "
2
\n", "
INVISIBLE
\n", "", "
UC
\n", "
Data fields-questions on SC of treatment-displayed only if applicable (incl MST)
\n", "
41
\n", "", "", "", ""], ["TYPE OF VISIT - 1994 CODES", "
NATIONAL ADDICTION FY15-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
38
\n", "
SOLID LINE
\n", "", "", "
Selection list - visit types with their CPT codes
\n", "
0
\n", "", "", "", ""], ["DIAGNOSIS CODES", "
NATL GI/HEPATOLOGY FY15-Q1
\n", "
101
\n", "
0
\n", "
132
\n", "
109
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
RC
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL GI/HEPATOLOGY FY15-Q1
\n", "
15
\n", "
0
\n", "
132
\n", "
85
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL GI/HEPATOLOGY FY15-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL GI/HEPATOLOGY FY15-Q1
\n", "
1
\n", "
54
\n", "
22
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL GI/HEPATOLOGY FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["HEADER", "
NATL HBPC CLIN FY15-Q1
\n", "
1
\n", "
58
\n", "
23
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL HBPC CLIN FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATL HBPC CLIN FY15-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
8
\n", "
SOLID LINE
\n", "
TYPE OF HOME VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["PROCEDURES (V2.1)", "
NATL HBPC CLIN FY15-Q1
\n", "
15
\n", "
0
\n", "
133
\n", "
39
\n", "
SOLID LINE
\n", "
PROCEDURES
\n", "
CR
\n", "
Common CPT-4 procedures
\n", "
0
\n", "", "", "", ""], ["HIDDEN SC/MST CLASSIFICATIONS", "
TOOL KIT
\n", "
0
\n", "
0
\n", "
50
\n", "
2
\n", "
INVISIBLE
\n", "", "
UC
\n", "
SC/MST classifications for visit - not scannable
\n", "
42
\n", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATL HBPC CLIN FY15-Q1
\n", "
55
\n", "
0
\n", "
133
\n", "
729
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL ANESTHESIA FY15-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
6
\n", "
SOLID LINE
\n", "", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["CPT CODES", "
NATIONAL ANESTHESIA FY15-Q1
\n", "
13
\n", "
0
\n", "
132
\n", "
77
\n", "
SOLID LINE
\n", "
MARK PROCEDURE(S) PERFORMED THIS VISIT
\n", "
RC
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL ANESTHESIA FY15-Q1
\n", "
1
\n", "
54
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL ANESTHESIA FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["DIAGNOSES CODES", "
NATIONAL ANESTHESIA FY15-Q1
\n", "
91
\n", "
0
\n", "
132
\n", "
44
\n", "
SOLID LINE
\n", "", "
RC
\n", "
3 COLUMN ICD-9 CODES
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY DIAGNOSIS CODES", "
NATIONAL CARD CATH FY15-Q1
\n", "
146
\n", "
0
\n", "
132
\n", "
149
\n", "
SOLID LINE
\n", "
CARDIOLOGY DIAGNOSES
\n", "
CR
\n", "
Selection list - ICD-9 dx codes
\n", "
0
\n", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATIONAL CARD CATH FY15-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
139
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
CR
\n", "
EPS PROCEDURES
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CARD CATH FY15-Q1
\n", "
1
\n", "
56
\n", "
21
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CARD CATH FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["MST STATUS DISPLAY", "
TOOL KIT
\n", "
0
\n", "
0
\n", "
51
\n", "
7
\n", "
SOLID LINE
\n", "
MST STATUS
\n", "
CR
\n", "
Display MST status code and description
\n", "
43
\n", "", "", "", ""], ["CARDIOLOGY PROCEDURES", "
NATIONAL CARDIOLOGY FY15-Q1
\n", "
16
\n", "
0
\n", "
132
\n", "
54
\n", "
SOLID LINE
\n", "
CARDIOLOGY PROCEDURES
\n", "
CR
\n", "
CARDIOLOGY PROCEDURES
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPE CODES (V2.1)", "
NATIONAL CARDIOLOGY FY15-Q1
\n", "
6
\n", "
0
\n", "
132
\n", "
9
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types WITH CODES SHOWN
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATIONAL CARDIOLOGY FY15-Q1
\n", "
1
\n", "
57
\n", "
19
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATIONAL CARDIOLOGY FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CARDIOLOGY DIAGNOSIS CODES", "
NATIONAL CARDIOLOGY FY15-Q1
\n", "
71
\n", "
0
\n", "
132
\n", "
149
\n", "
SOLID LINE
\n", "
CARDIOLOGY DIAGNOSES
\n", "
CR
\n", "
Selection list - ICD-9 dx codes
\n", "", "", "", "", ""], ["DIAGNOSIS NAT PC", "
NATL CAREGIVER ASSESS FY15-Q1
\n", "
26
\n", "
0
\n", "
133
\n", "
34
\n", "
SOLID LINE
\n", "
DIAGNOSES
\n", "
CR
\n", "
Common ICD-9 diagnoses
\n", "
0
\n", "", "", "", ""], ["HEADER", "
NATL CAREGIVER ASSESS FY15-Q1
\n", "
1
\n", "
54
\n", "
29
\n", "
1
\n", "
INVISIBLE
\n", "", "", "", "", "", "", "", ""], ["PATIENT INFORMATION", "
NATL CAREGIVER ASSESS FY15-Q1
\n", "
3
\n", "
0
\n", "
132
\n", "
3
\n", "
INVISIBLE
\n", "", "", "
Patient information-name/ssn/age
\n", "", "", "", "", ""], ["CPT CODES (3 COL)", "
NATL CAREGIVER ASSESS FY15-Q1
\n", "
13
\n", "
0
\n", "
132
\n", "
12
\n", "
SOLID LINE
\n", "
PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT
\n", "
BCU
\n", "
Selection list - CPT codes
\n", "
0
\n", "", "", "", ""], ["1995 VISIT TYPES (V2.1)", "
NATL CAREGIVER ASSESS FY15-Q1
\n", "
7
\n", "
0
\n", "
132
\n", "
5
\n", "
SOLID LINE
\n", "
TYPE OF VISIT
\n", "
CR
\n", "
1995 visit types
\n", "
0
\n", "", "", "", ""]]}