| |
Data Element
|
UM Definition |
Data Source |
Issues |
| 1. |
Service Center |
Practitioner's Primary service center from the
practitioner baseline |
Practitioner baseline |
|
| 2. |
Practitioner subspecialty |
Disciplines: 01-MD, 89-DO, 98-ARNP, 99-PA,
99-PACNP |
Practitioner baseline |
|
| 3. |
Ordering practitioner |
Disciplines: 01-MD, 89-DO, 98-ARNP, 99-PA,
99-PACNP |
Practitioner baseline |
Do not include providers with no lab
utilization |
| 4. |
Number of visits |
Visits with PUP report E & M codes. See
attached list. Also the following data: Phone visit -
CPT codes: 99371,99372,99373 |
DISC/Last Word visit data |
|
| 5. |
Number of tests |
Count of CPT codes with first digit "8" on the
costed lab test code. Record (0,1,or many PCT codes per
test code) |
DISC/Last Word visit data |
|
| 6. |
Number of tests per visit |
=number of tests/100 visits |
|
|
| 7. |
Number of well visits |
V70.0, V72.3, V76.2 |
|
|
| 8. |
Number of comprehensive metabolic panels (CMP) per
well visit - CPT code: 80053 |
Well visit matches - CMP with practitioner number,
consumer number, date of service |
|
|
| 9. |
Number of complete blood counts (CBC) per well
visit |
Well visit matches - CBC with practitioner number,
consumer number, date of service |
|
|
| 10. |
Number of TSH per well visit - CPT codes: 84479,
84436, 84443, 84439 |
Well visit matches - TSH with practitioner number,
consumer number, date of service |
|
|
