electronic annotated superbill
 Share
The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

Comment only
 
 
ABCDEFGHIJKLMNOPQRS
1
Diagnosis or SymptomSectionSubsectionTop100CodeLinkReferenceCategoryDetailAAFP articleAAFP linkAAFP topic(s)BMJ evidence ArticleBMJ topicICSICanadian resourceCanadian topic(s)Performance measuresImportant Guidelines
2
Strep throatI. Infectious & Parasitic DiseasesTRUE34http://www.aafp.org/afp/2009/0301/p383.htmlAm Fam Physician. 2009 Mar 1;79(5):383-390.AAFPdx, tx
3
Strep throatI. Infectious & Parasitic DiseasesTRUE34http://www.aafp.org/fpm/2003/0900/p68.htmlFPM 2003 SeptemberAAFPdx (encounter form)
4
Strep throatI. Infectious & Parasitic DiseasesTRUE34http://clinicalevidence.bmj.com/ceweb/conditions/rda/1509/1509.jspBMJ evidencetx


5
Viral infection, unspec.I. Infectious & Parasitic DiseasesTRUE79.99
6
Warts, viral, unspec.I. Infectious & Parasitic DiseasesTRUE78.1http://www.aafp.org/afp/2005/0815/p647.htmlAm Fam Physician. 2005 Aug 15;72(4):647-652.AAFPtx
7
Warts, viral, unspec.I. Infectious & Parasitic DiseasesTRUE78.1http://clinicalevidence.bmj.com/ceweb/conditions/skd/1710/1710.jspBMJ evidencetx
8
Skin, unspec.II. NeoplasmsBenign NeoplasmsTRUE216.9http://www.aafp.org/afp/2003/0215/p729.htmlAm Fam Physician. 2003 Feb 15;67(4):729-738.AAFPdx
9
Skin, unspec.II. NeoplasmsBenign NeoplasmsTRUE216.9none as of 5/2/2010BMJ evidence
10
Diabetes I, uncomplicatedIII. Endocrine, Nutritional & Metabolic DisordersEndocrineTRUE250.01http://clinicalevidence.bmj.com/ceweb/conditions/dia/dia.jspmultiple
11
Diabetes II, uncomplicatedIII. Endocrine, Nutritional & Metabolic DisordersEndocrineTRUE2501999 May

FPM 2000
http://www.aafp.org/afp/990515ap/2835.html

http://www.aafp.org/fpm/20000900/diabetesprogressnote.pdf
tx

encounter form
http://clinicalevidence.bmj.com/ceweb/conditions/dia/dia.jspmultiple• A1C measurement and value
• Aspirin therapy
• Dilated retinal exam
• Foot exam
• Urine microalbumin protein
screen
• Blood pressure measurement
and values
• Influenza immunization
• Lipid profile measurement and
values
• Smoking/smoking cessation
12
Hypothyroidism, unspec.III. Endocrine, Nutritional & Metabolic DisordersEndocrineTRUE244.9Am Fam Physician. 2001 Nov 15;64(10):1717-1725http://www.aafp.org/afp/2001/1115/p1717.htmltxhttp://clinicalevidence.bmj.com/ceweb/conditions/end/0605/0605.jsptx
13
Hypercholesterolemia, pureIII. Endocrine, Nutritional & Metabolic DisordersMetabolic/OtherTRUE272Am Fam Physician. 2005 Mar 15;71(6):1137-1142.http://www.aafp.org/afp/2005/0315/p1137.htmltxhttp://clinicalevidence.bmj.com/ceweb/conditions/cvd/0215/0215.jsptxhttp://www.nhlbi.nih.gov/guidelines/cholesterol/index.htm
14
Obesity, NOSIII. Endocrine, Nutritional & Metabolic DisordersMetabolic/OtherTRUE278Am Fam Physician. 2001 Jun 1;63(11):2185-2197.http://www.aafp.org/afp/2001/0601/p2185.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/end/0604/0604.jsptxhttp://www.nhlbi.nih.gov/guidelines/obesity/index.htm
15
OverweightIII. Endocrine, Nutritional & Metabolic DisordersMetabolic/OtherTRUE278.02Am Fam Physician. 2001 Jun 1;63(11):2185-2197.http://www.aafp.org/afp/2001/0601/p2185.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/end/0604/0604.jsptxhttp://www.nhlbi.nih.gov/guidelines/obesity/index.htm
16
Anemia, iron deficiency, unspec.IV. Blood DiseasesTRUE280.9Am Fam Physician. 2007 Mar 1;75(5):671-678.http://www.aafp.org/afp/2007/0301/p671.htmldx, tx
17
Anemia, other, unspec.IV. Blood DiseasesTRUE285.9Am Fam Physician 2000; 62:2255-63,2264.http://www.aafp.org/afp/20001115/2255.html
18
Anemia, other, unspec.IV. Blood DiseasesTRUE285.9Am Fam Physician. 2009;79(3):203–208.http://www.aafp.org/afp/2009/0201/p203.html
19
Anxiety state, unspec.V. Mental DisordersTRUE300Am Fam Physician 2000;62:1591-600,1602.http://www.aafp.org/afp/20001001/1591.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/meh/1002/1002.jsp
20
Attention deficit, w/ hyperactivityV. Mental DisordersTRUE314.01Am Fam Physician. 2001 May 1;63(9):1803-1811.http://www.aafp.org/afp/2001/0501/p1803.html
21
Depressive disorder, NOSV. Mental DisordersTRUE311Am Fam Physician. 2006 Jan 1;73(1):83-86.http://www.aafp.org/afp/2006/0101/p83.htmlcognitive txhttp://clinicalevidence.bmj.com/ceweb/conditions/meh/1003/1003.jsp
http://clinicalevidence.bmj.com/ceweb/conditions/meh/1016/1016.jsp
• Depression severity assessed
and classified
• DSM-IV criteria for major depressive
disorder met
• Prescribed appropriate treatment
• Suicide risk assessment
• Treatment preferences discussed
and documented
• Use of symptom checklist
22
Insomnia, sleep disorder, unspec.V. Mental DisordersTRUE307.4Am Fam Physician. 2007 Aug 15;76(4):517-526.http://www.aafp.org/afp/2007/0815/p517.htmltxhttp://clinicalevidence.bmj.com/ceweb/conditions/sld/2302/2302.jsp
23
Tobacco abuseV. Mental DisordersSubstance AbuseTRUE305.1Am Fam Physician. 2002 Mar 15;65(6):1107-1115.http://www.aafp.org/afp/2002/0315/p1107.htmlhttp://clinicalevidence.bmj.com/downloads/smoking-cessation.pdf
24
Cerebral art. occl., w/ infarction, unspec.VI. Nervous System & Sense Organ DisordersNervous System DiseasesTRUE434.911999 Mayhttp://www.aafp.org/afp/990501ap/2475.htmlpreventionhttp://clinicalevidence.bmj.com/ceweb/conditions/cvd/0207/0207.jspprevention
25
Epilepsy, unspec., not intractableVI. Nervous System & Sense Organ DisordersNervous System DiseasesTRUE345.9Am Fam Physician. 2001 Jul 1;64(1):91-99.http://www.aafp.org/afp/2001/0701/p91.htmltxhttp://clinicalevidence.bmj.com/ceweb/conditions/nud/1201/1201.jsptx
26
Migraine, unspec., not intractableVI. Nervous System & Sense Organ DisordersNervous System DiseasesTRUE346.92Am Fam Physician. 2002 Dec 1;66(11):2123-2131.http://www.aafp.org/afp/2002/1201/p2123.htmlacute tx
27
Migraine, unspec., not intractableVI. Nervous System & Sense Organ DisordersNervous System DiseasesTRUE346.92Am Fam Physician. 2006 Jan 1;73(1):72-78.http://www.aafp.org/afp/2006/0101/p72.htmlprophylaxis
28
Migraine, unspec., not intractableVI. Nervous System & Sense Organ DisordersNervous System DiseasesTRUE346.92http://clinicalevidence.bmj.com/ceweb/conditions/nud/1208/1208.jsptx
29
Conjunctivitis, unspec.VI. Nervous System & Sense Organ DisordersEye DiseasesTRUE372.31998 Febhttp://www.aafp.org/afp/980215ap/morrow.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/eyd/0704/0704.jsptx
30
Cerumen impactionVI. Nervous System & Sense Organ DisordersEar DiseasesTRUE380.4Am Fam Physician. 2007 May 15;75(10):1523-1528.http://www.aafp.org/afp/2007/0515/p1523.htmldx, txhttp://clinicalevidence.bmj.com/ceweb/conditions/ent/0504/0504.jsptx
31
Otitis externa, unspec.VI. Nervous System & Sense Organ DisordersEar DiseasesTRUE380.1Am Fam Physician. 2006 Nov 1;74(9):1510-1516.http://www.aafp.org/afp/2006/1101/p1510.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/ent/0510/0510.jsptx
32
Otitis media, acuteVI. Nervous System & Sense Organ DisordersEar DiseasesTRUE382Am Fam Physician. 2007 Dec 1;76(11):1650-1658.

FPM 2004 June (encounter form)
http://www.aafp.org/afp/2007/1201/p1650.html

http://www.aafp.org/online/en/home/publications/journals/fpm/fpmtoolbox.html#Parsys99885

http://www.aafp.org/fpm/2004/0600/p52.html
tx

encounter form

same encounter form
http://clinicalevidence.bmj.com/ceweb/conditions/chd/0301/0301.jsptx (children)
33
Atrial fibrillationVII. Circulatory SystemArrythmiasTRUE427.31Clinical Practice Guidelineshttp://www.aafp.org/online/en/home/clinical/clinicalrecs/atrialfib.htmlnew, managementhttp://clinicalevidence.bmj.com/ceweb/conditions/cvd/0210/0210.jsp

http://clinicalevidence.bmj.com/ceweb/conditions/cvd/0217/0217.jsp
tx (acute)

tx (chronic)
http://www.icsi.org/guidelines_and_more/gl_os_prot/cardiovascular/atrial_fibrillation__guideline_/new_health_care_guideline_38781.html
34
Chronic ischemic heart disease, unspec.VII. Circulatory SystemCardiacTRUE414.9Am Fam Physician. 2010 Feb 1;81(3):289-296.http://www.aafp.org/afp/2010/0201/p289.htmltx (secondary prevention of cad)http://clinicalevidence.bmj.com/ceweb/conditions/cvd/0206/0206.jsptx(secondary prevention of ischemic events)• Ace inhibitor therapy (MI)
• Anginal symptom evaluation
• Antiplatelet therapy
• Beta-blocker therapy (MI)
• Level of physical activity
• Statin therapy
• Blood pressure measurement
and values
• Lipid profile measurement and
values
• Smoking/smoking cessation
35
Heart failure, congestive, unspec.VII. Circulatory SystemCardiacTRUE428Am Fam Physician. 2004 Dec 1;70(11):2145-2152.

Am Fam Physician. 2004 Dec 1;70(11):2157-2164.
http://www.aafp.org/afp/2004/1201/p2145.html

http://www.aafp.org/afp/2004/1201/p2157.html
dx

tx(systolic)
http://clinicalevidence.bmj.com/ceweb/conditions/cvd/0204/0204.jsphttp://www.icsi.org/guidelines_and_more/gl_os_prot/cardiovascular/heart_failure_2/heart_failure_in_adults__guideline_.html
36
Elevated BP w/o hypertensionVII. Circulatory SystemVascularTRUE796.22004 Mar

Am Fam Physician. 2010 Feb 15;81(4):470-476.

Am Fam Physician. 2003 Jan 1;67(1):67-74.
http://www.aafp.org/fpm/2004/0300/p79.html

http://www.aafp.org/afp/2010/0215/p470.html

http://www.aafp.org/afp/2003/0101/p67.html
dx and tx (form)

dx and tx (severe)

dx (secondary htn)
http://clinicalevidence.bmj.com/ceweb/conditions/cvd/0214/0214.jsptx (hypertension)http://www.nhlbi.nih.gov/guidelines/hypertension/index.htm
37
Hypertension, benignVII. Circulatory SystemVascularTRUE401.12004 Mar

Am Fam Physician. 2010 Feb 15;81(4):470-476.

Am Fam Physician. 2003 Jan 1;67(1):67-74.
http://www.aafp.org/fpm/2004/0300/p79.html

http://www.aafp.org/afp/2010/0215/p470.html

http://www.aafp.org/afp/2003/0101/p67.html
dx and tx (form)

dx and tx (severe)

dx (secondary htn)
http://clinicalevidence.bmj.com/ceweb/conditions/cvd/0214/0214.jsptx (hypertension)http://www.icsi.org/guidelines_and_more/gl_os_prot/cardiovascular/hypertension_4/hypertension_diagnosis_and_treatment__11.html• Blood pressure measurement
• Lipid profile measurement
• Glucose screen for diabetes
• BMI or waist circumference
measurement
• Serum creatinine measurement
• Urine protein measurement
• Documentation of appropriate
counseling for:
The DASH plan
Weight reduction
Alcohol consumption
Physical activity
Sodium intake
Smoking/smoking cessation
http://www.nhlbi.nih.gov/guidelines/hypertension/index.htm
38
Hypertension, unspec.VII. Circulatory SystemVascularTRUE401.92004 Mar

Am Fam Physician. 2010 Feb 15;81(4):470-476.

Am Fam Physician. 2003 Jan 1;67(1):67-74.
http://www.aafp.org/fpm/2004/0300/p79.html

http://www.aafp.org/afp/2010/0215/p470.html

http://www.aafp.org/afp/2003/0101/p67.html
dx and tx (form)

dx and tx (severe)

dx (secondary htn)
http://clinicalevidence.bmj.com/ceweb/conditions/cvd/0214/0214.jsptx (hypertension)http://www.icsi.org/guidelines_and_more/gl_os_prot/cardiovascular/hypertension_4/hypertension_diagnosis_and_treatment__11.htmlhttp://www.nhlbi.nih.gov/guidelines/hypertension/index.htm
39
Phlebitis, deep, lower extrem., otherVII. Circulatory SystemVascularTRUE451.19??
40
Asthma, unspec.VIII. Respiratory SystemLower Respiratory TractTRUE493.9Am Fam Physician. 2005 May 15;71(10):1959-1968.

Am Fam Physician. 2004 Sep 1;70(5):893-898.

Am Fam Physician. 2004 Sep 15;70(6):1061-1066.

FPM 2004 October
http://www.aafp.org/afp/2005/0515/p1959.html

http://www.aafp.org/afp/2004/0901/p893.html

http://www.aafp.org/afp/2004/0915/p1061.html

http://www.aafp.org/fpm/2004/1000/fpm20041000p43-rt1.pdf
tx (children)

dx (diagnosis, monitoring, prevention)

tx (adults)

encounter form
http://clinicalevidence.bmj.com/ceweb/conditions/rdc/1501/1501.jsp

http://clinicalevidence.bmj.com/ceweb/conditions/chd/0302/0302.jsp
tx (adults)

tx (children)
http://www.icsi.org/guidelines_and_more/gl_os_prot/respiratory/asthma__outpatient/asthma__diagnosis_and_outpatient_management_of_12572.html• Assessment of current control
• Asthma medications prescribed
• Completed asthma assessment
tool
• Daytime and nighttime symptom
frequency
• Frequency of missed or modified
activities
• Long-term control medication
use
• Possible triggers and allergens
• Short-acting beta-agonist inhaler
use
frequency
• Frequency and severity of
acute
attacks/exacerbations
• Medication adherence
• Smoking/smoking cessation
http://www.nhlbi.nih.gov/guidelines/asthma/index.htm
41
Bronchitis, acuteVIII. Respiratory SystemLower Respiratory TractTRUE466
42
COPD, NOSVIII. Respiratory SystemLower Respiratory TractTRUE496Am Fam Physician. 2001 Aug 15;64(4):603-613.

Am Fam Physician. 2010 Mar 1;81(5):607-613.
http://www.aafp.org/afp/2001/0815/p603.html

http://www.aafp.org/afp/2010/0301/p607.html
tx (acute and chronic)

tx (acute)
http://clinicalevidence.bmj.com/ceweb/conditions/rdc/1502/1502.jsptx• Long-term oxygen therapy
• Oxygen saturation measurement
• Pneumococcus immunization
• Pulmonary rehabilitation
• Symptom and functional status
evaluation
• Use of spirometry
• Frequency and severity of
acute
attacks/exacerbations
• Influenza immunization
• Medication adherence
• Smoking/smoking cessation
http://www.goldcopd.com/
43
Pneumonia, unspec.VIII. Respiratory SystemLower Respiratory TractTRUE486Am Fam Physician. 2006 Feb 1;73(3):442-450.

Am Fam Physician. 2004 Sep 1;70(5):899-908.
http://www.aafp.org/afp/2006/0201/p442.html

http://www.aafp.org/afp/2004/0901/p899.html
tx

tx (children)
http://clinicalevidence.bmj.com/ceweb/conditions/rda/1503/1503.jsptx
44
Pharyngitis, acuteVIII. Respiratory SystemUpper Respiratory TractTRUE462Am Fam Physician. 2009 Mar 1;79(5):383-390.

Am Fam Physician. 2004 Mar 15;69(6):1465-1470.

FPM 2003 September
http://www.aafp.org/afp/2009/0301/p383.html

http://www.aafp.org/afp/2004/0315/p1465.html

http://www.aafp.org/fpm/2003/0900/p68.html
dx, tx (strep)

tx

dx, tx (form)
http://clinicalevidence.bmj.com/ceweb/conditions/rda/1509/1509.jsptx
45
Rhinitis, allergic, cause unspec.VIII. Respiratory SystemUpper Respiratory TractTRUE477.9Am Fam Physician. 2006 May 1;73(9):1583-1590.http://www.aafp.org/afp/2006/0501/p1583.htmldxhttp://clinicalevidence.bmj.com/ceweb/conditions/ent/0509/0509.jsptx
46
Sinusitis, acute, NOSVIII. Respiratory SystemUpper Respiratory TractTRUE461.9http://www.entlink.net/qualityimprovement/upload/Adult%20Sinusitis%20Guideline.pdfhttp://clinicalevidence.bmj.com/ceweb/conditions/ent/0511/0511.jsptx
47
Upper respiratory infection, acute, NOSVIII. Respiratory SystemUpper Respiratory TractTRUE465.9Am Fam Physician. 2007 Feb 15;75(4):515-520.http://www.aafp.org/afp/2007/0215/p515.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/rda/1510/1510.jsptx (cold)
48
Constipation, unspec.IX. Digestive SystemTRUE564Am Fam Physician. 2005 Dec 1;72(11):2277-2284.http://www.aafp.org/afp/2005/1201/p2277.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/dsd/0413/0413.jsp

http://clinicalevidence.bmj.com/ceweb/conditions/chd/0303/0303.jsp

http://clinicalevidence.bmj.com/ceweb/conditions/pac/1411/1411.jsp
tx (adults)

tx (children)

tx (pregnancy)
49
Gastroenteritis, noninfectious, unspec.IX. Digestive SystemTRUE558.91998 Novemberhttp://www.aafp.org/afp/981115ap/eliason.htmldx and tx (children)http://clinicalevidence.bmj.com/ceweb/conditions/ind/0901/0901.jsp

http://clinicalevidence.bmj.com/ceweb/conditions/chd/0314/0314.jsp
tx (adults)

tx (children)
50
Gastroesophageal reflux, no esophagitisIX. Digestive SystemTRUE530.811999 Marchhttp://www.aafp.org/afp/990301ap/1161.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/dsd/0403/0403.jsptx (adults)
51
Hemorrhoids, NOSIX. Digestive SystemTRUE455.62001 Julyhttp://www.aafp.org/afp/2001/0701/p77.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/dsd/0415/0415.jsptx
52
Cystitis, acuteX. Genitourinary SystemUrinary System DiseasesTRUE5951999 Marchhttp://www.aafp.org/afp/990301ap/1225.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/woh/0801/0801.jsptx (recurrent)

no article for acute
53
Urinary tract infection, unspec./pyuriaX. Genitourinary SystemUrinary System DiseasesTRUE5991999 Marchhttp://www.aafp.org/afp/990301ap/1225.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/woh/0801/0801.jsptx (recurrent)

no article for acute
54
BPH/LUTS w/o obstructionX. Genitourinary SystemMale Genital Organ DiseasesTRUE600Am Fam Physician. 2008 May 15;77(10):1403-1410.http://www.aafp.org/afp/2008/0515/p1403.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/msh/1801/1801.jsptx
55
Prostatitis, NOSX. Genitourinary SystemMale Genital Organ DiseasesTRUE601.92000 Mayhttp://www.aafp.org/afp/20000515/3015.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/msh/1802/1802.jsptx (chronic)
56
Vaginitis/vulvitis, unspec.X. Genitourinary SystemFemale Genital Organ DiseasesTRUE616.12000 September

1998 March
http://www.aafp.org/afp/20000901/1095.html

http://www.aafp.org/afp/980315ap/majeroni.html
dx and tx (even though the article is "dx")

bacterial vaginosis
http://clinicalevidence.bmj.com/ceweb/conditions/seh/1601/1601_keypoints.jsptx (bacterial vaginosis)
57
Menopausal disorders, unspec.X. Genitourinary SystemDisorders of MenstruationTRUE627.92000 March

Am Fam Physician. 2006 Feb 1;73(3):457-464.
http://www.aafp.org/afp/20000301/1391.html

http://www.aafp.org/afp/2006/0201/p457.html
tx

tx
http://clinicalevidence.bmj.com/ceweb/conditions/woh/0804/0804.jsptx
58
Menstruation, excessive/frequentX. Genitourinary SystemDisorders of MenstruationTRUE626.2Am Fam Physician. 2004 Apr 15;69(8):1915-1926.http://www.aafp.org/afp/2004/0415/p1915.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/woh/0805/0805.jsptx
59
Postpartum follow-up, routineXI. Pregnancy, ChildbirthTRUEV24.2Am Fam Physician. 2005 Dec 15;72(12):2491-2496.http://www.aafp.org/afp/2005/1215/p2491.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/pac/pac.jsptx
60
Prenatal care, normal, first pregnancyXI. Pregnancy, ChildbirthTRUEV22.0Am Fam Physician. 2005 Apr 1;71(7):1307-1316.http://www.aafp.org/afp/2005/0401/p1307.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/pac/pac.jsptx
61
Prenatal care, normal, other pregnancyXI. Pregnancy, ChildbirthTRUEV22.1Am Fam Physician. 2005 Apr 1;71(7):1307-1316.http://www.aafp.org/afp/2005/0401/p1307.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/pac/pac.jsptx
62
Acne, otherXII. Skin, Subcutaneous TissueTRUE706.1Am Fam Physician. 2004 May 1;69(9):2123-2130.http://www.aafp.org/afp/2004/0501/p2123.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/skd/1714/1714.jsptx
63
Cellulitis/abscess, unspec.XII. Skin, Subcutaneous TissueTRUE682.9Am Fam Physician. 2002 Jul 1;66(1):119-125.http://www.aafp.org/afp/2002/0701/p119.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/skd/1708/1708.jsptx
64
Contact dermatitis, NOSXII. Skin, Subcutaneous TissueTRUE692.9http://clinicalevidence.bmj.com/ceweb/conditions/skd/1716/1716.jsptx
65
Eczema, atopic dermatitisXII. Skin, Subcutaneous TissueTRUE691.81999 Septemberhttp://www.aafp.org/afp/990915ap/1191.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/skd/1716/1716.jsptx
66
Other skin disease, unspec.XII. Skin, Subcutaneous TissueTRUE709.9Am Fam Physician. 2003 Feb 15;67(4):729-738.http://www.aafp.org/afp/2003/0215/p729.htmltx
67
Sebaceous cystXII. Skin, Subcutaneous TissueTRUE706.2Am Fam Physician. 2003 Feb 15;67(4):729-738.

Am Fam Physician. 2002 Apr 1;65(7):1409-1412.
http://www.aafp.org/afp/2003/0215/p729.html

http://www.aafp.org/afp/2002/0401/p1409.html
tx

tx
68
Arthropathy, unspec.XIII. Musculoskeletal & Connective TissueGeneralTRUE716.9
69
Fibromyalgia/myositis, unspec.XIII. Musculoskeletal & Connective TissueGeneralTRUE729.12000 Octoberhttp://www.aafp.org/afp/20001001/1575.html
70
Osteoarthrosis, unspec.XIII. Musculoskeletal & Connective TissueGeneralTRUE715.9Am Fam Physician. 2002 Mar 1;65(5):841-849.http://www.aafp.org/afp/2002/0301/p841.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/msd/1122/1122.jsp

http://clinicalevidence.bmj.com/ceweb/conditions/msd/1121/1121.jsp
71
Synovitis/tenosynovitis, unspec.XIII. Musculoskeletal & Connective TissueGeneralTRUE727Am Fam Physician. 2003 Dec 1;68(11):2167-2176.http://www.aafp.org/afp/2003/1201/p2167.htmlinfection
72
Pain in limbXIII. Musculoskeletal & Connective TissueLower ExtremityTRUE729.5
73
Back pain w/ radiation, unspec.XIII. Musculoskeletal & Connective TissueSpine/TorsoTRUE724.41999 Februaryhttp://www.aafp.org/afp/990201ap/575.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/msd/1102/1102.jsp
74
Cervical disorder, NOSXIII. Musculoskeletal & Connective TissueSpine/TorsoTRUE723.9Am Fam Physician. 2010 Jan 1;81(1):33-40.http://www.aafp.org/afp/2010/0101/p33.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/msd/1103/1103.jsp
75
Rotator cuff/shoulder synd., unspec.XIII. Musculoskeletal & Connective TissueUpper ExtremityTRUE726.11998 Februaryhttp://www.aafp.org/afp/980215ap/fongemie.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/msd/1107/1107.jsp
76
Abdominal pain, unspec.XVI. Signs & SymptomsTRUE789
77
Abnormal loss of weightXVI. Signs & SymptomsTRUE783.21
78
Abnormal Pap, ASC-USXVI. Signs & SymptomsTRUE795.01http://clinicalevidence.bmj.com/ceweb/conditions/woh/0818/0818.jsphttp://www.icsi.org/guidelines_and_more/gl_os_prot/womens_health/new_category_10659/cervical_cytology__pap_smear__and_hpv_testing__initial_management_of_abnormal__full_version_.html
79
Abnormal Pap, unspec.XVI. Signs & SymptomsTRUE795http://clinicalevidence.bmj.com/ceweb/conditions/woh/0818/0818.jsphttp://www.icsi.org/guidelines_and_more/gl_os_prot/womens_health/new_category_10659/cervical_cytology__pap_smear__and_hpv_testing__initial_management_of_abnormal__full_version_.html
80
Chest pain, unspec.XVI. Signs & SymptomsTRUE786.5
81
CoughXVI. Signs & SymptomsTRUE786.2
82
Diarrhea, NOSXVI. Signs & SymptomsTRUE787.91http://clinicalevidence.bmj.com/ceweb/conditions/ind/0901/0901.jsp
83
Dizziness/vertigo, NOSXVI. Signs & SymptomsTRUE780.4Am Fam Physician. 2006 Jan 15;73(2):244-251.

Am Fam Physician. 2005 Mar 15;71(6):1115-1122.
http://www.aafp.org/afp/2006/0115/p244.html

http://www.aafp.org/afp/2005/0315/p1115.html
dx

tx
84
DysuriaXVI. Signs & SymptomsTRUE788.1
85
Edema, localized, NOSXVI. Signs & SymptomsTRUE782.3
86
Fatigue and malaise, otherXVI. Signs & SymptomsTRUE780.79
87
Fever, unspec.XVI. Signs & SymptomsTRUE780.6
88
Glucose intoleranceXVI. Signs & SymptomsTRUE271.9
89
Headache, unspec.XVI. Signs & SymptomsTRUE784http://www.icsi.org/guidelines_and_more/gl_os_prot/other_health_care_conditions/headache/headache__diagnosis_and_treatment_of__guideline_.html
90
Nausea w/ vomitingXVI. Signs & SymptomsTRUE787.01
91
Pain, kneeXVI. Signs & SymptomsTRUE719.46
92
Pain, low backXVI. Signs & SymptomsTRUE724.22000 Marchhttp://www.aafp.org/afp/20000315/1779.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/msd/1116/1116.jsphttp://www.icsi.org/guidelines_and_more/gl_os_prot/musculo-skeletal/low_back_pain/low_back_pain__adult_5.html
93
PalpitationsXVI. Signs & SymptomsTRUE785.1
94
Rash, nonvesicular, unspec.XVI. Signs & SymptomsTRUE782.1
95
Shortness of breathXVI. Signs & SymptomsTRUE786.05
96
Urinary frequencyXVI. Signs & SymptomsTRUE788.41
97
Sprain/strain: ankle, unspec.XVII. Injuries & Adverse EffectsDislocations, Sprains & StrainsTRUE845Am Fam Physician. 2001 Jan 1;63(1):93-105.http://www.aafp.org/afp/2001/0101/p93.htmlhttp://clinicalevidence.bmj.com/ceweb/conditions/msd/1115/1115.jsp
98
Sprain/strain: knee/leg, unspec.XVII. Injuries & Adverse EffectsDislocations, Sprains & StrainsTRUE844.9Am Fam Physician. 2003 Sep 1;68(5):907-912.

Am Fam Physician. 2003 Sep 1;68(5):917-922.

1999 December

FPM refers to Jackson JL, O’Malley PG, Kroenke K. Evaluation of acute knee pain in primary care. Ann Intern Med.
2003;139:580.
http://www.aafp.org/afp/2003/0901/p907.html

http://www.aafp.org/afp/2003/0901/p917.html

http://www.aafp.org/afp/991201ap/2599.html

http://www.aafp.org/fpm/2006/0900/acutekneeinjury.pdf

http://www.aafp.org/fpm/2005/0300/p67.html
dx

dx

decision rule

encounter form
99
Sprain/strain: neck, unspec.XVII. Injuries & Adverse EffectsDislocations, Sprains & StrainsTRUE8471999 Januaryhttp://www.aafp.org/afp/990115ap/331.htmldecision rule
100
Sprain/strain: shoulder/upper arm, unspec.XVII. Injuries & Adverse EffectsDislocations, Sprains & StrainsTRUE840.92000 May

Am Fam Physician. 2003 Mar 15;67(6):1271-1278.

http://www.aafp.org/afp/2004/1115/p1947.html
http://www.aafp.org/afp/20000515/3079.html

http://www.aafp.org/afp/2003/0315/p1271.html

http://www.aafp.org/afp/2004/1115/p1947.html
dx

injection

dx and tx
Loading...