Comprehensive Physical Services & Codes

Our commitment to preventative care is the foundation of our comprehensive physical and testing. Based on personal, family and social history some or all of these tests may be recommended for you at the time of your physical. We recommend these tests in the best interest of our patients’ health, not what may or may not be covered by insurance companies.

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

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

A

Abdominal Aortic Aneurysm (AAA)

The AAA is a specific kind of aneurysm, in which the lining of the blood vessel called the aorta is enlarged within the abdomen. Abdominal aortic aneurysms pose a threat because they are usually silent until a medical emergency occurs. We perform a noninvasive procedure, which requires you to lie on your back while a technician uses ultrasound to take images and measurements of your abdominal aorta.

Billing Codes
(CPT: 93978, Diagnosis: R09.89)

Ankle Brachial Index (ABI)

The ABI is a simple and 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, which produces sound waves.

Billing Codes
CPT: 93922, Diagnosis: R09.89

B

Balance Plate

Also called a Posturography test, the Balance Plate uses equipment known as the Balance+Plus Fall Assessment System. This equipment looks like a weight scale, but with extra computerized accessories. The patient simply steps onto it, and the system’s software calculates the patient’s weight and body mass index, then determines his or her balance/ stability/falls-risk.

Billing Codes
CPT: 92548, 97750 Diagnosis: R42

C

Carotid Limited Ultrasound

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.

Billing Codes
CPT: 93882, Diagnosis: R09.89

CBC

The CBC is used as a broad screening test to check for such disorders as anemia, infection, and many other diseases.

Billing Codes
CPT: 85025, Diagnosis Z00.00 or Z00.01

Chest X-Ray

A chest x-ray includes images of the chest, lungs, heart, large arteries, ribs and diaphragm. It can help detect problems with the organs and structures inside the chest. It can aid in identifying 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.

Billing Codes
CPT: 71020, Diagnosis: Z00.00 or Z00.01

Comprehensive Metabolic Panel (CMP)

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, electrolyte and acid/base balance as well as of your blood sugar and blood proteins.

Billing Codes
CPT: 80053, Diagnosis Z00.00 or Z00.01

CPX

This is a noninvasive exercise test that examines the cardiopulmonary system as a whole. Exercise testing remains a remarkably versatile tool that provides valuable diagnostic information regarding patients at risk of cardiovascular or pulmonary disease. Integration of data obtained from pulmonary function tests (PFT’s), gas exchange analyses (oxygen consumption) and electrocardiograms (ECG) obtained at maximal work rate allows for the ability to differentiate between limiting factors due to the heart, lungs, obesity or deconditioning. CPX provides a tremendous amount of information relating to present and future health outcomes.

Billing Codes
CPT: 93015, 94060, 94681, 94400, 94727, 94729 Diagnosis: Varies by patient

D

DPN: Diabetic Peripheral Neuropathy

NC stat DPN Check performs a nerve conduction study of the sural nerve and detects neuropathy at a much earlier stage. DPN Check is particularly useful in the evaluation and management of patients with diabetic peripheral neuropathy.

Billing Codes
CPT: 95905 Diagnosis: E11.9 or R20.2

DXA Scan

The state-of-the-art DXA scan is a dual-energy x-ray absorptiometry. The DXA scan is a quick, noninvasive procedure used to measure bone mineral density, which can determine the rate of bone loss and detect osteoporosis before a fracture occurs.

Billing Codes
CPT: 77085, Diagnosis: Z13.820, if previous abnormal test then M81.0 or M85.89 will be used

E

EKG

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 four 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.

Billing Codes
CPT: 93000, Diagnosis: Z00.00 or Z00.01

F

Fasting Glucose

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.

Billing Codes
CPT: 82950, Diagnosis: E11.9 or R73.01

Free T3

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.

Billing Codes
CPT: 84481, Diagnosis Z00.00, Z00.01, E11.x, E72.x, I10, R73.01, E04.x, E03.x

Free T4

This evaluates thyroid gland function; to help diagnose hypothyroidism or hyperthyroidism.

Billing Codes
CPT: 84439, Diagnosis Z00.00, Z00.01, E11.x, E72.x, I10, R73.01, E04.x, E03.x

G

GlycoMark

The GlycoMark test is a simple, non-fasting blood test that indicates blood glucose control over a one- to two-week period in people with diabetes. By measuring 1,5-anhydroglucitol (1,5-AG), a particular type of glucose-like sugar in your blood, the GlycoMark test can help identify high-glucose episodes.

Billing Codes
CPT: 84378, Diagnosis: E11.9, or R73.01

Gonorrhea and Chlamydia

Maricopa county is one of the highest counties in the country with Gonorrhea and Chlamydia.

Billing Codes
CPT: 87591 & 87491, Diagnosis: Z11.3

H

Hearing Screening

We now have 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 hearing test service.

Billing Codes
CPT: 92557, 92565, 92567,92568, 92588; Diagnosis: Z01.10 or hearing impairment code

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.

The test below is sent to various outside labs. You may receive an EOB and/or bill from these facilities.

Hemoglobin A1c

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.

Billing Codes
CPT: 83036, Diagnosis: Z00.00, Z00.01, E11.x, E72.x, I10, R73.01, etc.

Hepatitis C

Depending on age and if the screening has been performed, this test may be ordered under CMS guidelines to screen for Hepatitis C.

The test below is sent to various outside labs. You may receive an EOB and/or bill from these facilities.

High Sensitivity C-Reactive Protein

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.

Billing Codes
CPT: 86141, Diagnosis: Z00.00 or Z00.01

Homocysteine

Helps identify Folic Acid, B12 and enzyme deficiencies.

Billing Codes
CPT: 83090, Diagnosis: Z00.00, Z00.01 or E72.11

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.

The test below is sent to various outside labs. You may receive an EOB and/or bill from these facilities.

I

Immunochemical Fecal Occult (FOBT)

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.

Billing Codes
CPT: 82274, Diagnosis: Z12.11

Insulin

Insulin is a hormone produced by the beta cells of the pancreas. It regulates the uptake and utilization of glucose and is also involved in protein synthesis and triglyceride storage. Type 1 diabetes (insulin-dependent diabetes) is caused by insulin deficiency due to destruction of insulin-producing pancreatic islet (beta) cells. Type 2 diabetes (noninsulin dependent diabetes) is characterized by resistance to the action of insulin (insulin resistance).

Billing Codes
CPT: 83090, Diagnosis: E10.x, E11.x, or R73.01

L

Lipid Panel

A lipid test measures fats and fat like 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.

Billing Codes
CPT: 80061 and 83721-59, Diagnosis: Z00.00, Z00.01 or E72.00-E72.5

M

Mammogram

A mammogram is a specialized x-ray of the breasts which screens for problems such as a lump and whether a lump is fluid-filled (a cyst) or a solid mass. A mammogram is done to 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 care professional.

Billing Codes
CPT: 82043 & 82570, Diagnosis V77.99

Microalbumin

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.

Billing Codes
CPT: 82043, Diagnosis Z00.00 or Z00.01

P

PSA

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.

Billing Codes
CPT: 84153, Diagnosis: Z12.5

Pulmonary Function Test

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.

Billing Codes
CPT: 94010 & 94375, Diagnosis: Z00.00 or Z00.01

R

Resting Metabolic Rate (RMR)

The Resting Metabolic Rate test measures the amount of energy expended daily by a human at rest. It is used to help identify the correct amount of calories needed to eat to achieve weight loss.

Billing Codes
CPT: 94690, Diagnosis: E66.09

S

Sleep Study

A sleep study can help detect sleep apnea, a serious and life threatening condition, occurring when the airway temporarily collapses during sleep, causing breathing to repeatedly stop and start during sleep. Most patients who suffer from OSA (Obstructive Sleep Apnea) will experience low levels of oxygen in the blood, high blood pressure and a quality of life decrease due to headaches and drowsiness. Some signs of OSA include loud snoring, dry mouth, morning headaches and shortness of breath.

Billing Codes
CPT: 95806, Diagnosis: Varies by patient

T

Testosterone

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.

Billing Codes
CPT: 84403, Diagnosis: Z00.00, Z00.01 or E29.1

Thyroid Stimulating Hormone (TSH)

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.

Billing Codes
CPT: 84443, Diagnosis Z00.00 or Z00.01

Thyroid Ultrasound

Thyroid ultrasound uses sound waves to produce pictures of the thyroid gland within the neck. It does not use ionizing radiation and is commonly used to evaluate lumps or nodules found during a routine physical or other imaging exam.

Billing Codes
CPT: 76536, Diagnosis: E04.1 or E03.9

U

Urinalysis

The urinalysis is a set of screening tests that can detect some common diseases. It may be used to screen for and/or help diagnose conditions such as a urinary tract infections, kidney disorders, liver problems, diabetes or other metabolic conditions.

Billing Codes
CPT: 81003, Diagnosis: Z00.00, Z00.01

V

Vision Screening

Testing your vision is done using a standard vision screening machine.

Billing Codes
CPT: 99173, Diagnosis: Z00.00, Z00.01 or Z01.00

Vitamin B-12

This is the largest and most structurally complicated vitamin and provides valuable information in treating anemia. It is a water-soluble vitamin with a key role in the normal functioning of the brain and nervous system, and for the formation of blood. B12 is one of the eight B vitamins. It is involved in the metabolism of every cell of the human body, and important for energy production.

Billing Codes
CPT: 82607, Diagnosis: Z00.00, Z00.01 or D51.9

Vitamin D

Vitamin D is a fat soluble vitamin that can build up in the bloodstream so it is important to take the correct levels of Vitamin D as recommended by your provider. Vitamin D is referred to as the “Sunshine Vitamin” because it is generally felt to be converted by the skin into Vitamin D in the human body. However, recently widespread information about a variety of different diseases exists including bone health, cancer and cardiovascular disease, diabetes, stroke and chronic fatigue. Some depression has also been linked to low levels of Vitamin D.

Billing Codes
CPT: 82306, Diagnosis: Z00.00, Z00.01 or E55.9

Videonystagmography (VNG)

VNG testing is used to determine if a vestibular (inner ear) disease may be causing a balance or dizziness problem, and is one of the only tests available today that can decipher between a unilateral (one ear) and bilateral (both ears) vestibular loss. VNG is a series of tests designed to document a persons ability to follow visual objects with their eyes and how well the eyes respond to information from the vestibular system.

Billing Codes
CPT: 92540, 92543, 92546-RT, 92546-LT Diagnosis: R42