Physical Presence Not Required (Telehealth Capacity = 1)
| Examination/Screening | Lab Tests | Imaging | Treatments | Health Education/Counseling |
|---|---|---|---|---|
| Alcohol Misuse Screening | Basic Metabolic Panel | Any Image | ||
| Depression screening | CBC | Bone Mineral density | Alcohol abuse counseling | |
| Domestic violence screening | Chlamydia Test | CT Scan | Asthma education | |
| Substance abuse screening | Comprehensive metabolic panel (CBP) | Echocardiogram | Asthma action plan given to patient | |
| Creatinine/Renal Function Panel | Other Ultrasound | Mental health counseling, excluding psychotherapy | Diabetes education | |
| Culture, blood | Mammography | Diet/Nutrition | ||
| Culture, throat | MRI | Exercise | ||
| Culture, urine | Radiograph | Psychotherapy | Family planning/Contraception | |
| Culture, other | Other Imaging | Growth/development | ||
| Glucose, serum | Injury prevention | |||
| Gonorrhea test | STD prevention | |||
| HbA1c (Glycohemoglobin) | Stress management | |||
| Hepatitis testing/panel | Substance abuse counseling | |||
| HIV test | Tobacco use/Exposure | |||
| HPV DNA test | Weight reduction | |||
| Lipid profile/panel | Other services | |||
| Liver enzymes/Hepatic function panel | ||||
| Pregnancy/HCG test | ||||
| PSA | ||||
| Rapid Strep test | ||||
| TSH/Thyroid | ||||
| Urinalysis/Urine dipstick | ||||
| Vitamin D test | ||||
| Cholesterol | ||||
| Triglycerides | ||||
| Fasting blood glucose |
| Physical Presence required (Telehealth Capacity = 0) | ||||
|---|---|---|---|---|
| Examination/Screening | Procedures | Lab Tests | Treatments | |
| Breast Exam | Audiometry | Pap test | Cast/splint/wrap | |
| Foot Exam | Biopsy provided | Complementary and alternative medicine (CAM) | ||
| Neurologic | Cardiac stress test | Durable medical equipment | ||
| Pelvic | Colonoscopy | Home health care | ||
| Rectal | Cryosurgery(cryotherapy)/destruction of tissue | |||
| Retinal | EKG/ECG | Occupational therapy | ||
| Skin | Electroencephalogram (EEG) | Physical therapy | ||
| Electromyogram (EMG) | ||||
| Excision of tissue provided | Radiation therapy | |||
| Fetal monitoring | Wound care | |||
| Peak flow | ||||
| Sigmoidoscopy provided | ||||
| Spirometry | ||||
| Tonometry | ||||
| Tuberculosis skin testing (PPD) | ||||
| Upper gastrointestinal endoscopy/EGD provided | ||||
CBC, Complete blood count; HIV, Human Immunodeficiency Virus; HPV, Human Papillomavirus; PSA, Prostate Specific Antigen; CT, Computed Tomography; MRI, Magnetic Resonance Imaging; STD, Sexually Transmitted Disease; EKG, electrocardiogram.