Warner Family Practice's commitment to preventative care is the foundation of our comprehensive pre-physical and physicals. Based on personal, family and social history some or all of these tests may be recommended for your pre-physical. We recommend these tests in the best interest of our patients' health, not what may or may not covered by insurance companies. We suggest calling your insurance company if you are concerned whether certain testing would be covered.

Wellness is imperative to prevent future illness and discover illness before it advances. Yearly wellness exams are encouraged for men & women. Children should be seen every 10 years to receive the required tetanus boosters. Baby immunizations are given at birth, 2, 4, 6, 12 and 15 months and prior to kindergarten. A lead screen and a CBC are recommended at 9 months of age.

Recall cards are sent on yearly pap smears, and annual physical reminders are sent during the patient's
birthday month. Patients with hypertensive, cholesterol, diabetic and/or pulmonary disorders are recalled every 3 to 6 months. Our goal is to practice preventative medicine in the patient's best interest. Please bring your immunization records with you to each visit.

Warner Family Practice will make every attempt to process all tests and services in-house when permitted by your insurance carrier. If not premitted the test and/or service will be processed at an outside facility.

PLEASE FAST 8-12 HOURS FOR LAB WORK. WATER & BLACK COFFEE ONLY.

Carotid IMT: (CPT: 93882, Diagnosis: V71.7 if previous abnormal test then diagnosis 429.2 will be used)
The carotid ultrasound is performed to screen patients for blockage or narrowing of their carotid arteries, which if present may increase their risk of having a stroke at some future date. Treated early and aggressive with lifestyle changes and medication, reversal of the disease may be possible.

Chest X-ray: (CPT: 71020, Diagnosis: V76.0)
A chest x-ray includes an x-ray of the chest, lungs, heart, large arteries, ribs and diaphragm. A chest X-ray can help detect problems with the organs and structures inside the chest. It can help identify the cause of a symptom such as a cough, shortness of breath, or chest pain. In addition, it may identify and monitor the treatment of lung conditions and some heart problems.

DXA: (CPT: 77080 & 77082, Diagnosis: V82.81, if previous abnormal test then diagnosis 733.00 or 733.90 will be used)
The state-of-the-art DEXA-scan is a dual-energy X-ray absorptiometry. The DEXA-scan is a quick, non-invasive procedure that assesses bone mineral density, which can determine the rate of bone loss and detect osteoporosis before a fracture occurs.

EKG: (CPT: 93000, Diagnosis: V81.2)
An electrocardiogram is a test that records the electrical activity of the heart. The ECG is used to
measure the rate and regularity of heartbeats as well as the size and position of the chambers,
the presence of any damage to the heart, and the effects of drugs or devices used to regulate
the heart, such as a pacemaker.

Pulmonary Function Test: (CPT: 94010 & 94375, Diagnosis: V76.0)
The PFT is a lung function test. The PFT measures how well the lungs take in and exhale air, and how efficiently they transfer oxygen into the blood. Spirometry measures how well the lungs exhale. The information gathered during this test is useful in diagnosing certain types of lung disorders, but is primarily used to assess obstructive lung diseases such as asthma.

Vision Screening: (CPT: 99173, Diagnosis: V72.0)

ABI – Upper or lower extremity arteries: (CPT: 93922, Diagnosis: 729.5)
The ABI is a simple, reliable test for diagnosing peripheral arterial disease. Blood pressure measurements are taken at the arms and ankles using a specialized computer and an ultrasound device called a Doppler that produces sound waves.

Bio-Z: (CPT: 93701)
The Bio-Z is a non-invasive test based on thoracic impedance. The digital readouts produced by this monitor allow providers to determine whether or not a patient’s blood flow is normal and whether blood vessels coming out of the heart are restricted or normal, how forceful the heart is contracting, and the level of circulating fluid. All of these factors influence blood pressure and this data is used by providers to adjust the patient’s medication accordingly.

Hearing Screen: (CPT: 92557, 92565, 92567,92568, 92588; Diagnosis: 389.9 or 388.40)
Warner Family Practice now has available to you a state-of-the-art, self-administered hearing test. This easy-to-use test can detect a potential hearing challenge before it becomes debilitating. If you suspect you might suffer from minor hearing loss ask your doctor about our new hearing test service.

Provocative Test for Glaucoma: (CPT: 92140, Diagnosis: 250.00 or other diabetic code)

This is the typical lab work for physicals and some disease management. Your provider may order additional testing. Based on your insurance, your lab work may need to be sent to an outside facility:

Allergy: (CPT: 86003, Diagnosis: 477.0 and/or 477.1) (24 units for food panel, 70 units for southwest allergen panel and 94 units for both panels)
As part of our on-going commitment to total patient care, we are pleased to announce the addition of our on-site allergy testing. This simple blood test uses the technologically advanced Immulite 2000 by Siemens, an accurate, fast-response allergy test for two distinct types of allergens: one for common southwest inhalants (airborne particles such as those from trees, grasses, weeds, pet dander and indoor pollutants), and the other test for food and mold allergies.

CBC: (CPT: 85025, Diagnosis V77.99)
The CBC is used as a broad screening test to check for such disorders as anemia, infection, and many other diseases.

Comprehensive Metabolic Panel (CMP): (CPT: 80053, Diagnosis V77.99)
The Comprehensive Metabolic Panel is a frequently ordered panel of tests that gives your doctor important information about the current status of your kidneys, liver, and electrolyte and acid/base balance as well as of your blood sugar and blood proteins.

Fasting Glucose: (CPT: 82950, Diagnosis: 790.29)
This is a measurement of blood glucose taken after you have not eaten for 12 to 14 hours. It is often the first test done to help detect diabetes. Glucose is a type of sugar found in carbohydrate foods and is the main source of energy used by the body.

Free T3: (CPT: 84481, Diagnosis V77.99)
A T3 test helps to determine whether the thyroid is functioning properly. It is ordered primarily to help diagnose hyperthyroidism and may be ordered to help monitor the progress of a patient with a known thyroid disorder.

Free T4: (CPT: 84439, Diagnosis V77.99) 
To help evaluate thyroid gland function; to help diagnose hypothyroidism or hyperthyroidism.

Hemoglobin AC1: (CPT: 83036, Diagnosis: 790.29)
A hemoglobin A1c test measures the average amount of sugar in your blood over the last 3 months. As your body processes blood sugar, small amounts of glucose naturally bond with hemoglobin, a protein in the red blood cells. As a result, the hemoglobin bonded with glucose (glycated hemoglobin, or A1c) can be used as an overall record of glucose levels for as long as the individual red blood cell lives, which is about two to three months.

High Sensitivity C-Reactive Protein: (CPT: 86141, Diagnosis: V71.7)
The high sensitivity CRP (hs-CRP) test measures very small amounts of CRP in the blood and is ordered most frequently for seemingly healthy people to assess their potential risk for heart problems.

Lipid Panel: (CPT: 80061, Diagnosis: V81.2)
A lipid test measures fats and fatlike substances used as a source of fuel in your body; examples include cholesterol, triglycerides, high-density lipoprotein (HDL), and low-density lipoprotein (LDL). Lipids are found in your bloodstream or are stored in tissues; they are an important part of cell structure and other functions in the body. Lipid disorders, such as high cholesterol, may contribute to life-threatening illnesses, such as coronary artery disease (CAD), heart attack, or stroke.

Microalbumin & Creatinine: (CPT: 82043 & 82570, Diagnosis V77.99)
The random microalbumin test or microalbumin/creatinine ratio is frequently ordered as a screening test on patients with chronic conditions, such as diabetes and hypertension that put them at an increased risk of developing kidney failure.

PSA: (CPT: 84153, Diagnosis: V76.44)
A PSA test measures the amount of prostate-specific antigen in the blood. Low amounts of PSA may be found in the blood of healthy men. The amount of PSA in the blood normally increases as a man’s prostate enlarges with age. It is also increased by inflammation of the prostate gland (prostatitis) and by prostate cancer.

T3 Uptake: (CPT: 84479, Diagnosis V77.99)
The thyroid uptake test estimates how much thyroid hormone-binding proteins are available in the blood through a calculation based on levels of T3 or T4 added to a patient's blood specimen.

Thyroid Stimulating Hormone: (CPT: 84443, Diagnosis V77.99)
The TSH test is often the test of choice for evaluating thyroid function and/or symptoms of hyper- or hypothyroidism. It is frequently ordered along with or preceding a T4 test. Other thyroid tests that may be ordered include a T3 test and a T4.

Testosterone: (CPT: 84403, Diagnosis: 257.2)
This test is used to determine abnormal testosterone level in males and females. Abnormal results may explain infertility or other issues a patient may encounter.

Gonorrhea/Chlamydia: (CPT: 87591 & 87491, Diagnosis: V74.5)

HPV (Human Papilloma Virus) Testing:
HPV testing is included in the pap smear screening. HPV is a virus associated with cervical cancer. There are about 40 various types of HPV which can be divided into two categories, low and high risk. After the age of 30 the office screens females for the high risk types since those are the ones that are most likely to cause cervical cancer in women. The pap smear can detect cellular changes on the cervix and any high risk HPV types that can alert the providers to order any additional testing or a referral to a specialist.

Hemoccult/Stool Sample:
Fecal occult blood tests (FOBT) use chemical indicators on stool samples to detect the presence of blood not visible. Blood originating from or passing through the gastrointestinal tract can signal many conditions requiring further diagnostic procedures.

Mammogram:
A mammogram is an x-ray of the breasts used to screen for breast problems, such as a lump, and whether a lump is fluid-filled (a cyst) or a solid mass. A mammogram is done to help screen for or diagnose breast cancer. Many small tumors can be seen on a mammogram before they can be felt by a woman or her health professional.

Berkeley HeartLab:
Berkeley HeartLab testing is a comprehensive approach to identifying emerging independent cardiac risk factors.  In addition, Berkeley HeartLab enables physicians to personalize therapy through pharmacogenomic testing. This blood test allows our providers to determine if you have the KIF-6 gene and are statin resistant. For more information please click here.

Cardio DX (Corus CAD Test):
Corus CAD is a gene expression test that provides your current state assessment of the likelihood of obstructive coronary artery disease (CAD)]. CAD is the most common type of heart disease. It's the leading cause of death in the United States for both men and women. For more information please click here.

The VAP Cholesterol Test:
The VAP® (Vertical Auto Profile) Test is the most accurate and comprehensive cholesterol test available today, reporting 15 separate components of blood cholesterol as opposed to four in a standard test. This more comprehensive test can identify a far greater number of lipid abnormalities and is the only cholesterol test to identify markers for Metabolic Syndrome, a precursor for diabetes. The VAP Test will also include Vitamin D testing. For more information please click here.