| 100177-5 | Expect surgery will improve ability to perform activities of daily living (qualitative) | SURVEY.ORTHOPEDICS |
| 100178-3 | Expect surgery will improve ability to perform leisure, recreational, or sports activities (qualitative) | SURVEY.ORTHOPEDICS |
| 100179-1 | Walk without assistive mobility devices (qualitative) | SURVEY.ORTHOPEDICS |
| 10018-0 | R' wave amplitude in lead V3 | EKG.MEAS |
| 100180-9 | Assistive mobility devices used | SURVEY.ORTHOPEDICS |
| 100181-7 | Assistive mobility devices used due to health condition (qualitative) | SURVEY.ORTHOPEDICS |
| 100182-5 | Duration of standing before sitting due to knee discomfort (qualitative) | SURVEY.ORTHOPEDICS |
| 100183-3 | Duration of walking before stopping due to knee discomfort (qualitative) | SURVEY.ORTHOPEDICS |
| 100184-1 | How bothersome is knee when walking on an uneven surface (qualitative) | SURVEY.ORTHOPEDICS |
| 100185-8 | How bothersome is knee when turning or pivoting leg (qualitative) | SURVEY.ORTHOPEDICS |
| 100186-6 | How bothersome is knee when climbing up or down a flight of stairs (qualitative) | SURVEY.ORTHOPEDICS |
| 100187-4 | How bothersome is knee when getting up from a low seat without armrests (qualitative) | SURVEY.ORTHOPEDICS |
| 100188-2 | How bothersome is knee when getting into or out of a car (qualitative) | SURVEY.ORTHOPEDICS |
| 100189-0 | How bothersome is knee when moving laterally (qualitative) | SURVEY.ORTHOPEDICS |
| 10019-8 | R' wave amplitude in lead V4 | EKG.MEAS |
| 100190-8 | How bothersome is knee when climbing a ladder or step stool (qualitative) | SURVEY.ORTHOPEDICS |
| 100191-6 | How bothersome is knee when carrying a bag for one block (qualitative) | SURVEY.ORTHOPEDICS |
| 100192-4 | How bothersome is knee when squatting (qualitative) | SURVEY.ORTHOPEDICS |
| 100193-2 | How bothersome is knee when kneeling (qualitative) | SURVEY.ORTHOPEDICS |
| 100194-0 | How bothersome is knee when running (qualitative) | SURVEY.ORTHOPEDICS |
| 100195-7 | Pain severity--during activity (qualitative) | SURVEY.PAIN |
| 100196-5 | Pre-op total score | SURVEY.ORTHOPEDICS |
| 100197-3 | Exercise activity and pain severity panel | PANEL.SURVEY.GNHLTH |
| 100198-1 | Pre-op objective knee indicators score | SURVEY.ORTHOPEDICS |
| 100199-9 | Pre-op symptoms score | SURVEY.ORTHOPEDICS |
| 1002-5 | DBG Ab (qualitative) | BLDBK |
| 10020-6 | R' wave amplitude in lead V5 | EKG.MEAS |
| 100200-5 | Pre-op patient expectations score | SURVEY.ORTHOPEDICS |
| 100201-3 | Pre-op functional activities score | SURVEY.ORTHOPEDICS |
| 100202-1 | Pre-op discretionary knee activities score | SURVEY.ORTHOPEDICS |
| 100203-9 | Knee Society Score post-op panel | PANEL.SURVEY.ORTHOPEDICS |
| 100204-7 | Accuracy of pre-surgery expectations of pain relief (qualitative) | SURVEY.ORTHOPEDICS |
| 100205-4 | Accuracy of pre-surgery expectations to perform activities of daily living (qualitative) | SURVEY.ORTHOPEDICS |
| 100206-2 | Accuracy of pre-surgery expectations to perform leisure, recreational, or sports activities (qualitative) | SURVEY.ORTHOPEDICS |
| 100207-0 | Post-op total score | SURVEY.ORTHOPEDICS |
| 100208-8 | Post-op objective knee indicators score | SURVEY.ORTHOPEDICS |
| 100209-6 | Post-op symptoms score | SURVEY.ORTHOPEDICS |
| 10021-4 | R' wave amplitude in lead V6 | EKG.MEAS |
| 100210-4 | Post-op patient expectations score | SURVEY.ORTHOPEDICS |
| 100211-2 | Post-op functional activities score | SURVEY.ORTHOPEDICS |
| 100212-0 | Post-op discretionary knee activities score | SURVEY.ORTHOPEDICS |
| 100213-8 | Prostate cancer multigene analysis or Tissue (Blood, molecular genetics method) | MOLPATH |
| 100214-6 | Dental model prior authorization Document | DOC.ADMIN |
| 100215-3 | Episode of care medical records Document Transplant surgery | DOC.MISC |
| 100216-1 | Surgical synoptic report | SURG |
| 100217-9 | Synoptic report Document Surgical oncology | SURG |
| 100218-7 | Surgical oncology of colon cancer synoptic report | SURG |
| 100219-5 | Surgical oncology of melanoma cancer synoptic report | SURG |
| 10022-2 | R' wave duration in lead AVF | EKG.MEAS |
| 100220-3 | Surgical oncology of breast cancer synoptic report | SURG |