ࡱ> { a;bjbjBrBr :  F2   JJNNN4hn|8a!!!!!NNN```````$ctf`-NQ#NNQQ`JJ!!9,`RRRQFJ!N!`RQ`RR:KW,JW!]fQ^wW `a08aWRgWRgWgNWNORMP|PNNN``WRXNNN8aQQQQgNNNNNNNNN  :  KENTUCKY LOCAL HEALTH DEPARTMENT PATIENT ENCOUNTER FORM FFC CnctC LEP Place of Service/Paymt (A) Indep Lab (B-I) Assigned by LHD (J) Inpat Hosp (K) Outpat Hosp (L) Physicians Off (M) Patients Home (N) ER- Hosp (O) Oth Unlisted Facility (T) Treatment Ctr (U) Nursing Home (V) Detention Ctr (W) Workplace (X) Homeless Shelter ($) Payment ONLY Document No._________________________ Date_________________________________ Patient Name__________________________ ID Number ____________________________ CLINIC VISITS (() CHECK APPROPRIATE VISIT CODES PREVENTIVE HEALTH CHECK E/M - PHYSICIAN/MID LEVEL(CPT NEW Visit Type(CPT EST. Visit TypePROVIDER99381 (<1 YR)99391 (<1 YR)99382 (1-4 YRS)99392 (1-4 YRS)99383 (5-11 YRS)99393 (5-11 YRS)99384 (12-17 YRS)99394 (12-17 YRS)ICD (P)99385 (18-39 YRS)99395 (18-39 YRS)99386 (40-64 YRS)99396 (40-64 YRS)99387 (65> YRS)99397 (65> YRS)(NURSEW9381 (<1 YR)W9391 (<1 YR)ICD (S)W9382 (1-4 YRS)W9392 (1-4 YRS)W9383 (5-11 YRS)W9393 (5-11 YRS)W9384 (12-17 YRS)W9394 (12-17 YRS)W9385 (18-39 YRS)W9395 (18-39 YRS)W9386 (40-64 YRS)W9396 (40-64 YRS)REF/DISPW9387 (65> YRS)W9397 (65> YRS) 52 MODIFIER Reduced Services (PROCEDURESPROVIDER96110 DEV/Tests92551 Audiometric Screening Test99173 Age Appropriate Vision Screening2000F Blood Pressure, MeasuredG0101 CBE & Pelvic (Medicare ONLY) ICD(P)______________ ICD(S)______________S0613 CBE (Clinical Breast Exam) ICD(P): Normal- V7619 Pt.Refused-V642- Not Done/Other-V643- ABN: 61171-Pain 61172-Lump 61179-Oth/Discharge (LABORATORY TESTSPROVIDER36415 Venipuncture36416 Capillary Blood Specimen80061 Lipid Profile81002 Urine Dipstick81025 Pregnancy Urine82270 Hemocult (fecal occult blood)1-3 cards back82465 Cholesterol82962 Glucose (Home Use Device)83655 Lead83986 Vaginal PH85018 Hemoglobin86580 PPD86592 VDRL/RPR (Serology for Syphilis)86780 Syphilis Treponema pallidum 86703 HIV Test8670392 Rapid HIV Test87210 Wet Mount/ KOH Prep (Mod Lab Site)82120 Vaginal amines (Whiff)87491 Chlamydia87591 GC86803 Hepatitis C Antibody88141 PAP Prof. Component88142 PAP Thin Prep88164 PAP TestQ0111 Wet Mount (PPM Lab Site)Q0112 KOH Prep (PPM Lab Site)(MEDICAL NUTRITION THERAPYPROVIDER97802 New MNT Patient Units _________ Primary ICD__________ Secondary ICD_________97803 Est. MNT Patient Units _________ Primary ICD__________ Secondary ICD_________97804 MNT Group 30 mins Units _________ Primary ICD__________ Secondary ICD_________(HDPTPROVIDER80000 Unspecified Procedure or Lab ICD_________W0100 Pharmacist Vst / Prescription PDW0506 Multi-vitamin (First-bottle/3 mon supply)W0506FR Multi-vitamin (Add.bottle(s)-3 mon) FREEW0506CH Multi-vitamin (Add.bottle(s)-3 mon) ChargeW0509 Prenatal Vitamins (1 bottle)D1206 Fluoride Varnishing V0731 Referral ______OTHER THAN PREVENTIVE HEALTH CHECK E/M -PHYSICIAN/MID LEVEL(CPT NEW Visit Type(CPT EST. Visit TypePROVIDER99201 Brief99211 Brief99202 Expanded99212 Limited99203 Detailed99213 Expanded99204 Comprehensive99214 DetailedICD (P)99205 Complex99215 Comprehensive 25 MODIFIER Separate E/M by same provider/same day( NURSEICD (S)W9201 BriefW9211 BriefW9202 ExpandedW9212 LimitedW9203 DetailedW9213 ExpandedREF/DISPW9204 ComprehensiveW9214 DetailedW9205 ComplexW9215 Comprehensive(IMMUNIZATIONS Vaccine/ToxoidLot #(IMMUNIZATIONS (Non-VFC) Lot #90702 DT (VFC) (2)90702NV DT90700 DTaP (VFC) (3) 90700NV DTaP 90696 DTap/IPV (VFC) (4)90696NV DTap/IPV 90698 DTap/Hib /IPV (VFC) (5)90698NV DTap/Hib/IPV90723 DTaP/HepB/IPV (VFC)(5) 90723NV DTaP/HepB/IPV90632 HepA: Adult90633 HepA: Ped- 2D (VFC) (1)90633NV HepA: Ped- 2D90634 HepA: Ped- 3D (VFC) (1) 90634NV HepA: Ped- 3D90636 HepA/HepB: Adult90744 HepB: Ped/Adol (VFC) (1) 90744NV HepB: Ped/Adol90746 HepB: Adult90748 HepB/Hib (VFC) (2)90748NV HepB/Hib90645 Hib-4D:Hib TITER (VFC)(1)90645NV Hib-4D: Hib TITER90647 Hib-3D: PedvaxHIB (VFC)(1) 90647NV Hib-3D: PedvaxHIB90648 Hib-4D:ACTHib,OmHib(VFC)(1) 90648NV Hib-4D: ACTHib,OmniHib90649 HPV (VFC) (1)90649NV HPV90713 IPV (VFC) (1)90713NV IPV90733 Meningoccal Poly (VFC)(1) 90733NV Meningoccal Poly90734 Meningoccal Conj (VFC) (1) 90734NV Meningoccal Conj90707 MMR (VFC) (3)90707NV MMR90710 MMRV (VFC) (4)90710NV MMRV 90670 PCV 13: Ped (VFC) (1)90670NV PCV13: Ped 90675 Rabies Pre/Post Exposure90676 Rabies - Intradermal90749 Smallpox (VFC) (1)90749NV Smallpox90714NV Td: presrv free90714 Td:presrv free (VFC) (2) 90715NV Tdap90715 Tdap (VFC) (3)90690 Typhoid, Oral90691 Typhoid, Intramuscular90716NV Varicella90716 Varicella (VFC) (1) 90717 Yellow Fever90736 Zoster (Shingles)(ORAL (1)Lot #(ORAL (Non-VFC)Lot #90680 Rotateq Rotavirus (VFC)90680NV Rotateq - Rotavirus90681 Rotarix-Rotavirus (VFC) 90681NV Rotarix - Rotavirus(ADMINISTRATION of Vaccine/Toxoid PROVIDER  90460  Imm. Admin. w/counseling ANY ROUTE (age Under 19 yrs) First Component 1st Units_____ 90461  Imm. Admin. w/counseling ANY ROUTE (age Under 19 yrs) Each additional component 2+ Units_____(ADMINISTRATION of Vaccine/Toxoid by injection (listed above)PROVIDER 90471 Admin. of 1 vaccine/toxoid (age 19 and Above) 90472 Admin. of 2+ vaccine/toxoid (age 19 and Above) Units________( ADMINISTRATION of Intranasal or Oral NOT injection (listed above)PROVIDER 90473 Admin. of 1 intranasal/oral (age 19 and above)90474 Admin. of 2+ intranasal/oral (age 19 and above) Units_______ (PNEUMOCOCCALLot #(PNEUMOCOCCAL (Non-VFC) Lot # G0009 Administration of Pneumococcal Vaccine: Adult 90732 PPSV 23; Pneumococcal: Adult ICD(P) V0382(IMMUNE GLOBULIN Lot #(IMMUNE GLOBULIN (Non-VFC)Lot #90371 HBIG90281 Imm Globulin90375 Rabies Imm Globulin90376 Rabies Rig Units____90384 Rhogam( ADMINISTRATION of Immune Globulin (listed above)PROVIDER 96372 Therapeutic, prophylactic or diagnostic injection (specify drug)CH-45 (Rev. 03/08/13) FAMILY PLANNING VISITS( CONTRACEPTIVESQuantity Lot#(CONTRACEPTIVES Quantity Lot#S4993 Orals (each cycle) S4993EC Emergency Contra Pill S4993RE Oral ReplacementsJ7300 ParaGard IUDLot#A4266 DiaphragmJ7302 Mirena IUDLot#A4267 Condoms (each)J7307 Implantable ContraceptiveLot#A4269 Foam/Spermicide/Gel/VagFilm J1050 Depo Provera Injection Lot#A4268 Female Condom (each) 57170 Diaphragm FittingA4261 Cervical Cap (each)58300 Insertion of IUDJ7304 Contraceptive Patch (each)58301 Removal of IUDJ7304RE Patch Replacements (each)11981 Insertion of Implantable Contra J7303 Contra Vaginal Ring (each)11982 Removal of Implantable ContraS1020 Vaginal Suppository (each)11983 Removal/Reinsert Implantable Contra(PRIMARY METHOD PATIENT IS USING IF NO METHOD GIVEN TODAY (REQUIRED) IF V25 IS REPORTED :01 Orals07 Natural/ FAM14 Implantable Contra20 Vaginal Suppository25 Abstinence02 Diaphragm08 Infertility Services15 Injectable Contra21 Cervical Cap26 Sterile, Non-Surgical03 M/Condoms09 None16 Emergency Contra Pill22 Contra Patch27 Vasectomy05 Fem Sterile10 Withdrawal / Other17 Vaginal Contra Film23 Contra Vaginal Ring28 Rely on Female Meth06 IUD13 Foam / Spermicide18 Female Condom24 Pregnant or Seek Preg.( CPT CODES PROVIDER ( TOBACCO.PROVIDER S806I TB Incentives Units_____ 1000F Tobacco Use Assessed ICD(P) V1582S806E TB Enablers Units_____ 1001F Non-Smoking Assessed ICD(P) V158299411 Group Counseling 30 Minutes 1002F Second Hand Smoke Assessed ICD(P) V158299412 Group Counseling 60 Minutes 4000F Tobacco Use, Cessation Couns ICD(P) V1582G0108 DSMT, Individual each 30 Minutes Units___4001F Tobacco Use, Pharmacological Intervention ICD(P) V1582G0109 DSMT, Group each 30 Minutes Units___99406 Smoking/Tobacco Use, Cess Couns 3-10 min99407 Smoking/Tobacco Use, Cess Couns 10+ min ADDITIONAL CPT/HDPT CODES (WRITE-IN)..CPT/HDPT (5 digits)ModifierProvider Number . ICD-9-CODE...ReferralCharge/ QuantityUnitsOveride Area 1 2  3 4 .............Net Total Charges($ Amount Paid Today ($.................WIC VISIT (Report a WIC Service in addition to the visit code or as the visit code.)(HDPT(HDPTPROVIDER(WIC Nutrition Education/CounselingICDPROVIDERW0200 Cert. & EnrolledW0203 Scr Not Elig-IncW9401 WIC NutritionEd/Counseling (7.5) W9401 WIC NutritionEd/Counseling (7.5)W0201 Cert. Waiting ListW0204 Scr Not Elig-RiskW9402 WIC NutritionEd/Counseling (15) W9402 WIC NutritionEd/Counseling (15)W0202 Enr. From Wait ListW0208 VOC EnrollmentPROVIDERW9403 WIC NutritionEd/Counseling (22.5) W9403 WIC NutritionEd/Counseling (22.5) W0210 Issuing a Breast Pump W0209 Benefit IssuanceW9404 WIC Nutrition Ed/Counseling (30) W9404 WIC Nutrition Ed/Counseling (30)W0211 Food Package Change/Counseling WP401 WIC Low Risk Followup Contact (7.5) W0220 Capillary Blood SpecimenPROVIDERWP402 WIC Low Risk Followup Contact (15) W9431 WIC Group Nutrition Class W0230 HemoglobinW9432 WIC Group Breastfeeding ClassW0231 NON Invasive HemoglobinW9433 WIC Kiosk NutritionW0240 HematocritW9435 WIC Group low risk nutrition-paraprofes.SEE WIC INFORMATION ABOVE USE BELOW FOR WIC SERVICES ONLY IF SYSTEM IS DOWNSTATUS CODES: (IPB) (IFB) (IFF) (WP) (WPP) (WFB) (c) childdate of measureheight/length__ft. __ __ in. __/__For infants/children <24 months: Is the infant being fed any breast milk? Y N Was the infant ever fed breast milk? 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