| DESC |
| PROF FEE LIMITED |
| DISCHARGE FEE |
| PROF STAFF DETAILED |
| PROF FEE BRIEF |
| H & P OBSERVATION |
| H&P ADM PROF FEE |
| PROF FEE COMPREHENSIVE |
| PROF FEE FB REMOVAL |
| PROF FEE EXTENSIVE |
| PROF FEE WOUND REPAIR 0-2.5 |
| INITIAL HOSPITAL CARE |
| INITIAL HOSPITAL EXT CARE |
| INTIAL OBSERVATION CARE |
| SUBSEQUENT HOSPITAL CARE EXPANDED |
| SUBSEQUENT HOSPITAL EXT CARE |
| HOSPITAL DISCHARGE DAY |
| HOSPITAL DISCHARGE DAY EXTENDED |
| INITIAL HOSPITAL EXT DETAILED |
| HOSPITAL CRITICAL CARE FIRST HOUR |
| HOSPITAL CRITICAL CARE ADD30 MIN |
| SUBSEQUENT OBSERVATION CARE |
| SUBSEQUENT OBSERVATION CARE |
| INITAL OBSERVATION CARE |
| OBSERVATION ADM /DC |
| OBSERVATION ADM /DC |
| OBS DISCHARGE DAY |
| SUBSEQUENT HOSPITAL CARE LIMITED |
| OFFICE VISIT NEW PATIENT |
| OFFICE VISIT EST PT BRIEF |
| OFFICE VISIT EST PT MINIMAL |
| OFFICE VISIT EST PATIENT |
| OFFICE VISIT EST PT MODERATE SEVERITY |
| INJECTION ADM FEE |
| OFFICE VISIT INTERMEDIATE NEW PATIENT |
| PROF FEE WOUND DEBRIDEMENT |
| PROF FEE I&D ABCESS |
| PROF FEE SPLINT ANKLE/FOOT |
| PROF FEE SPLINT OCL |
All fields are required unless otherwise noted.
Some sections require that previous sections be filled out before they can be started.
Step 1. Visit information
Select healthcare services:
If you cannot find the healthcare service you intend to have, please contact us at 205-392-5263 for assistance.
Categorized healthcare service selection:
-
All Categories
-
BLOOD
-
EKG
-
EMERGENCY ROOM
-
LAB
-
PHARMACY
-
PHYS FEES
-
PHYSICAL THERAPY
-
RADIOLOGY
-
RESPIRATORY
-
SUPPLIES
-
TREATMENT ROOM
- ACE BANDAGE 4
- ACE BANDAGE 3
- WRIST TWO VIEWS RT
- FOREARM AP & LAT
- PT RE-EVALUATION
- PT EVALUATION
- URINALYSIS
- CBC
- ECHOCARDIOGRAM ECG
- EEG
- FVC
- PULM FUNCTION INTERP
- RED BLOOD CELLS
- WHOLE BLOOD
- WOUND DEBRIDEMENT
- FOREIGN BODY REMOVAL
- CAST ROOM
- EXAM ROOM
- KNEE X RAY INTERP
- THYROID U/S INTREP
- TREATMENT GOALS GROUP/RN
| Selected healthcare services | Code |
|---|
