FHIR IG analytics| Package | ca.on.oh-eforms |
| Resource Type | CodeSystem |
| Id | CodeSystem-example-referral-form-codes.json |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=ca.on.oh-eforms@1.1.0-snapshot1&canonical=http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes |
| URL | http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes |
| Version | 1.1.0 |
| Status | active |
| Date | 2026-03-10 |
| Name | ExampleReferralFormCodes |
| Title | Example Referral Form Codes |
| Realm | ca |
| Description | An example set of Ontario Health custom codes identifying standardized referral form (SRF) terms and/or concepts. Not for use with 'real' forms. |
| Content | complete |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "CodeSystem",
"id": "example-referral-form-codes",
"url": "http://ontariohealth.ca/fhir/eforms/CodeSystem/example-referral-form-codes",
"version": "1.1.0",
"name": "ExampleReferralFormCodes",
"title": "Example Referral Form Codes",
"status": "active",
"experimental": true,
"date": "2026-03-10",
"publisher": "Ontario Health",
"contact": [
{
"name": "Ontario Health",
"telecom": [
{
"system": "email",
"value": "oh-ds_Standards@ontariohealth.ca"
}
]
}
],
"description": "An example set of Ontario Health custom codes identifying standardized referral form (SRF) terms and/or concepts. Not for use with 'real' forms.",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "CA",
"display": "Canada"
}
]
}
],
"content": "complete",
"concept": [
{
"code": "20001",
"display": "Cardiac Testing"
},
{
"code": "20002",
"display": "Cardiology Consultation"
},
{
"code": "20003",
"display": "24 Hour Ambulatory Blood Pressure Monitoring (Not OHIP Covered)"
},
{
"code": "20004",
"display": "Coronary Angiogram"
},
{
"code": "20005",
"display": "Echocardiogram - Resting"
},
{
"code": "20006",
"display": "Electrocardiogram (ECG)"
},
{
"code": "20007",
"display": "Holter Monitoring"
},
{
"code": "20008",
"display": "Loop / Event Monitor"
},
{
"code": "20009",
"display": "Stress Testing"
},
{
"code": "20010",
"display": "Nuclear Medicine"
},
{
"code": "20011",
"display": "Tilt Table Testing"
},
{
"code": "20012",
"display": "Echocardiogram (2D)"
},
{
"code": "20013",
"display": "Echocardiogram with Contrast"
},
{
"code": "20014",
"display": "Echocardiogram with Saline (Bubble)"
},
{
"code": "20015",
"display": "Pediatric Echocardiogram"
},
{
"code": "20016",
"display": "Transesophageal Echocardiogram (TEE)"
},
{
"code": "20017",
"display": "24 Hours"
},
{
"code": "20018",
"display": "48 Hours"
},
{
"code": "20019",
"display": "72 Hours"
},
{
"code": "20020",
"display": "7 Days"
},
{
"code": "20021",
"display": "14 Days"
},
{
"code": "20022",
"display": "ECG - Exercise Stress Test"
},
{
"code": "20023",
"display": "ECG - Dobutamine/Persantine Stress Test"
},
{
"code": "20024",
"display": "Echocardiogram - Exercise Stress Test"
},
{
"code": "20025",
"display": "Echocardiogram - Dobutamine/Persantine Stress Test"
},
{
"code": "20026",
"display": "MUGA - Resting"
},
{
"code": "20027",
"display": "Cardiac Pyrophosphate"
},
{
"code": "20028",
"display": "MIBI Scans / Myocardial Perfusion Imaging (MPI):"
},
{
"code": "20029",
"display": "MIBI Scan - Exercise Stress Test"
},
{
"code": "20030",
"display": "MIBI Scan - Dobutamine/Persantine Stress Test"
},
{
"code": "20031",
"display": "Thallium Viability Test"
},
{
"code": "20032",
"display": "Arrythmias or Palpitations"
},
{
"code": "20033",
"display": "Cardiovascular Risk Assessment"
},
{
"code": "20034",
"display": "Chest Pain or Angina"
},
{
"code": "20035",
"display": "Congenital Heart Disease"
},
{
"code": "20036",
"display": "Congestive Heart Failure"
},
{
"code": "20037",
"display": "Coronary Artery Disease"
},
{
"code": "20038",
"display": "Dyspnea"
},
{
"code": "20039",
"display": "Hypertension"
},
{
"code": "20040",
"display": "Murmur"
},
{
"code": "20041",
"display": "Pericardial Disease"
},
{
"code": "20042",
"display": "Peripheral Edema"
},
{
"code": "20043",
"display": "Post-Myocardial Infarction"
},
{
"code": "20044",
"display": "Pre-Operative Consultation"
},
{
"code": "20045",
"display": "Syncope"
},
{
"code": "20046",
"display": "Valvular Heart Disease or Prosthetic Heart Valve"
},
{
"code": "20047",
"display": "Acne or Rosacea"
},
{
"code": "20048",
"display": "Alopecia or Hair Loss"
},
{
"code": "20049",
"display": "Cosmetic"
},
{
"code": "20050",
"display": "Eczema or Dermatitis"
},
{
"code": "20051",
"display": "Hidradenitis Suppurativa"
},
{
"code": "20052",
"display": "Hives or Urticaria"
},
{
"code": "20053",
"display": "Nail Concerns"
},
{
"code": "20054",
"display": "Pruritus NYD"
},
{
"code": "20055",
"display": "Psoriasis"
},
{
"code": "20056",
"display": "Rash NYD"
},
{
"code": "20057",
"display": "Skin Cancer or Suspicious Lesion(s)"
},
{
"code": "20058",
"display": "Skin Check"
},
{
"code": "20059",
"display": "Skin Infection - Chronic"
},
{
"code": "20060",
"display": "Ulcer or Wounds"
},
{
"code": "20061",
"display": "Warts"
},
{
"code": "20062",
"display": "Vitiligo"
},
{
"code": "20063",
"display": "Actinic Keratoses"
},
{
"code": "20064",
"display": "Basal Cell Cancer"
},
{
"code": "20065",
"display": "Squamous Cell Cancer"
},
{
"code": "20066",
"display": "Melanoma"
},
{
"code": "20067",
"display": "Suspicious Lesion(s)"
},
{
"code": "20068",
"display": "Biopsy confirmed"
},
{
"code": "20069",
"display": "Abdominal Pain NYD or Bloating"
},
{
"code": "20070",
"display": "Barrett's Esophagus - Surveillance"
},
{
"code": "20071",
"display": "Bleeding"
},
{
"code": "20072",
"display": "Colonoscopy Request (Abnormal FIT, Screening, Surveillance)"
},
{
"code": "20073",
"display": "Bowel Changes (Constipation, Diarrhea)"
},
{
"code": "20074",
"display": "Dysphagia"
},
{
"code": "20075",
"display": "Gastroesophageal Reflux Disease (GERD)"
},
{
"code": "20076",
"display": "Irritable Bowel Syndrome"
},
{
"code": "20077",
"display": "Inflammatory Bowel Disease (IBD)"
},
{
"code": "20078",
"display": "Iron Deficiency Anemia - Unexplained"
},
{
"code": "20079",
"display": "Liver Disease"
},
{
"code": "20080",
"display": "Nausea or Vomiting NYD"
},
{
"code": "20081",
"display": "Pancreatic Disease"
},
{
"code": "20082",
"display": "Weight Loss - Unexplained"
},
{
"code": "20083",
"display": "Lower GI or Rectal"
},
{
"code": "20084",
"display": "Upper GI"
},
{
"code": "20085",
"display": "Constipation"
},
{
"code": "20086",
"display": "Diarrhea"
},
{
"code": "20087",
"display": "Abnormal FIT"
},
{
"code": "20088",
"display": "Average Risk"
},
{
"code": "20089",
"display": "First-Degree Relative with Colorectal Cancer"
},
{
"code": "20090",
"display": "Other Family History"
},
{
"code": "20091",
"display": "Prior History of Colorectal Polyps"
},
{
"code": "20092",
"display": "Prior History of Colorectal Cancer"
},
{
"code": "20093",
"display": "Surveillance in IBD Colitis of at least 8 years duration"
},
{
"code": "20094",
"display": "Crohn's disease"
},
{
"code": "20095",
"display": "Ulcerative colitis"
},
{
"code": "20096",
"display": "Alcohol Associated Liver Disease"
},
{
"code": "20097",
"display": "Cirrhosis"
},
{
"code": "20098",
"display": "Hepatitis B"
},
{
"code": "20099",
"display": "Hepatitis C"
},
{
"code": "20100",
"display": "Liver Function Tests - Abnormal"
},
{
"code": "20101",
"display": "Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) / Fatty Liver"
},
{
"code": "20102",
"display": "Abnormal Imaging of Pancreas"
},
{
"code": "20103",
"display": "Pancreatitis"
},
{
"code": "20104",
"display": "Ear and Hearing"
},
{
"code": "20105",
"display": "Facial Plastics & Reconstruction"
},
{
"code": "20106",
"display": "Head, Neck and Thyroid (Malignancy, Masses, Nodules, or Cysts)"
},
{
"code": "20107",
"display": "Nose and Sinus"
},
{
"code": "20108",
"display": "Throat and Oral Cavity"
},
{
"code": "20109",
"display": "Cerumen Impaction"
},
{
"code": "20110",
"display": "Eustachian Tube Dysfunction"
},
{
"code": "20111",
"display": "Hearing Loss - Sudden / Unilateral"
},
{
"code": "20112",
"display": "Otitis Externa"
},
{
"code": "20113",
"display": "Otitis Media"
},
{
"code": "20114",
"display": "Tinnitus"
},
{
"code": "20115",
"display": "Vertigo or Dizziness"
},
{
"code": "20116",
"display": "Nasopharyngeal Lesions"
},
{
"code": "20117",
"display": "Oropharyngeal Lesions"
},
{
"code": "20118",
"display": "Parathyroid Cyst, Nodule, or Mass"
},
{
"code": "20119",
"display": "Salivary Gland Mass"
},
{
"code": "20120",
"display": "Skin Cancer"
},
{
"code": "20121",
"display": "Thyroid Cyst, Nodule, or Mass"
},
{
"code": "20122",
"display": "Anosmia or Hyposmia"
},
{
"code": "20123",
"display": "Deviated Nasal Septum"
},
{
"code": "20124",
"display": "Epistaxis"
},
{
"code": "20125",
"display": "Foreign Body Removal"
},
{
"code": "20126",
"display": "Nasal Polyps"
},
{
"code": "20127",
"display": "Rhinitis or Sinusitis - Chronic"
},
{
"code": "20128",
"display": "Cough or Throat Clearing - Chronic"
},
{
"code": "20130",
"display": "Dysphonia / Hoarse voice"
},
{
"code": "20131",
"display": "Globus Sensation"
},
{
"code": "20132",
"display": "Lymphadenopathy"
},
{
"code": "20133",
"display": "Odynophagia"
},
{
"code": "20134",
"display": "Salivary Gland Stones"
},
{
"code": "20135",
"display": "Sleep-Related Breathing Disorders (e.g. OSA)"
},
{
"code": "20136",
"display": "Speech and Language Delay"
},
{
"code": "20137",
"display": "Tongue Tie"
},
{
"code": "20138",
"display": "Tonsillar or Adenoid Disorders"
},
{
"code": "20139",
"display": "Respiratory Testing"
},
{
"code": "20140",
"display": "Respirology Consultation"
},
{
"code": "20141",
"display": "Spirometry (Include post-bronchodilator, if indicated)"
},
{
"code": "20142",
"display": "Full Pulmonary Function Testing (Include post-bronchodilator, if indicated)"
},
{
"code": "20143",
"display": "Asthma"
},
{
"code": "20144",
"display": "Cough NYD"
},
{
"code": "20145",
"display": "Chronic Obstructive Pulmonary Disease (COPD)"
},
{
"code": "20146",
"display": "Dyspnea NYD"
},
{
"code": "20147",
"display": "Interstitial Lung Disease"
},
{
"code": "20148",
"display": "Adrenal Mass"
},
{
"code": "20149",
"display": "Benign Prostatic Hyperplasia (BPH) / Lower Urinary Tract Symptoms (LUTS)"
},
{
"code": "20150",
"display": "Bladder Mass"
},
{
"code": "20151",
"display": "Elevated Prostate-Specific Antigen (PSA) or Suspicious Digital Rectal Exam (DRE)"
},
{
"code": "20152",
"display": "Erectile Dysfunction"
},
{
"code": "20153",
"display": "Hematuria"
},
{
"code": "20154",
"display": "Hydrocele, Varicocele or Spermatocele"
},
{
"code": "20155",
"display": "Hydronephrosis"
},
{
"code": "20156",
"display": "Hypogonadism"
},
{
"code": "20157",
"display": "Infertility - Male"
},
{
"code": "20158",
"display": "Penile Lesion"
},
{
"code": "20159",
"display": "Peyronie's Disease"
},
{
"code": "20160",
"display": "Phimosis, Foreskin Issue or Balanitis"
},
{
"code": "20161",
"display": "Renal Mass or Cyst"
},
{
"code": "20162",
"display": "Nephrolithiasis / Renal Colic"
},
{
"code": "20163",
"display": "Testicular Mass"
},
{
"code": "20164",
"display": "Urinary Incontinence or Overactive Bladder"
},
{
"code": "20165",
"display": "Urinary Tract Infections - Recurrent"
},
{
"code": "20166",
"display": "Vasectomy"
},
{
"code": "20167",
"display": "Gross"
},
{
"code": "20168",
"display": "Microscopic"
},
{
"code": "20169",
"display": "Imaging demonstrates an obstructive stone"
},
{
"code": "20170",
"display": "Neurodiagnostic Testing - Triage to Consult if Appropriate"
},
{
"code": "20171",
"display": "Neurodiagnostic Testing Only (EEG, EMG/NCS)"
},
{
"code": "20172",
"display": "Neurology Consultation"
},
{
"code": "20173",
"display": "Electroencephalography (EEG)"
},
{
"code": "20174",
"display": "Electromyography (EMG) / Nerve Conduction Study (NCS)"
},
{
"code": "20175",
"display": "Routine EEG"
},
{
"code": "20176",
"display": "Sleep Deprived EEG"
},
{
"code": "20177",
"display": "Carpal Tunnel Syndrome"
},
{
"code": "20178",
"display": "Cervical Radiculopathy"
},
{
"code": "20179",
"display": "Lumbar Radiculopathy"
},
{
"code": "20180",
"display": "Peripheral Neuropathy / Polyneuropathy"
},
{
"code": "20181",
"display": "Balance, Dizziness, or Vertigo"
},
{
"code": "20182",
"display": "Concussion or Traumatic Brain Injury (TBI)"
},
{
"code": "20183",
"display": "Epilepsy or Seizure"
},
{
"code": "20184",
"display": "Headache or Migraines"
},
{
"code": "20185",
"display": "Movement Disorders (including Parkinson's and Tremors)"
},
{
"code": "20186",
"display": "Multiple Sclerosis or Demyelinating Disease"
},
{
"code": "20187",
"display": "Neurocognitive Disorder"
},
{
"code": "20188",
"display": "Neuropathy or Weakness"
},
{
"code": "20190",
"display": "Stroke or TIA"
},
{
"code": "20191",
"display": "Crystal Arthropathies (Gout, Pseudogout)"
},
{
"code": "20192",
"display": "Connective Tissue Diseases (Lupus, Sjogren's, Scleroderma, Inflammatory Myositis)"
},
{
"code": "20193",
"display": "Corticosteroid Injections (Osteoarthritis / Tendinitis / Bursitis / Joint Injections)"
},
{
"code": "20194",
"display": "Giant Cell Arteritis"
},
{
"code": "20195",
"display": "Inflammatory Arthritis (e.g. Rheumatoid Arthritis)"
},
{
"code": "20196",
"display": "Polymyalgia Rheumatica"
},
{
"code": "20197",
"display": "Psoriatic Arthritis"
},
{
"code": "20198",
"display": "Spondyloarthritis"
},
{
"code": "20199",
"display": "Vasculitis"
},
{
"code": "20200",
"display": "= 3 attacks in the last year"
},
{
"code": "20201",
"display": "Alopecia / sicca / oral ulcers"
},
{
"code": "20202",
"display": "Arterial / venous thrombosis"
},
{
"code": "20203",
"display": "Glomerulonephritis"
},
{
"code": "20204",
"display": "Hemolytic anemia / ITP"
},
{
"code": "20205",
"display": "Inflammatory Arthritis"
},
{
"code": "20207",
"display": "Objective proximal muscle weakness and high CK"
},
{
"code": "20208",
"display": "Pericarditis / pleural effusions"
},
{
"code": "20209",
"display": "Photosensitivity and rash"
},
{
"code": "20210",
"display": "Pregnancy loss (recurrent)"
},
{
"code": "20211",
"display": "Raynaud�s phenomenon"
},
{
"code": "20212",
"display": "Sclerodactyly / puffy fingers"
},
{
"code": "20213",
"display": "Referred for temporal artery biopsy or ultrasound"
},
{
"code": "20214",
"display": "Vision loss or diplopia"
},
{
"code": "20215",
"display": "New headache"
},
{
"code": "20216",
"display": "Jaw claudication"
},
{
"code": "20217",
"display": "Scalp tenderness"
},
{
"code": "20218",
"display": "Significant weight loss or malaise"
},
{
"code": "20219",
"display": "Unexplained dry cough"
},
{
"code": "20220",
"display": "Ankylosing Spondylitis"
},
{
"code": "20221",
"display": "Reactive Arthritis"
},
{
"code": "20222",
"display": "IBD Related Arthritis"
},
{
"code": "20223",
"display": "Contraception"
},
{
"code": "20224",
"display": "Fertility and Infertility"
},
{
"code": "20225",
"display": "Gynecology"
},
{
"code": "20226",
"display": "Obstetrics (Routine)"
},
{
"code": "20227",
"display": "Obstetrics (High Risk)"
},
{
"code": "20228",
"display": "Pregnancy Termination"
},
{
"code": "20229",
"display": "Transgender Care"
},
{
"code": "20230",
"display": "Contraceptive Counselling"
},
{
"code": "20231",
"display": "IUD Insertion"
},
{
"code": "20232",
"display": "IUD Removal"
},
{
"code": "20233",
"display": "Contraceptive Implant Insertion"
},
{
"code": "20234",
"display": "Contraceptive Implant Removal"
},
{
"code": "20235",
"display": "Fertility Status Evaluation"
},
{
"code": "20236",
"display": "Recurrent Pregnancy Loss"
},
{
"code": "20237",
"display": "Abnormal Cervical Cancer Screening"
},
{
"code": "20238",
"display": "Abnormal Uterine Bleeding"
},
{
"code": "20239",
"display": "Adnexal Mass or Cyst"
},
{
"code": "20240",
"display": "Amenorrhea"
},
{
"code": "20241",
"display": "Dyspareunia or Vaginismus"
},
{
"code": "20242",
"display": "Early Pregnancy Loss or Complication"
},
{
"code": "20243",
"display": "Endometriosis or Pelvic Pain"
},
{
"code": "20244",
"display": "Menopause Management (including Hormone Replacement Therapy)"
},
{
"code": "20245",
"display": "Pelvic Inflammatory Disease"
},
{
"code": "20246",
"display": "Polycystic Ovarian Syndrome (PCOS)"
},
{
"code": "20247",
"display": "Post-Menopausal Bleeding"
},
{
"code": "20248",
"display": "Pelvic Organ Prolapse or Pessary Management"
},
{
"code": "20249",
"display": "Urinary Incontinence"
},
{
"code": "20250",
"display": "Uterine Fibroids, Polyps, Septum, or Other Structural Abnormalities"
},
{
"code": "20251",
"display": "Vaginitis"
},
{
"code": "20252",
"display": "Vulvar, Vaginal, or Cervical Disorders"
},
{
"code": "20253",
"display": "Total Antenatal Care"
},
{
"code": "20254",
"display": "Shared Antenatal Care"
},
{
"code": "20255",
"display": "Obstetrical Consult"
},
{
"code": "20256",
"display": "Last Menstrual Period (LMP)"
},
{
"code": "20257",
"display": "Estimated Date of Delivery (EDD)"
},
{
"code": "20258",
"display": "GTPAL"
},
{
"code": "20259",
"display": "Abnormal Prenatal Screen"
},
{
"code": "20260",
"display": "Congenital Abnormalities"
},
{
"code": "20261",
"display": "Diabetes (pre-existing)"
},
{
"code": "20262",
"display": "Gestational Diabetes"
},
{
"code": "20263",
"display": "HIV Pregnancy"
},
{
"code": "20265",
"display": "Infectious Disease"
},
{
"code": "20266",
"display": "Intrauterine Growth Restriction"
},
{
"code": "20267",
"display": "Medical Disease in Pregnancy"
},
{
"code": "20268",
"display": "Multiple Gestation (Twins, Triplets, Higher Order)"
},
{
"code": "20269",
"display": "Placental Abnormalities"
},
{
"code": "20270",
"display": "Pre-Conception Counselling"
},
{
"code": "20271",
"display": "Substance Abuse in Pregnancy"
},
{
"code": "20272",
"display": "Current gestational age"
},
{
"code": "20273",
"display": "Bicytopenia or Pancytopenia (decreases in more than one cell line)"
},
{
"code": "20274",
"display": "Bleeding or Abnormal INR/PTT"
},
{
"code": "20275",
"display": "Confirmed Malignant Hematology Consultation (biopsy proven)"
},
{
"code": "20276",
"display": "Red Blood Cells or Iron"
},
{
"code": "20277",
"display": "Myeloma or Paraproteinemia (e.g. Bence Jones proteinuria, monoclonal gammopathy)"
},
{
"code": "20278",
"display": "Lymph Nodes or Spleen"
},
{
"code": "20279",
"display": "Platelets"
},
{
"code": "20280",
"display": "Thrombosis"
},
{
"code": "20281",
"display": "Transfusion"
},
{
"code": "20282",
"display": "White Blood Cells"
},
{
"code": "20283",
"display": "Other Benign Hematology Consultation"
},
{
"code": "20284",
"display": "Other Malignant Hematology Consultation"
},
{
"code": "20285",
"display": "Labs abnormal - no bleeding / bruising"
},
{
"code": "20286",
"display": "Abnormal bleeding / bruising"
},
{
"code": "20287",
"display": "Anemia NYD"
},
{
"code": "20288",
"display": "Anemia - Iron Deficiency"
},
{
"code": "20289",
"display": "Erythrocytosis"
},
{
"code": "20290",
"display": "Ferritin - High"
},
{
"code": "20291",
"display": "Hemoglobinopathy"
},
{
"code": "20292",
"display": "Sickle Cell Disease"
},
{
"code": "20293",
"display": "Thallasemias"
},
{
"code": "20294",
"display": "Other Hemoglobinopathy"
},
{
"code": "20295",
"display": "Lymphadenopathy - Concern for Lymphoma"
},
{
"code": "20296",
"display": "Lymphoma"
},
{
"code": "20297",
"display": "Splenomegaly"
},
{
"code": "20298",
"display": "Thrombocytopenia (low platelets)"
},
{
"code": "20299",
"display": "Thrombocytosis (high platelets)"
},
{
"code": "20300",
"display": "Atrial Fibrillation Anticoagulation"
},
{
"code": "20301",
"display": "Mechanical Valve Anticoagulation"
},
{
"code": "20302",
"display": "Peripartum Thrombosis - Prevention or Treatment"
},
{
"code": "20303",
"display": "Peri-procedure Anticoagulation Management"
},
{
"code": "20304",
"display": "Superficial Vein Thrombosis"
},
{
"code": "20305",
"display": "Thrombophilia"
},
{
"code": "20306",
"display": "Venous Thromboembolism - Acute - Imaging Confirmed (e.g. DVT, PE)"
},
{
"code": "20307",
"display": "Venous Thromboembolism - Chronic (e.g. DVT, PE)"
},
{
"code": "20308",
"display": "Other Thrombosis Consultation"
},
{
"code": "20309",
"display": "Acute Leukemia (myeloid or lymphoblastic)"
},
{
"code": "20310",
"display": "Chronic Leukemia (myeloid or lymphoblastic)"
},
{
"code": "20311",
"display": "Leukocytosis (high white blood cells)"
},
{
"code": "20312",
"display": "Leukopenia (low white blood cells, including low neutrophil count)"
},
{
"code": "20313",
"display": "Acute Kidney Injury (AKI)"
},
{
"code": "20314",
"display": "Chronic Kidney Disease (CKD)"
},
{
"code": "20315",
"display": "Electrolyte Disorders"
},
{
"code": "20318",
"display": "Imaging Abnormalities"
},
{
"code": "20319",
"display": "Kidney Stones"
},
{
"code": "20320",
"display": "Proteinuria"
},
{
"code": "20321",
"display": "Suspected Glomerulonephritis/Renal Vasculitis"
},
{
"code": "20322",
"display": "Rapidly worsening kidney function, confirmed on repeat testing in absence of remediable causes"
},
{
"code": "20323",
"display": "ACR = 60 � Persistent for = 3 months"
},
{
"code": "20324",
"display": "eGFR < 30 � Persistent for = 3 months"
},
{
"code": "20325",
"display": "eGFR < 45 and confirmed decline of = 5 within 6 months"
},
{
"code": "20326",
"display": "eGFR < 45 and age = 50 without CKD risk factors"
},
{
"code": "20327",
"display": "5-year KFRE = 5%"
},
{
"code": "20328",
"display": "Gross (suggest Urology referral first for those > 40 years of age)"
},
{
"code": "20329",
"display": "Microscopic > 10 RBC/hpf - confirmed by microscopy"
},
{
"code": "20330",
"display": "Resistant"
},
{
"code": "20331",
"display": "Suspected Secondary Hypertension"
},
{
"code": "20332",
"display": "Multicystic / Polycystic kidneys"
},
{
"code": "20333",
"display": "Shrunken / Atrophic kidney"
},
{
"code": "20334",
"display": "Metabolic work-up for recurrent stones"
},
{
"code": "20335",
"display": "ACR = 30 without Diabetes Mellitus � Persistent for = 3 months"
},
{
"code": "20336",
"display": "24-hour urine protein = 1 g"
},
{
"code": "20337",
"display": "Hematuria with = 10 RBC/hpf � Confirmed by microscopy"
},
{
"code": "20338",
"display": "Urine ACR"
},
{
"code": "20339",
"display": "eGFR"
},
{
"code": "20340",
"display": "Potassium"
},
{
"code": "20341",
"display": "Shoulder"
},
{
"code": "20342",
"display": "Arm"
},
{
"code": "20343",
"display": "Elbow"
},
{
"code": "20344",
"display": "Forearm"
},
{
"code": "20345",
"display": "Wrist"
},
{
"code": "20346",
"display": "Hand"
},
{
"code": "20347",
"display": "Spine"
},
{
"code": "20348",
"display": "Pelvis"
},
{
"code": "20349",
"display": "Hip"
},
{
"code": "20350",
"display": "Thigh"
},
{
"code": "20351",
"display": "Knee"
},
{
"code": "20352",
"display": "Leg"
},
{
"code": "20353",
"display": "Ankle / Hindfoot"
},
{
"code": "20354",
"display": "Midfoot / Forefoot"
},
{
"code": "20355",
"display": "Fracture"
},
{
"code": "20356",
"display": "Joint Instability / Subluxation"
},
{
"code": "20357",
"display": "Osteoarthritis"
},
{
"code": "20358",
"display": "Pain NYD"
},
{
"code": "20359",
"display": "Rotator Cuff / Impingement"
},
{
"code": "20360",
"display": "Post-traumatic arthritis"
},
{
"code": "20362",
"display": "De Quervain�s Tenosynovitis"
},
{
"code": "20363",
"display": "Ganglion Cyst"
},
{
"code": "20364",
"display": "Dupuytren�s Contracture"
},
{
"code": "20365",
"display": "Finger Deformity"
},
{
"code": "20366",
"display": "Flexor Tendon Injury"
},
{
"code": "20367",
"display": "Trigger Finger"
},
{
"code": "20368",
"display": "Cervical Spine"
},
{
"code": "20369",
"display": "Thoracic Spine"
},
{
"code": "20370",
"display": "Lumbar Spine"
},
{
"code": "20371",
"display": "Deformity / Scoliosis / Kyphosis"
},
{
"code": "20372",
"display": "Myelopathy"
},
{
"code": "20373",
"display": "Neurogenic Claudication"
},
{
"code": "20374",
"display": "Spondylolisthesis"
},
{
"code": "20375",
"display": "Stenosis"
},
{
"code": "20377",
"display": "ACL Tear"
},
{
"code": "20378",
"display": "Cartilage Injury"
},
{
"code": "20376",
"display": "Knee Malalignment"
},
{
"code": "20379",
"display": "Loose Bodies"
},
{
"code": "20380",
"display": "Meniscal Tear"
},
{
"code": "20381",
"display": "Multi-Ligament Injury"
},
{
"code": "20382",
"display": "Achilles Tendinopathy"
},
{
"code": "20383",
"display": "Joint Instability"
},
{
"code": "20384",
"display": "Bunion"
},
{
"code": "20385",
"display": "Charcot Foot"
},
{
"code": "20386",
"display": "Flatfoot / Pes Planus"
},
{
"code": "20387",
"display": "Metatarsalgia"
},
{
"code": "20388",
"display": "Plantar Fasciitis"
},
{
"code": "20389",
"display": "Toe Deformity"
},
{
"code": "20390",
"display": "CT Requisition"
},
{
"code": "20391",
"display": "MRI Requisition"
},
{
"code": "20392",
"display": "X-Ray Requisition"
},
{
"code": "20393",
"display": "Ultrasound Requisition"
},
{
"code": "20394",
"display": "Bone Mineral Density Requisition"
},
{
"code": "20395",
"display": "Head"
},
{
"code": "20396",
"display": "Neck"
},
{
"code": "20397",
"display": "Spine"
},
{
"code": "20398",
"display": "Thorax"
},
{
"code": "20399",
"display": "Abdomen Pelvis"
},
{
"code": "20400",
"display": "Musculoskeletal"
},
{
"code": "20401",
"display": "Angiography"
},
{
"code": "20403",
"display": "Whole-Body Low-Dose (Myeloma)"
},
{
"code": "20404",
"display": "Cardiac"
},
{
"code": "20405",
"display": "Biopsy"
},
{
"code": "20406",
"display": "Brain"
},
{
"code": "20408",
"display": "Facial bones"
},
{
"code": "20409",
"display": "Internal auditory canals"
},
{
"code": "20410",
"display": "Orbits"
},
{
"code": "20411",
"display": "Sinuses"
},
{
"code": "20412",
"display": "Temporal bones"
},
{
"code": "20414",
"display": "Soft Tissue Neck"
},
{
"code": "20415",
"display": "Cervical Spine"
},
{
"code": "20416",
"display": "Thoracic Spine"
},
{
"code": "20417",
"display": "Lumbar Spine"
},
{
"code": "20418",
"display": "Sacrum/Coccyx"
},
{
"code": "20419",
"display": "Sacroiliac Joints"
},
{
"code": "20420",
"display": "Chest"
},
{
"code": "20421",
"display": "Chest High Resolution"
},
{
"code": "20422",
"display": "Chest Low-Dose"
},
{
"code": "20423",
"display": "Pulmonary Embolism"
},
{
"code": "20425",
"display": "Thoracic Outlet"
},
{
"code": "20426",
"display": "Chest Abdomen Pelvis"
},
{
"code": "20427",
"display": "Abdomen only"
},
{
"code": "20428",
"display": "Pelvis only"
},
{
"code": "20430",
"display": "Colonography"
},
{
"code": "20431",
"display": "Enterography"
},
{
"code": "20432",
"display": "Renal Colic"
},
{
"code": "20433",
"display": "Urography"
},
{
"code": "20434",
"display": "Shoulder"
},
{
"code": "20435",
"display": "Humerus"
},
{
"code": "20436",
"display": "Elbow"
},
{
"code": "20437",
"display": "Forearm"
},
{
"code": "20438",
"display": "Wrist"
},
{
"code": "20439",
"display": "Hand"
},
{
"code": "20440",
"display": "Bony Pelvis"
},
{
"code": "20441",
"display": "Hip"
},
{
"code": "20442",
"display": "Femur"
},
{
"code": "20443",
"display": "Knee"
},
{
"code": "20444",
"display": "Tibia and Fibula"
},
{
"code": "20445",
"display": "Ankle"
},
{
"code": "20446",
"display": "Foot"
},
{
"code": "20447",
"display": "Head Angiography"
},
{
"code": "20448",
"display": "Neck Angiography"
},
{
"code": "20449",
"display": "Chest Angiography"
},
{
"code": "20450",
"display": "Chest Abdomen Pelvis Angiography"
},
{
"code": "20451",
"display": "Abdomen Angiography"
},
{
"code": "20452",
"display": "Abdomen Pelvis Angiography"
},
{
"code": "20453",
"display": "Pelvis Angiography"
},
{
"code": "20454",
"display": "Upper Extremity Angiography"
},
{
"code": "20455",
"display": "Lower Extremity Angiography"
},
{
"code": "20456",
"display": "Head Venography"
},
{
"code": "20464",
"display": "Cardiac CT"
},
{
"code": "20465",
"display": "Coronary Angiography (CCTA)"
},
{
"code": "20466",
"display": "Cardiac Calcium Score"
},
{
"code": "20467",
"display": "Head"
},
{
"code": "20468",
"display": "Neck"
},
{
"code": "20469",
"display": "Spine"
},
{
"code": "20470",
"display": "Thorax"
},
{
"code": "20471",
"display": "Abdomen"
},
{
"code": "20472",
"display": "Pelvis"
},
{
"code": "20473",
"display": "Musculoskeletal"
},
{
"code": "20474",
"display": "Angiography"
},
{
"code": "20476",
"display": "Breast"
},
{
"code": "20477",
"display": "Cardiac"
},
{
"code": "20478",
"display": "Brain"
},
{
"code": "20480",
"display": "Internal auditory canals"
},
{
"code": "20481",
"display": "Orbits"
},
{
"code": "20482",
"display": "Pituitary / Sella"
},
{
"code": "20483",
"display": "Sinuses"
},
{
"code": "20484",
"display": "Temporomandibular joints"
},
{
"code": "20485",
"display": "Trigeminal nerve"
},
{
"code": "20487",
"display": "Soft Tissue Neck"
},
{
"code": "20488",
"display": "Brachial plexus"
},
{
"code": "20489",
"display": "Whole Spine"
},
{
"code": "20490",
"display": "Cervical Spine"
},
{
"code": "20491",
"display": "Thoracic Spine"
},
{
"code": "20492",
"display": "Lumbar Spine"
},
{
"code": "20493",
"display": "Sacrum/Coccyx"
},
{
"code": "20494",
"display": "Sacroiliac Joints"
},
{
"code": "20495",
"display": "Chest"
},
{
"code": "20496",
"display": "Chest wall"
},
{
"code": "20497",
"display": "Pulmonary arteries"
},
{
"code": "20498",
"display": "Sternoclavicular joints"
},
{
"code": "20499",
"display": "Sternum"
},
{
"code": "20501",
"display": "Thoracic Outlet"
},
{
"code": "20503",
"display": "Abdominal wall"
},
{
"code": "20504",
"display": "Adrenal glands"
},
{
"code": "20505",
"display": "Biliary and pancreatic ducts"
},
{
"code": "20506",
"display": "Enterography"
},
{
"code": "20507",
"display": "Kidneys"
},
{
"code": "20508",
"display": "Liver"
},
{
"code": "20509",
"display": "Pancreas"
},
{
"code": "20510",
"display": "Renal artery"
},
{
"code": "20511",
"display": "Urography"
},
{
"code": "20512",
"display": "Bladder"
},
{
"code": "20513",
"display": "Gynecology (Uterus/ Ovaries/ Adnexal)"
},
{
"code": "20514",
"display": "Iliac arteries"
},
{
"code": "20515",
"display": "Piriformis"
},
{
"code": "20516",
"display": "Prostate"
},
{
"code": "20517",
"display": "Rectum/ Anal"
},
{
"code": "20518",
"display": "Urogenital (Testicular/ Penile)"
},
{
"code": "20519",
"display": "Shoulder"
},
{
"code": "20520",
"display": "Humerus"
},
{
"code": "20521",
"display": "Elbow"
},
{
"code": "20522",
"display": "Forearm"
},
{
"code": "20523",
"display": "Wrist"
},
{
"code": "20524",
"display": "Hand"
},
{
"code": "20525",
"display": "Finger"
},
{
"code": "20526",
"display": "Bony Pelvis"
},
{
"code": "20527",
"display": "Hip"
},
{
"code": "20528",
"display": "Femur / Thigh"
},
{
"code": "20529",
"display": "Knee"
},
{
"code": "20530",
"display": "Tibia and Fibula"
},
{
"code": "20531",
"display": "Ankle"
},
{
"code": "20532",
"display": "Foot"
},
{
"code": "20533",
"display": "Toe"
},
{
"code": "20534",
"display": "Arthrogram"
},
{
"code": "20535",
"display": "Arthrogram"
},
{
"code": "20536",
"display": "Arthrogram"
},
{
"code": "20537",
"display": "Arthrogram"
},
{
"code": "20538",
"display": "Arthrogram"
},
{
"code": "20539",
"display": "Arthrogram"
},
{
"code": "20540",
"display": "Head Angiography"
},
{
"code": "20541",
"display": "Neck Angiography"
},
{
"code": "20542",
"display": "Chest Angiography"
},
{
"code": "20543",
"display": "Abdomen Angiography"
},
{
"code": "20544",
"display": "Pelvis Angiography"
},
{
"code": "20545",
"display": "Upper Extremity Angiography"
},
{
"code": "20546",
"display": "Lower Extremity Angiography"
},
{
"code": "20554",
"display": "Diagnostic"
},
{
"code": "20555",
"display": "Implant"
},
{
"code": "20556",
"display": "Chest (default Chest 2 views)"
},
{
"code": "20557",
"display": "Abdomen"
},
{
"code": "20558",
"display": "Spine"
},
{
"code": "20559",
"display": "Head and Neck"
},
{
"code": "20560",
"display": "Upper Extremities"
},
{
"code": "20561",
"display": "Lower Extremities"
},
{
"code": "20562",
"display": "Mammogram (Non-OBSP)"
},
{
"code": "20563",
"display": "Bone Age"
},
{
"code": "20564",
"display": "Survey"
},
{
"code": "20565",
"display": "Gastric and Fluoroscopic imaging"
},
{
"code": "20566",
"display": "One view (PA)"
},
{
"code": "20567",
"display": "Two Views (PA, Lat)"
},
{
"code": "20568",
"display": "Three views (PA inspiration, PA expiration, Lat)"
},
{
"code": "20569",
"display": "Sternum"
},
{
"code": "20570",
"display": "Ribs"
},
{
"code": "20571",
"display": "Thoracic inlet"
},
{
"code": "20572",
"display": "Sternoclavicular Joints"
},
{
"code": "20573",
"display": "One view (Supine)"
},
{
"code": "20574",
"display": "One view (Upright)"
},
{
"code": "20575",
"display": "KUB (Kidney Ureters Bladder)"
},
{
"code": "20576",
"display": "Cervical"
},
{
"code": "20577",
"display": "Cervical spine flexion extension"
},
{
"code": "20578",
"display": "Thoracic"
},
{
"code": "20579",
"display": "Lumbar"
},
{
"code": "20580",
"display": "Lumbar spine flexion extension"
},
{
"code": "20581",
"display": "Sacrum"
},
{
"code": "20582",
"display": "Coccyx"
},
{
"code": "20583",
"display": "Sacroiliac joints"
},
{
"code": "20584",
"display": "Scoliosis spine"
},
{
"code": "20585",
"display": "Skull"
},
{
"code": "20586",
"display": "Orbits"
},
{
"code": "20587",
"display": "Neck for soft tissue"
},
{
"code": "20588",
"display": "Mastoids"
},
{
"code": "20589",
"display": "Nasal bones"
},
{
"code": "20590",
"display": "Facal bones"
},
{
"code": "20591",
"display": "Mandible"
},
{
"code": "20592",
"display": "Temporomandibular joints"
},
{
"code": "20593",
"display": "Sinus"
},
{
"code": "20594",
"display": "Trauma or injury"
},
{
"code": "20595",
"display": "Eye for foreign body"
},
{
"code": "20596",
"display": "Shoulder"
},
{
"code": "20597",
"display": "Clavicle"
},
{
"code": "20598",
"display": "Acromioclavicular joints"
},
{
"code": "20599",
"display": "Scapula"
},
{
"code": "20600",
"display": "Humerus"
},
{
"code": "20601",
"display": "Elbow"
},
{
"code": "20602",
"display": "Forearm"
},
{
"code": "20603",
"display": "Wrist"
},
{
"code": "20604",
"display": "Scaphoid"
},
{
"code": "20605",
"display": "Hand"
},
{
"code": "20606",
"display": "Finger"
},
{
"code": "20607",
"display": "Pelvis"
},
{
"code": "20608",
"display": "Hip"
},
{
"code": "20609",
"display": "Femur"
},
{
"code": "20610",
"display": "Knee"
},
{
"code": "20611",
"display": "Patella"
},
{
"code": "20612",
"display": "Tibia and fibula"
},
{
"code": "20613",
"display": "Ankle"
},
{
"code": "20614",
"display": "Foot"
},
{
"code": "20615",
"display": "Calcaneus"
},
{
"code": "20616",
"display": "Toes"
},
{
"code": "20617",
"display": "Leg length"
},
{
"code": "20618",
"display": "Metabolic"
},
{
"code": "20619",
"display": "Metastatic"
},
{
"code": "20620",
"display": "Rheumatoid"
},
{
"code": "20621",
"display": "Babygram"
},
{
"code": "20622",
"display": "Gastrointestinal tract"
},
{
"code": "20623",
"display": "Retrograde urethrogram"
},
{
"code": "20624",
"display": "Cystourethrogram"
},
{
"code": "20625",
"display": "Hysterosalpingogram"
},
{
"code": "20626",
"display": "Sinogram"
},
{
"code": "20627",
"display": "Musculoskeletal injections"
},
{
"code": "20628",
"display": "Modified barium swallow (Video fluoroscope swallowing exam)"
},
{
"code": "20629",
"display": "Barium swallow"
},
{
"code": "20630",
"display": "Upper GI series (Esophagus, stomach and duodenum)"
},
{
"code": "20631",
"display": "Small bowel follow through"
},
{
"code": "20632",
"display": "Barium enema"
},
{
"code": "20633",
"display": "Stress"
},
{
"code": "20634",
"display": "Voiding"
},
{
"code": "20635",
"display": "Abdomen"
},
{
"code": "20636",
"display": "Pelvis"
},
{
"code": "20637",
"display": "Obstetrical"
},
{
"code": "20638",
"display": "Neonatal and Paediatric"
},
{
"code": "20639",
"display": "Musculoskeletal"
},
{
"code": "20640",
"display": "Vascular"
},
{
"code": "20641",
"display": "Head and Neck"
},
{
"code": "20642",
"display": "Breast and Axilla"
},
{
"code": "20643",
"display": "Complete abdomen"
},
{
"code": "20644",
"display": "Appendix"
},
{
"code": "20645",
"display": "Gallbladder"
},
{
"code": "20646",
"display": "Kidney Ureters Bladder"
},
{
"code": "20647",
"display": "Liver"
},
{
"code": "20648",
"display": "Liver elastography"
},
{
"code": "20649",
"display": "Pancreas"
},
{
"code": "20650",
"display": "Portal hypertension"
},
{
"code": "20651",
"display": "Renal"
},
{
"code": "20652",
"display": "Right upper quadrant"
},
{
"code": "20653",
"display": "Spleen"
},
{
"code": "20654",
"display": "Abdomen contrast"
},
{
"code": "20655",
"display": "Abdominal wall"
},
{
"code": "20656",
"display": "Complete pelvis"
},
{
"code": "20657",
"display": "Pelvis transabdominal"
},
{
"code": "20658",
"display": "Female pelvis (transvaginal)"
},
{
"code": "20659",
"display": "Follicular monitoring"
},
{
"code": "20660",
"display": "Limited non-pregnancy (for IUD insertion placement check)"
},
{
"code": "20661",
"display": "Saline Infusion Sonohysterography"
},
{
"code": "20662",
"display": "Male pelvis (Transrectal)"
},
{
"code": "20663",
"display": "Prostate"
},
{
"code": "20664",
"display": "Penile"
},
{
"code": "20665",
"display": "Testicles/Scrotum"
},
{
"code": "20666",
"display": "Bladder"
},
{
"code": "20667",
"display": "Groin"
},
{
"code": "20668",
"display": "Singleton"
},
{
"code": "20669",
"display": "Twins"
},
{
"code": "20670",
"display": "Triplets"
},
{
"code": "20671",
"display": "Unknown"
},
{
"code": "20672",
"display": "Dating (<16 weeks)"
},
{
"code": "20673",
"display": "Prenatal screening (NT/eFTS) 11-14 weeks"
},
{
"code": "20674",
"display": "Anatomy (20 week scan)"
},
{
"code": "20675",
"display": "2nd or 3rd trimester scan"
},
{
"code": "20676",
"display": "Biophysical profile"
},
{
"code": "20677",
"display": "Growth"
},
{
"code": "20678",
"display": "Cervical length"
},
{
"code": "20745",
"display": "With transvaginal"
},
{
"code": "20679",
"display": "Multi-gestational study"
},
{
"code": "20680",
"display": "High risk pregnancy"
},
{
"code": "20681",
"display": "Uterine artery doppler studies"
},
{
"code": "20682",
"display": "Umbilical artery doppler studies"
},
{
"code": "20683",
"display": "Fetal doppler"
},
{
"code": "20684",
"display": "Report sex"
},
{
"code": "20685",
"display": "1st Trimester"
},
{
"code": "20686",
"display": "2nd and 3rd Trimester"
},
{
"code": "20687",
"display": "Pylorus"
},
{
"code": "20688",
"display": "Spine"
},
{
"code": "20689",
"display": "Brain"
},
{
"code": "20690",
"display": "Hips"
},
{
"code": "20691",
"display": "Pylorus and Hypertrophic Pyloric Stenosis"
},
{
"code": "20692",
"display": "Bowel"
},
{
"code": "20693",
"display": "Foot"
},
{
"code": "20694",
"display": "Plantar fascia"
},
{
"code": "20695",
"display": "Ankle"
},
{
"code": "20696",
"display": "Achilles"
},
{
"code": "20697",
"display": "Calf/Lower leg/Gastrocnemius"
},
{
"code": "20698",
"display": "Knee"
},
{
"code": "20699",
"display": "Patellar tendon"
},
{
"code": "20700",
"display": "Popliteal fossa"
},
{
"code": "20701",
"display": "Quadriceps tendon"
},
{
"code": "20702",
"display": "Thigh/Hamstrings"
},
{
"code": "20703",
"display": "Hip"
},
{
"code": "20704",
"display": "Gluteal region"
},
{
"code": "20705",
"display": "Hand"
},
{
"code": "20706",
"display": "Wrist"
},
{
"code": "20707",
"display": "Carpal tunnel"
},
{
"code": "20708",
"display": "Forearm"
},
{
"code": "20709",
"display": "Elbow"
},
{
"code": "20710",
"display": "Biceps"
},
{
"code": "20711",
"display": "Triceps"
},
{
"code": "20712",
"display": "Shoulders"
},
{
"code": "20713",
"display": "Rotator cuff"
},
{
"code": "20714",
"display": "Toe(s)"
},
{
"code": "20715",
"display": "Finger(s)"
},
{
"code": "20716",
"display": "Palpable masses"
},
{
"code": "20717",
"display": "Foreign body"
},
{
"code": "20718",
"display": "Upper extremity arterial"
},
{
"code": "20719",
"display": "Upper extremity venous"
},
{
"code": "20720",
"display": "Lower extremity arterial"
},
{
"code": "20721",
"display": "Lower extremity venous thrombosis"
},
{
"code": "20722",
"display": "Lower extremity venous reflux"
},
{
"code": "20723",
"display": "Abdominal aortic aneurysm screen"
},
{
"code": "20724",
"display": "Ankle brachial index"
},
{
"code": "20725",
"display": "Arterial venous fistula"
},
{
"code": "20726",
"display": "Carotid"
},
{
"code": "20727",
"display": "Inferior vena cava"
},
{
"code": "20728",
"display": "Portal vein"
},
{
"code": "20729",
"display": "Renal arteries"
},
{
"code": "20730",
"display": "Superior mesenteric artery (SMA)"
},
{
"code": "20731",
"display": "Temporal arteries"
},
{
"code": "20732",
"display": "Venous mapping"
},
{
"code": "20733",
"display": "Neck/Salivary gland"
},
{
"code": "20734",
"display": "Lymph nodes"
},
{
"code": "20735",
"display": "Thyroid"
},
{
"code": "20736",
"display": "Breast"
},
{
"code": "20737",
"display": "Axilla"
},
{
"code": "20738",
"display": "Chest"
},
{
"code": "20739",
"display": "Chest wall (mass)"
},
{
"code": "20740",
"display": "Soft tissue"
},
{
"code": "20741",
"display": "Baseline"
},
{
"code": "20742",
"display": "Low Risk"
},
{
"code": "20743",
"display": "High Risk"
},
{
"code": "20748",
"display": "Breast"
},
{
"code": "20749",
"display": "Burns and Sequelae"
},
{
"code": "20750",
"display": "Congenital Conditions"
},
{
"code": "20751",
"display": "Facial Trauma and Reconstruction"
},
{
"code": "20752",
"display": "Gender-Affirming Surgery"
},
{
"code": "20753",
"display": "Hand and Upper Limb"
},
{
"code": "20754",
"display": "Peripheral Nerve, Carpal Tunnel Syndrome, and Brachial Plexus"
},
{
"code": "20755",
"display": "Skin Lesions and Skin Cancer"
},
{
"code": "20756",
"display": "Soft Tissue Tumours"
},
{
"code": "20757",
"display": "Wound - Acute"
},
{
"code": "20758",
"display": "Wound - Chronic / Complex"
},
{
"code": "20759",
"display": "Breast Reduction"
},
{
"code": "20760",
"display": "Gynecomastia"
},
{
"code": "20761",
"display": "Post-Mastectomy Reconstruction"
},
{
"code": "20762",
"display": "Revision of Prior Breast-Surgery"
},
{
"code": "20763",
"display": "Acute Burns"
},
{
"code": "20764",
"display": "Burn Scar Contracture"
},
{
"code": "20765",
"display": "Non-Healing Burn Wounds"
},
{
"code": "20766",
"display": "Scar Revision"
},
{
"code": "20767",
"display": "Date of Injury / Onset"
},
{
"code": "20768",
"display": "Cleft Lip / Palate"
},
{
"code": "20769",
"display": "Craniofacial Anomalies"
},
{
"code": "20770",
"display": "Ear Anomalies"
},
{
"code": "20771",
"display": "Hand Anomalies"
},
{
"code": "20772",
"display": "Vascular Anomaly / Malformation"
},
{
"code": "20773",
"display": "Acute Facial Fractures"
},
{
"code": "20774",
"display": "Acute Soft Tissue Injuries"
},
{
"code": "20775",
"display": "Reconstruction After Trauma"
},
{
"code": "20776",
"display": "Chest (Top) Surgery"
},
{
"code": "20777",
"display": "Facial Gender-Affirming Surgery"
},
{
"code": "20778",
"display": "Genital (Bottom) Surgery"
},
{
"code": "20780",
"display": "Fracture - Acute"
},
{
"code": "20781",
"display": "Hand Osteoarthritis (with deformity/pain/loss of function)"
},
{
"code": "20782",
"display": "Malunion / Non-union of Fractures"
},
{
"code": "20783",
"display": "Tendon Injury - Acute"
},
{
"code": "20785",
"display": "Brachial Plexus - Congenital Condition"
},
{
"code": "20786",
"display": "Brachial Plexus - Traumatic Injury"
},
{
"code": "20788",
"display": "Cubital Tunnel Syndrome"
},
{
"code": "20789",
"display": "Peripheral Nerve Injury"
},
{
"code": "20790",
"display": "Peripheral Nerve Tumour"
},
{
"code": "20791",
"display": "Basal Cell Carcinoma"
},
{
"code": "20792",
"display": "Squamous Cell Carcinoma"
},
{
"code": "20794",
"display": "Benign or Symptomatic Lesion(s) (e.g. epidermal cysts, superficial lipomas)"
},
{
"code": "20796",
"display": "Post-Cancer Reconstruction"
},
{
"code": "20798",
"display": "Soft Tissue Sarcoma"
},
{
"code": "20800",
"display": "Complex Wound (e.g., mixed etiology, non-healing, exposed structures)"
},
{
"code": "20801",
"display": "Diabetic / Ischemic Foot Ulcer"
},
{
"code": "20802",
"display": "Pressure Injury"
},
{
"code": "20803",
"display": "Surgical Wound - Non-Healing"
},
{
"code": "20804",
"display": "Venous Leg Ulcer"
},
{
"code": "20805",
"display": "Anxiety or Panic Symptoms"
},
{
"code": "20806",
"display": "Attention, Focus or Cognitive Processing Problems"
},
{
"code": "20807",
"display": "Behavioural Addictions (e.g., gambling, gaming, internet use, sexual)"
},
{
"code": "20808",
"display": "Bipolar / Mania Symptoms"
},
{
"code": "20809",
"display": "Dementia-Related Behaviours"
},
{
"code": "20810",
"display": "Depression Symptoms or Low Mood"
},
{
"code": "20811",
"display": "Eating Concerns (e.g., restricted or binge eating)"
},
{
"code": "20812",
"display": "Emotional Dysregulation (e.g., anger, aggression, mood swings)"
},
{
"code": "20813",
"display": "Hyperactivity or Impulsivity"
},
{
"code": "20814",
"display": "Intellectual Disability"
},
{
"code": "20815",
"display": "Memory Concerns"
},
{
"code": "20816",
"display": "Neurodevelopmental Concerns (e.g., autism-spectrum, ADHD)"
},
{
"code": "20817",
"display": "Obsessions or Compulsions"
},
{
"code": "20818",
"display": "Personality-Related Concerns (e.g., unstable relationships, chronic conflict with others)"
},
{
"code": "20819",
"display": "Psychotic Symptoms (e.g., hallucinations, delusions, etc.)"
},
{
"code": "20820",
"display": "Substance Use Concerns"
},
{
"code": "20821",
"display": "Trauma-Related Symptoms / PTSD (e.g., hypervigilance, flashbacks)"
},
{
"code": "20822",
"display": "Height (cm)"
},
{
"code": "20823",
"display": "Weight (kg)"
},
{
"code": "20824",
"display": "BMI"
},
{
"code": "20825",
"display": "Homicidal Ideation / Threats"
},
{
"code": "20826",
"display": "Self-Harm Behaviours"
},
{
"code": "20827",
"display": "Suicidal Ideation or Attempt"
},
{
"code": "20828",
"display": "Violence or Aggression"
},
{
"code": "20829",
"display": "Housing Instability"
},
{
"code": "20830",
"display": "Legal Involvement / History"
},
{
"code": "20832",
"display": "Behavioural Addictions (e.g., gambling, internet use, gaming, sexual)"
},
{
"code": "20836",
"display": "Difficulty coping with life stressors (e.g. grief, loss)"
},
{
"code": "20841",
"display": "Psychotic Symptoms"
},
{
"code": "20844",
"display": "Current Weight (kgs)"
},
{
"code": "20845",
"display": "Current Weight (lbs)"
},
{
"code": "20846",
"display": "Current Height (cm)"
},
{
"code": "20848",
"display": "Blood Pressure"
},
{
"code": "20849",
"display": "Heart Rate"
},
{
"code": "20850",
"display": "Date of LMP"
},
{
"code": "20851",
"display": "Food Intake Restrictions"
},
{
"code": "20852",
"display": "Binge Eating"
},
{
"code": "20853",
"display": "Induced Vomiting"
},
{
"code": "20854",
"display": "Laxative Use"
},
{
"code": "20855",
"display": "Exercise Quantity (per week)"
},
{
"code": "20856",
"display": "Chewing and Spitting"
},
{
"code": "20857",
"display": "Diet Medications"
},
{
"code": "20858",
"display": "First Episode Psychosis"
},
{
"code": "20859",
"display": "Case Management"
},
{
"code": "20860",
"display": "Counselling / Psychotherapy Services"
},
{
"code": "20861",
"display": "Psychiatric Consultation"
},
{
"code": "20862",
"display": "Diagnostic Clarification"
},
{
"code": "20863",
"display": "Interventional Psychiatry"
},
{
"code": "20864",
"display": "Medication / Treatment Recommendations"
},
{
"code": "20865",
"display": "Electroconvulsive therapy (ECT)"
},
{
"code": "20866",
"display": "Repetitive Transcranial Magnetic Stimulation (rTMS)"
},
{
"code": "20867",
"display": "Family Support Services"
},
{
"code": "20868",
"display": "Peer Support Services"
},
{
"code": "20869",
"display": "Supportive Housing"
},
{
"code": "20870",
"display": "Bed-Based Addiction Treatment (formerly known as Residential Addiction Services)"
},
{
"code": "20871",
"display": "Substance Use / Addiction Treatment"
},
{
"code": "20872",
"display": "Stabilization on Opioid Agonist Therapy"
},
{
"code": "20873",
"display": "Withdrawal Management"
},
{
"code": "20874",
"display": "Court Support"
},
{
"code": "20875",
"display": "Possible Safety Concern to Others (e.g. aggression, homicidal threats or ideation)"
},
{
"code": "20879",
"display": "Legal Involvement / Court Orders (e.g. current charges, probation, parole, CTO/ORB conditions)"
},
{
"code": "20880",
"display": "Bone and Joint Infections"
},
{
"code": "20881",
"display": "Clostridioides difficile (C. diff)"
},
{
"code": "20882",
"display": "Endocarditis"
},
{
"code": "20883",
"display": "Fever of Unknown Origin (FUO)"
},
{
"code": "20884",
"display": "HIV"
},
{
"code": "20885",
"display": "Intra-Abdominal or Pelvic Infections"
},
{
"code": "20886",
"display": "Lung Infections"
},
{
"code": "20887",
"display": "Sexually Transmitted Infections (STIs)"
},
{
"code": "20888",
"display": "Skin and Soft Tissue Infections (SSTIs)"
},
{
"code": "20889",
"display": "Tick-borne Infections"
},
{
"code": "20890",
"display": "Tropical and Parasitic Diseases"
},
{
"code": "20891",
"display": "Tuberculosis (TB)"
},
{
"code": "20892",
"display": "Urinary Tract Infection (UTIs)"
},
{
"code": "20893",
"display": "Viral Hepatitis"
},
{
"code": "20894",
"display": "Osteomyelitis"
},
{
"code": "20895",
"display": "Prosthetic Joint Infection"
},
{
"code": "20896",
"display": "Septic Arthritis"
},
{
"code": "20897",
"display": "Spinal Infections"
},
{
"code": "20898",
"display": "HIV - New Diagnosis"
},
{
"code": "20899",
"display": "HIV - Ongoing Care"
},
{
"code": "20900",
"display": "PrEP (Pre-Exposure Prophylaxis)"
},
{
"code": "20901",
"display": "PEP (Post-Exposure Prophylaxis)"
},
{
"code": "20903",
"display": "Cellulitis"
},
{
"code": "20904",
"display": "Diabetic Foot Infection"
},
{
"code": "20905",
"display": "Malaria"
},
{
"code": "20906",
"display": "Active TB - Confirmed"
},
{
"code": "20907",
"display": "Active TB -� Suspected"
},
{
"code": "20908",
"display": "Latent TB Infection"
},
{
"code": "20909",
"display": "Active drug and/or alcohol addiction"
},
{
"code": "20910",
"display": "Active treatment for a major/life-threatening cancer (e.g. chemotherapy, radiation)"
},
{
"code": "20911",
"display": "Significant psychiatric illness that is inadequately treated"
},
{
"code": "20912",
"display": "Patient >18 years old"
},
{
"code": "20913",
"display": "Patient has an Ontario Health Card OR is a resident of Ontario and meets one of the following�"
},
{
"code": "20915",
"display": "Weight (kgs)"
},
{
"code": "20916",
"display": "Height (ft)"
},
{
"code": "20917",
"display": "Height (in)"
},
{
"code": "20918",
"display": "Weight (lbs)"
},
{
"code": "20920",
"display": "Previously had bariatric surgery"
},
{
"code": "20921",
"display": "Surgical complications"
},
{
"code": "20922",
"display": "Weight regain (>15% increase)"
},
{
"code": "20923",
"display": "Idiopathic intracranial hypertension"
},
{
"code": "20924",
"display": "Coronary heart disease"
},
{
"code": "20925",
"display": "Type 2 diabetes"
},
{
"code": "20927",
"display": "Diagnosed sleep apnea"
},
{
"code": "20929",
"display": "Renal disease"
},
{
"code": "20930",
"display": "Surgical Program"
},
{
"code": "20931",
"display": "Medical Program"
},
{
"code": "20932",
"display": "Pilot Metabolic Surgical Program at St. Joseph�s Healthcare Hamilton"
},
{
"code": "20933",
"display": "Optometrist / Ophthalmologist"
},
{
"code": "20934",
"display": "Primary Care"
},
{
"code": "20935",
"display": "Clinical Optometry/Ophthalmology Report attached"
},
{
"code": "20936",
"display": "Right Eye (OD)"
},
{
"code": "20937",
"display": "Left Eye (OS)"
},
{
"code": "20938",
"display": "Both Eyes (OU)"
},
{
"code": "20939",
"display": "Optometry / Ophthalmology report attached including Best Corrected Visual Acuity (BCVA) and Past Ocular History"
},
{
"code": "20940",
"display": "Right Eye"
},
{
"code": "20941",
"display": "Right Eye BCVA 20/"
},
{
"code": "20942",
"display": "Left Eye"
},
{
"code": "20943",
"display": "Left Eye BCVA 20/"
},
{
"code": "20944",
"display": "History of Ocular Pathologies"
},
{
"code": "20945",
"display": "History of Diabetes"
},
{
"code": "20946",
"display": "Right Eye (mmHg)"
},
{
"code": "20947",
"display": "Left Eye (mmHg)"
},
{
"code": "20948",
"display": "Does the patient wear contact lenses?"
},
{
"code": "20949",
"display": "Soft"
},
{
"code": "20950",
"display": "Rigid Gas Permeable"
},
{
"code": "20951",
"display": "Does the patient wear prism in their spectacles?"
},
{
"code": "20952",
"display": "Right Eye (prism)"
},
{
"code": "20953",
"display": "Left Eye (prism)"
},
{
"code": "20954",
"display": "Has the patient had previous corneal refractive surgery?"
},
{
"code": "20955",
"display": "LASIK"
},
{
"code": "20956",
"display": "PRK"
},
{
"code": "20957",
"display": "RK"
},
{
"code": "20958",
"display": "Has the patient had previous eye surgery or laser treatment?"
},
{
"code": "20962",
"display": "Adrenal Gland Disorders"
},
{
"code": "20963",
"display": "Diabetes"
},
{
"code": "20964",
"display": "Dyslipidemia"
},
{
"code": "20965",
"display": "Male Hypogonadism"
},
{
"code": "20966",
"display": "Menopause"
},
{
"code": "20967",
"display": "Oligomenorrhea / Amenorrhea"
},
{
"code": "20968",
"display": "Osteoporosis"
},
{
"code": "20969",
"display": "Parathyroid or Calcium Disorders"
},
{
"code": "20970",
"display": "Pituitary Gland Disorders"
},
{
"code": "20972",
"display": "Thyroid Disorders"
},
{
"code": "20973",
"display": "Transgender (Gender Affirming Hormone Therapy)"
},
{
"code": "20974",
"display": "Weight Management / Metabolic Disorders"
},
{
"code": "20975",
"display": "Type 1 Diabetes"
},
{
"code": "20978",
"display": "New"
},
{
"code": "20979",
"display": "<=6 months ago"
},
{
"code": "20980",
"display": "> 6 months ago"
},
{
"code": "20977",
"display": "Patient on insulin"
},
{
"code": "20981",
"display": "Chemotherapy - current or planned"
},
{
"code": "20982",
"display": "Diabetic Ketoacidosis - recent hospitalization"
},
{
"code": "20983",
"display": "Foot ulcer(s) - active or recurring"
},
{
"code": "20984",
"display": "Glucocorticoids - high doses with recent or anticipated initiation"
},
{
"code": "20985",
"display": "HbA1c >10%"
},
{
"code": "20986",
"display": "Hypoglycemia - severe and recent episode requiring assistance"
},
{
"code": "20987",
"display": "Myocardial infarction or Stroke - recent event with inadequate control"
},
{
"code": "20988",
"display": "Optimization required prior to procedure/surgery - Urgent"
},
{
"code": "20989",
"display": "Transplant within last 6 months"
},
{
"code": "20990",
"display": "HbA1C"
},
{
"code": "20991",
"display": "Triglycerides > 10 mmol/L"
},
{
"code": "20992",
"display": "Atypical femur fracture"
},
{
"code": "20993",
"display": "Fragility fracture - within last year"
},
{
"code": "20994",
"display": "Glucocorticoids - Currently on prolonged high-dose"
},
{
"code": "20995",
"display": "Glucocorticoids - Planned start of prolonged high-dose"
},
{
"code": "20996",
"display": "Acromegaly suspected (clinically or high IGF-1/growth hormone)"
},
{
"code": "20997",
"display": "Cushings disease suspected (clinically or lab testing)"
},
{
"code": "20998",
"display": "Dysfunction - decreased pituitary function (include labs)"
},
{
"code": "20999",
"display": "Prolactin > 200 ug/L"
},
{
"code": "21000",
"display": "Sellar lesion > 1 cm - confirmed on MRI or CT"
},
{
"code": "21001",
"display": "Visual fields compromised"
},
{
"code": "21002",
"display": "Hyperthyroidism"
},
{
"code": "21003",
"display": "Hypothyroidism"
},
{
"code": "21004",
"display": "Thyroid Nodule"
},
{
"code": "21005",
"display": "Thyroid Cancer"
},
{
"code": "21006",
"display": "TSH"
},
{
"code": "21007",
"display": "Site-Specific Suspicion of Cancer Presentations"
},
{
"code": "21008",
"display": "Non-Site Specific Suspicion of Cancer Presentations"
},
{
"code": "21009",
"display": "Breast"
},
{
"code": "21010",
"display": "Chest / Lung"
},
{
"code": "21011",
"display": "Genitourinary"
},
{
"code": "21012",
"display": "Gynecologic"
},
{
"code": "21013",
"display": "Head & Neck"
},
{
"code": "21014",
"display": "Hepatobiliary Pancreatic"
},
{
"code": "21015",
"display": "Luminal Upper and Lower Gastrointestinal"
},
{
"code": "21016",
"display": "Cutaneous Skin / Soft Tissue"
},
{
"code": "21017",
"display": "Suspicious imaging for malignancy"
},
{
"code": "21018",
"display": "Constitutional"
},
{
"code": "21019",
"display": "Hematologic"
},
{
"code": "21020",
"display": "Unintentional, unexplained =10% weight loss (6�12 months, or shorter if severe)"
},
{
"code": "21021",
"display": "Persistent, unexplained fatigue, functionally impairing and not relieved by rest"
},
{
"code": "21022",
"display": "Bone pain - long bone or spine"
},
{
"code": "21023",
"display": "Persistent or unexplained abdominal pain"
},
{
"code": "21024",
"display": "Persistent or unexplained pelvic pain"
},
{
"code": "21025",
"display": "Subacute or progressive neurologic symptoms"
},
{
"code": "21026",
"display": "Leukemia-pattern blood abnormalities"
},
{
"code": "21027",
"display": "Lymphoma-pattern presentation"
},
{
"code": "21028",
"display": "MDS/MPN/Myeloma-pattern presentation"
},
{
"code": "21029",
"display": "Abnormal Imaging"
},
{
"code": "21036",
"display": "Medical Issue Affecting Pregnancy"
},
{
"code": "21037",
"display": "Perioperative Assessment"
},
{
"code": "21039",
"display": "Thyroid"
},
{
"code": "21040",
"display": "Unexplained Weight Loss"
},
{
"code": "21041",
"display": "Anemia"
},
{
"code": "21042",
"display": "Arrhythmia"
},
{
"code": "21046",
"display": "Preconception"
},
{
"code": "21047",
"display": "Thrombocytopenia"
},
{
"code": "21049",
"display": "Venous Thromboembolism"
},
{
"code": "21050",
"display": "Behavioural"
},
{
"code": "21051",
"display": "Cardiac"
},
{
"code": "21052",
"display": "Developmental / Growth"
},
{
"code": "21053",
"display": "Dermatologic"
},
{
"code": "21054",
"display": "Endocrine"
},
{
"code": "21055",
"display": "Gastrointestinal"
},
{
"code": "21056",
"display": "Genetic"
},
{
"code": "21058",
"display": "Musculoskeletal / Rheumatologic"
},
{
"code": "21059",
"display": "Neonatal"
},
{
"code": "21060",
"display": "Mental Health"
},
{
"code": "21061",
"display": "Neurologic"
},
{
"code": "21062",
"display": "Renal"
},
{
"code": "21063",
"display": "Respiratory"
},
{
"code": "21064",
"display": "Attention Deficit Hyperactivity Disorder (ADHD)"
},
{
"code": "21065",
"display": "Autism Spectrum Disorder (ASD)"
},
{
"code": "21067",
"display": "Palpitations"
},
{
"code": "21069",
"display": "Fine Motor Delay"
},
{
"code": "21070",
"display": "Gross Motor Delay"
},
{
"code": "21071",
"display": "Growth Concerns"
},
{
"code": "21072",
"display": "Learning Disability / Learning Problem"
},
{
"code": "21073",
"display": "Speech or Language Disorder"
},
{
"code": "21074",
"display": "Failure to Thrive"
},
{
"code": "21075",
"display": "Atopic Dermatitis"
},
{
"code": "21076",
"display": "Birth Mark"
},
{
"code": "21077",
"display": "Hemangioma"
},
{
"code": "21078",
"display": "Rash"
},
{
"code": "21080",
"display": "Gender Dysphoria"
},
{
"code": "21081",
"display": "Menstrual Irregularities"
},
{
"code": "21082",
"display": "Obesity"
},
{
"code": "21083",
"display": "Premature or Delayed Puberty"
},
{
"code": "21084",
"display": "Short Stature"
},
{
"code": "21085",
"display": "Thyroid Dysfunction"
},
{
"code": "21086",
"display": "Abdominal Pain"
},
{
"code": "21089",
"display": "Encopresis"
},
{
"code": "21090",
"display": "GERD"
},
{
"code": "21091",
"display": "Dysmorphic / Syndromic"
},
{
"code": "21092",
"display": "Family History of Known Genetic Disorder"
},
{
"code": "21093",
"display": "Trisomy 21"
},
{
"code": "21096",
"display": "Neutropenia"
},
{
"code": "21098",
"display": "Gait Concerns"
},
{
"code": "21099",
"display": "Joint / Bone Pain"
},
{
"code": "21100",
"display": "Joint Swelling"
},
{
"code": "21101",
"display": "Scoliosis"
},
{
"code": "21102",
"display": "Feeding Difficulties"
},
{
"code": "21103",
"display": "Hyperbilirubinemia"
},
{
"code": "21104",
"display": "Low Birth Weight"
},
{
"code": "21105",
"display": "Neonatal Seizures"
},
{
"code": "21106",
"display": "Prematurity"
},
{
"code": "21107",
"display": "Anxiety"
},
{
"code": "21108",
"display": "Depression"
},
{
"code": "21109",
"display": "Epilepsy"
},
{
"code": "21110",
"display": "Febrile Seizure(s)"
},
{
"code": "21111",
"display": "Headaches"
},
{
"code": "21112",
"display": "Tics"
},
{
"code": "21113",
"display": "Enuresis"
},
{
"code": "21115",
"display": "UTI(s)"
},
{
"code": "21117",
"display": "Persistent Cough"
},
{
"code": "21118",
"display": "Upper and Lower Respiratory Issues"
},
{
"code": "21119",
"display": "Abdominal Lesion / Mass"
},
{
"code": "21120",
"display": "Abdominal Pain NYD - Chronic"
},
{
"code": "21121",
"display": "Anorectal / Perianal Conditions"
},
{
"code": "21122",
"display": "Breast Conditions"
},
{
"code": "21123",
"display": "Colonoscopy - Screening / Surveillance"
},
{
"code": "21124",
"display": "Colorectal Conditions"
},
{
"code": "21126",
"display": "Hepatobiliary & Pancreatic Conditions"
},
{
"code": "21127",
"display": "Hernias"
},
{
"code": "21128",
"display": "Rectal Bleeding NYD"
},
{
"code": "21129",
"display": "Skin & Soft-Tissue Lesions"
},
{
"code": "21130",
"display": "Upper GI Tract Disorder"
},
{
"code": "21131",
"display": "Anal Region Disorders (e.g. fissures, fistulas, hemorrhoids)"
},
{
"code": "21132",
"display": "Fecal Incontinence"
},
{
"code": "21133",
"display": "Pilonidal Disease"
},
{
"code": "21134",
"display": "Rectal Prolapse"
},
{
"code": "21135",
"display": "Breast Lump"
},
{
"code": "21138",
"display": "Screening"
},
{
"code": "21139",
"display": "Surveillance"
},
{
"code": "21140",
"display": "Colorectal Lesion / Mass (e.g. polyp, cancer)"
},
{
"code": "21141",
"display": "Diverticulitis"
},
{
"code": "21142",
"display": "Inflammatory Bowel Disease"
},
{
"code": "21144",
"display": "Parathyroid Disease"
},
{
"code": "21145",
"display": "Thyroid Mass / Enlargement"
},
{
"code": "21146",
"display": "Gallbladder / Gallstone Disease"
},
{
"code": "21147",
"display": "Gallbladder Polyp / Mass"
},
{
"code": "21148",
"display": "Liver Lesion / Mass"
},
{
"code": "21149",
"display": "Pancreatic Lesion / Mass"
},
{
"code": "21150",
"display": "Inguinal Hernia"
},
{
"code": "21151",
"display": "Umbilical / Epigastric Hernia"
},
{
"code": "21152",
"display": "Ventral / Incisional Hernia"
},
{
"code": "21153",
"display": "Benign Lesion (e.g. lipoma, cyst)"
},
{
"code": "21154",
"display": "Lymph Node"
},
{
"code": "21156",
"display": "First-degree relative(s) with colorectal cancer"
},
{
"code": "21157",
"display": "Hereditary cancer syndrome"
},
{
"code": "21158",
"display": "First-degree relative(s) with documented advanced polyps before age 60"
},
{
"code": "21159",
"display": "Frailty or Health / Social Complexity"
},
{
"code": "21160",
"display": "Goals of Care and Future Planning"
},
{
"code": "21161",
"display": "Medication Review / Advice"
},
{
"code": "21162",
"display": "Mind or Mood"
},
{
"code": "21163",
"display": "Mobility"
},
{
"code": "21164",
"display": "Caregiver Burden"
},
{
"code": "21165",
"display": "Complex Psychosocial / Economic"
},
{
"code": "21166",
"display": "Frailty"
},
{
"code": "21167",
"display": "Generalized Functional Decline"
},
{
"code": "21168",
"display": "Multi-morbidity"
},
{
"code": "21172",
"display": "Cognitive Impairment"
},
{
"code": "21173",
"display": "Mood Disorder"
},
{
"code": "21174",
"display": "Responsive Behaviours (e.g. aggression, wandering etc...)"
},
{
"code": "21175",
"display": "Psychotic Symptoms (e.g. hallucinations, delusions, etc...)"
},
{
"code": "21176",
"display": "Impaired Gait / Balance"
},
{
"code": "21177",
"display": "Falls"
},
{
"code": "21198",
"display": "General Neurosurgery"
},
{
"code": "21199",
"display": "Cranial / Brain & Skull Lesions"
},
{
"code": "21201",
"display": "Hydrocephalus / Cerebrospinal Fluid (CSF)"
},
{
"code": "21202",
"display": "Neurovascular"
},
{
"code": "21205",
"display": "Cranial Arachnoid Cyst"
},
{
"code": "21206",
"display": "Chiari Malformation"
},
{
"code": "21207",
"display": "Microvascular Decompression - Trigeminal Neuralgia, Hemifacial Spasm"
},
{
"code": "21208",
"display": "Neurosurgery Spine (intradural pathology) - Syrinx, Arachnoid Cyst, Tumour, Tethered Cord, etc."
},
{
"code": "21209",
"display": "Subdural Hematoma - Chronic"
},
{
"code": "21210",
"display": "Brain Tumour - Primary"
},
{
"code": "21211",
"display": "Brain Tumour - Metastatic"
},
{
"code": "21212",
"display": "Meningioma"
},
{
"code": "21213",
"display": "Pituitary / Sellar Lesion"
},
{
"code": "21214",
"display": "Skull Base / Cranial Nerve Tumour"
},
{
"code": "21215",
"display": "Epilepsy Surgery Assessment"
},
{
"code": "21216",
"display": "Neuromodulation for Pain"
},
{
"code": "21217",
"display": "Parkinson's - Deep Brain Stimulation Surgical Assessment"
},
{
"code": "21218",
"display": "Other Movement Disorder - Deep Brain Stimulation Surgical Assessment"
},
{
"code": "21219",
"display": "CSF Shunt Assessment (Insertion / Revision / Removal)"
},
{
"code": "21220",
"display": "Hydrocephalus - Normal Pressure (NPH)"
},
{
"code": "21221",
"display": "Hydrocephalus - Other (non-NPH)"
},
{
"code": "21222",
"display": "Arteriovenous Malformation (AVM) / Dural AV Fistula"
},
{
"code": "21223",
"display": "Brain Aneurysm - Unruptured"
},
{
"code": "21224",
"display": "Carotid Stenosis"
},
{
"code": "21225",
"display": "Cavernous Malformation"
},
{
"code": "21226",
"display": "Brachial Plexus Injury/Lesion"
},
{
"code": "21229",
"display": "Ulnar Nerve Entrapment"
},
{
"code": "21230",
"display": "Other Focal Nerve Entrapment (radial, peroneal, etc.)"
},
{
"code": "21231",
"display": "Cervical"
},
{
"code": "21232",
"display": "Thoracic"
},
{
"code": "21233",
"display": "Lumbar"
},
{
"code": "21234",
"display": "Congenital Hemolytic Anemia"
},
{
"code": "21236",
"display": "Hereditary Spherocytosis"
},
{
"code": "21238",
"display": "Thalassemia"
},
{
"code": "21239",
"display": "Uncomplicated Hemoglobinopathy Trait (Sickle Trait, Thalassemia Trait)"
},
{
"code": "21240",
"display": "Aneurysm / Dissection - Asymptomatic"
},
{
"code": "21241",
"display": "Carotid Stenosis - Asymptomatic"
},
{
"code": "21242",
"display": "Diabetic Foot Ulcers"
},
{
"code": "21243",
"display": "Peripheral Arterial Disease"
},
{
"code": "21244",
"display": "Venous Disease"
},
{
"code": "21245",
"display": "Abdominal Aortic Aneurysm (AAA)"
},
{
"code": "21246",
"display": "Descending Thoracic Aortic Aneurysm, Pathology or Dissection"
},
{
"code": "21247",
"display": "Other Aneurysm (e.g. Popliteal, Visceral, Renal)"
},
{
"code": "21248",
"display": "With high risk features (e.g. ulcerated / irregular plaque, plaque hemorrhage, contralateral ICA occlusion, progressive stenosis, young patients)"
},
{
"code": "21249",
"display": "Symptoms within 2 weeks to 6 months and more than 50% ICA stenosis"
},
{
"code": "21250",
"display": "Without high risk features, more than 50% ICA stenosis and no symptoms within 6 months"
},
{
"code": "21251",
"display": "Ulcer"
},
{
"code": "21252",
"display": "Active infection"
},
{
"code": "21254",
"display": "Asymptomatic"
},
{
"code": "21255",
"display": "Claudication"
},
{
"code": "21256",
"display": "Chronic Limb-Threatening Ischemia (e.g. rest pain, tissue loss)"
},
{
"code": "21257",
"display": "Upper Extremity Disease"
},
{
"code": "21258",
"display": "Varicose Veins with complication"
},
{
"code": "21259",
"display": "Varicose Veins without complication"
},
{
"code": "21260",
"display": "Upper Extremity Venous Disease"
},
{
"code": "21261",
"display": "Currently Pregnant"
},
{
"code": "21262",
"display": "Currently Pregnant or <12 Months Postpartum"
},
{
"code": "21264",
"display": "Second Opinion"
},
{
"code": "21265",
"display": "Recent Hospitalization or ER Visit for this issue"
},
{
"code": "21266",
"display": "< 1 Year Old"
},
{
"code": "21267",
"display": "Referral for child or youth (<18 years old)"
},
{
"code": "21268",
"display": "Preoperative Management"
},
{
"code": "21269",
"display": "Cognitively impaired"
},
{
"code": "21270",
"display": "Falls risk"
},
{
"code": "21271",
"display": "Hearing impaired"
},
{
"code": "21272",
"display": "Patient requires lift"
},
{
"code": "21273",
"display": "Vision impaired"
},
{
"code": "21274",
"display": "Wheelchair"
},
{
"code": "21275",
"display": "Allied Health Professional"
},
{
"code": "21276",
"display": "Family Physician"
},
{
"code": "21277",
"display": "Physician Assistant"
},
{
"code": "21278",
"display": "Medical Student"
},
{
"code": "21279",
"display": "Nurse"
},
{
"code": "21280",
"display": "Nurse Practitioner"
},
{
"code": "21281",
"display": "Resident"
},
{
"code": "21282",
"display": "Specialist"
},
{
"code": "21283",
"display": "No known kidney issues"
},
{
"code": "21284",
"display": "Yes, patient has impaired renal function or a history of renal transplant"
},
{
"code": "21285",
"display": "eGFR result"
},
{
"code": "21286",
"display": "Has diabetes"
},
{
"code": "21287",
"display": "On dialysis"
},
{
"code": "21288",
"display": "Known hypersensitivity to contrast agents"
},
{
"code": "21289",
"display": "History of reaction before the year 2000"
},
{
"code": "21291",
"display": "Estimated Date of Delivery"
},
{
"code": "21292",
"display": "Last Menstrual Period"
},
{
"code": "21293",
"display": "Currently breastfeeding"
},
{
"code": "21294",
"display": "Claustrophobia"
},
{
"code": "21295",
"display": "Require general anesthesia"
},
{
"code": "21296",
"display": "Has metal fragments in eye(s)/body"
},
{
"code": "21297",
"display": "Has active electronic implants (e.g. Cardiac Implantable Electronic Device, Neurostimulator, Cochlear Implant, Medication Pump, etc.) or retained parts (e.g. leads, etc.):"
},
{
"code": "21298",
"display": "Has other metal containing devices (e.g. Aneurysm Clip, IUD, Tissue Expander, Shunt, Stent, Coil, Traction Device, Glucose Monitor, etc.), metal foreign bodies (Shrapnel, Bullets, Subdermal Piercings, Etc), or orthopedic device:"
},
{
"code": "21299",
"display": "CIED"
},
{
"code": "21300",
"display": "Neurostimulator"
},
{
"code": "21301",
"display": "Cochlear Implant"
},
{
"code": "21302",
"display": "Medication Pump"
},
{
"code": "21303",
"display": "Aneurysm Clip"
},
{
"code": "21304",
"display": "Coil"
},
{
"code": "21305",
"display": "Glucose Monitor"
},
{
"code": "21306",
"display": "Heart Valve"
},
{
"code": "21307",
"display": "Copper or Stainless Steel IUD"
},
{
"code": "21308",
"display": "Orthopedic Devices"
},
{
"code": "21309",
"display": "Pessary"
},
{
"code": "21310",
"display": "Prosthesis"
},
{
"code": "21311",
"display": "Shunt"
},
{
"code": "21312",
"display": "Stent"
},
{
"code": "21313",
"display": "Subdermal Piercings"
},
{
"code": "21314",
"display": "Tissue Expander"
},
{
"code": "21315",
"display": "Traction Device"
},
{
"code": "21316",
"display": "Patient has impaired renal function or a history of renal transplant"
},
{
"code": "21317",
"display": "She/Her"
},
{
"code": "21318",
"display": "He/Him"
},
{
"code": "21319",
"display": "They/Them"
},
{
"code": "21320",
"display": "Immunocompromised"
},
{
"code": "21321",
"display": "Left"
},
{
"code": "21322",
"display": "Right"
},
{
"code": "21323",
"display": "Bilateral"
},
{
"code": "21324",
"display": "Patient cannot provide reliable medical history or provide consent to contrast injections (where applicable)"
},
{
"code": "21325",
"display": "Abnormal Lab Finding"
},
{
"code": "21326",
"display": "Vomiting"
},
{
"code": "21327",
"display": "Weight Loss"
},
{
"code": "21328",
"display": "Eating Concerns"
},
{
"code": "21329",
"display": "Custody Considerations"
},
{
"code": "21330",
"display": "Child Welfare Agency Involvement (e.g., Children's Aid Society)"
},
{
"code": "21331",
"display": "Suspected Malignancy"
},
{
"code": "21332",
"display": "Confirmed Malignancy"
},
{
"code": "21333",
"display": "Endocrine Conditions"
},
{
"code": "21344",
"display": "Breast Inflammation / Abscess"
},
{
"code": "21345",
"display": "Imaging Abnormality"
},
{
"code": "21346",
"display": "Wound Management"
},
{
"code": "21347",
"display": "G6PD Deficiency"
},
{
"code": "21348",
"display": "PK Deficiency"
},
{
"code": "21349",
"display": "HbSS"
},
{
"code": "21350",
"display": "HbSC"
},
{
"code": "21351",
"display": "HbS/�-thalassemia"
},
{
"code": "21352",
"display": "Transfusion-Dependent Thalassemia"
},
{
"code": "21353",
"display": "Non-Transfusion-Dependent Thalassemia"
},
{
"code": "21354",
"display": "Movement Disorder"
},
{
"code": "21355",
"display": "Unintentional Weight Change / Nutritional Concerns"
},
{
"code": "21356",
"display": "Sleep Concerns"
},
{
"code": "21357",
"display": "Arrived in Canada in past 3-6 months"
},
{
"code": "21358",
"display": "Recent or Ongoing Complications"
},
{
"code": "21359",
"display": "Referred from Sickle Cell Comprehensive Care Clinic"
},
{
"code": "21360",
"display": "Requires ongoing Red Blood Cell transfusion support"
},
{
"code": "21361",
"display": "Transfer of care"
},
{
"code": "21362",
"display": "Non-Invasive Vascular Testing"
},
{
"code": "21363",
"display": "Vascular Consultation"
},
{
"code": "21364",
"display": "Nerve Root Impingement / Radiculopathy Present"
},
{
"code": "21365",
"display": "Functional Neurosurgery - Surgical Assessment (Epilepsy, Movement, Pain)"
},
{
"code": "21366",
"display": "Adrenals"
},
{
"code": "21367",
"display": "Bone"
},
{
"code": "21368",
"display": "Kidneys"
},
{
"code": "21369",
"display": "Liver"
},
{
"code": "21370",
"display": "Lung"
},
{
"code": "21371",
"display": "Lymph nodes"
},
{
"code": "21372",
"display": "Mediastinal mass"
},
{
"code": "21373",
"display": "Pancreas"
},
{
"code": "21374",
"display": "Pelvis"
},
{
"code": "21375",
"display": "Thoracic Outlet Syndrome"
},
{
"code": "21376",
"display": "Arterial"
},
{
"code": "21377",
"display": "Venous"
},
{
"code": "21378",
"display": "Arm"
},
{
"code": "21379",
"display": "Leg"
},
{
"code": "21380",
"display": "Ankle brachial index (screening)"
},
{
"code": "21381",
"display": "Fasting"
},
{
"code": "21382",
"display": "Post-prandial"
},
{
"code": "21383",
"display": "Existing PICC line"
},
{
"code": "21384",
"display": "Existing Port-a-Cath"
},
{
"code": "21385",
"display": "What is the patient's current resting heart rate (bpm)?"
},
{
"code": "21386",
"display": "Known contraindications to Nitroglycerin:"
},
{
"code": "21387",
"display": "Is the patient currently on beta-blockers?"
},
{
"code": "21388",
"display": "Severe/critical aortic stenosis"
},
{
"code": "21389",
"display": "Severe symptomatic aortic insufficiency"
},
{
"code": "21390",
"display": "Decompensated congestive heart failure"
},
{
"code": "21391",
"display": "Allergy to Beta-blockers"
},
{
"code": "21392",
"display": "Prior hospitalization for lung disease"
},
{
"code": "21393",
"display": "Active bronchospasm"
},
{
"code": "21394",
"display": "2nd or 3rd degree heart block, or 1st degree with PR>0.42s"
},
{
"code": "21395",
"display": "Will the patient be prescribed a beta-blocker?"
},
{
"code": "21396",
"display": "Spinal Cord Compression Present"
},
{
"code": "21397",
"display": "Date of First Suspicion of Cancer"
},
{
"code": "21398",
"display": "Abdomen Pelvis Angiography"
},
{
"code": "21399",
"display": "None of the above"
},
{
"code": "21400",
"display": "Unsure/Unknown"
},
{
"code": "21401",
"display": "Intersex"
},
{
"code": "21402",
"display": "Other"
},
{
"code": "21403",
"display": "Translator Required"
},
{
"code": "21404",
"display": "Preferred Name"
},
{
"code": "21405",
"display": "Voicemails acceptable"
},
{
"code": "21406",
"display": "Alternate contact"
},
{
"code": "21407",
"display": "Yes"
},
{
"code": "21408",
"display": "No"
},
{
"code": "21409",
"display": "Unsafe contact persons (do not speak with)"
},
{
"code": "21410",
"display": "Only speak with patient directly"
},
{
"code": "21411",
"display": "Accessibility concerns or disability"
},
{
"code": "21412",
"display": "Special considerations (e.g. barriers, tips for care delivery, 3rd party insurance, patient requires escort, cognitive issues)"
},
{
"code": "21413",
"display": "Send copies of reports to additional providers"
},
{
"code": "21414",
"display": "This is the Primary Care Provider"
},
{
"code": "21415",
"display": "CPP attached separately (if not entered below)"
},
{
"code": "21416",
"display": "Preferred consultant or location"
},
{
"code": "21417",
"display": "Patient willing to travel for shorter wait time"
},
{
"code": "21418",
"display": "Personal Health Information that is medically relevant has not been disclosed at the request of the patient."
},
{
"code": "21419",
"display": "OHIP"
},
{
"code": "21420",
"display": "WSIB Case"
},
{
"code": "21421",
"display": "DND"
},
{
"code": "21422",
"display": "IFH"
},
{
"code": "21423",
"display": "RAMQ"
}
]
}