ENT, Dental. Indiana Regional Medical Center Procedures to Labs/Tests June 1, ADENOIDECTOMY Table 1. ASPIRATION NASOPHARYNX Table 1

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1 Indiana Regional Medical Center Procedures to Labs/Tests June 1, 2011 ENT, Dental ADENOIDECTOMY Table 1 ASPIRATION NASOPHARYNX Table 1 ASPIRATION PAROTID MASS Table 1 ASPIRATION SUBMANDIBULAR GLAND Table 1 BALLOON FRONTAL SINUPLASTY Table 1 BIOPSY OF NASOPHARYNX Table 1 BIOPSY PAROTID GLAND Table 1 BIOPSY TONGUE BASE Table 1 BIOPSY VOCAL CORD Table 1 BLEEDING T AND A Table 1 Page 1 of 12

2 CALDWELL LUC Table 1 CLOSED REDUCT MANDIBLE W/WIRE Table 1 CLOSED REDUCT NASAL FRACTURE Table 1 CLOSED REDUCTION MANDIBLE Table 1 CLOSURE EAR WOUND EXTERIOR Table 1 CONTROL OROPHARYNGEAL BLEED Table 1 DENTAL EXTRACTIONS Table 1 DIRECT LARYNGOSCOPY Table 1 DIRECT LARYNGOSCOPY W/ BIOPSY Table 1 DISIMPACTION CERUMEN EAR Table 2 No Labs or Test Required by Anesthesia unless general anesthesia, then see Anesthesia Protocol per Table 1 DISSECTION NECK Table 1 Laboratory - Basic Metabolic Profile(BMP) Page 2 of 12

3 Laboratory - T+S Non Laboratory - EKG DRAINING SUBMANDIBULAR ABCESS Table 1 ENDOSCOPIC BX ETHMOID SINUS Table 1 ENDOSCOPIC BX NASOPHARYNG MASS Table 1 ENDOSCOPIC DEBRIDEM SINUS CAV Table 1 ENDOSCOPIC ETHMOIDECTOMY Table 1 ENDOSCOPIC ETHMOIDECTOMY NAV Table 1 ENDOSCOPIC REMOVAL NASAL MASS Table 1 ENDOSCOPIC SINUS SURGERY Table 1 ENDOSCOPIC SINUS W/ NAVIGATION Table 1 ESOPHAGEAL DILATION Table 1 Page 3 of 12

4 ESOPHAGOSCOPY Table 1 EUA OF EAR Table 2 No Labs or Test Required by Anesthesia unless general anesthesia, then see Anesthesia Protocol per Table 1 EUA OF NOSE Table 1 EXAMINATION OF PALATE Table 1 EXC.BONY EXOSTOS EXT AUD CANAL Table 1 EXCISION EPIGLOTTIS LESION Table 1 EXCISION LESION ORAL Table 1 EXCISION LESION TONGUE Table 1 EXCISION LESION TONSILLAR Table 1 EXCISION LESION UVULA Table 1 EXCISION MASS LARYNGEAL Table 1 Page 4 of 12

5 EXCISION MASS OF NASOPHARYNX Table 1 EXCISION MASS OF PAROTID Table 1 EXCISION MASS SUBMANDIBULAR Table 1 EXCISION NASAL POLYPS Table 1 EXCISION ODONTOMA MANDIBLE Table 1 EXCISION ORAL CYST Table 1 EXCISION PAPILLOMA TONSIL Table 1 EXCISION PAPILLOMA UVULA Table 1 EXCISION PARATHYROID ADENOMA Table 1 Laboratory - CA+ EXCISION POLYP EAR CANAL Table 1 EXCISION SUBLINGUAL GLAND Table 1 Page 5 of 12

6 EXCISION SUBMANDIBULAR GLAND Table 1 EXCISION THYROGLOSSAL DUCT CYS Table 1 EXCISION TUMOR OF NARES Table 1 EXCISIONAL BX SUPERGLOTTAL REG Table 1 EXCISON SUBMANDIBULAR GLAND Table 1 EXPLORATION NECK Table 1 Laboratory - T+S Non Laboratory - EKG Laboratory - Basic Metabolic Profile(BMP) EXPLORATION THYROGLOSSAL DUCT Table 1 Non Laboratory - EKG Laboratory - Basic Metabolic Profile(BMP) FULL MOUTH DENTAL EXTRACTION Table 1 INSERTION OF EAR TUBES Table 2 No Labs or Test Required by Anesthesia unless general anesthesia, then see Anesthesia Protocol per Table 1 LAFORT SAGITTAL OSTEOTOMY Table 1 Page 6 of 12

7 LEUKOPLAKIA EXCISION Table 1 LOBECTOMY OF THYROID Table 1 MANDIBULAR OSTEOTOMY Table 1 MANDIBULAR OSTEOTOMY W/GENOGLOSSUS ADVAN Table 1 MAXILLARY ANTROSTOMY Table 1 MICROLARYNGOSCOPY Table 1 MICROLARYNGOSCOPY W/ BIOPSY Table 1 MICROPANENDOSCOPY Table 1 MICROPANENDOSCOPY W/VOCAL BX Table 1 MYRINGOPLASTY W/ PAPER PATCH Table 2 No Labs or Test Required by Anesthesia unless general anesthesia, then see Anesthesia Protocol per Table 1 MYRINGOTOMY INSERT TUBES Table 2 No Labs or Test Required by Anesthesia unless general anesthesia, then see Anesthesia Protocol per Table 1 Page 7 of 12

8 NASAL BLEED CAUTERIZATION Table 1 NASAL ENDOSCOPY Table 1 OPEN REDUCT NASAL FX W/CAST Table 1 ORAL ANTRAL FISTULA REPAIR Table 1 ORIF FACIAL FRACTURE Table 1 ORIF INTEROSSEOUS Table 1 ORIF JAW Table 1 OSTEOTOMY OF MAXILLA Table 1 PALATE RESECTION Table 1 PARAGLOTTIC IMPLANT Table 1 PARATHYROID IMPLANTATION Table 1 Laboratory - CA+ Page 8 of 12

9 PARATHYROIDECTOMY Table 1 Laboratory - CA+ PAROTIDECTOMY Table 1 PARTIAL THYROIDECTOMY Table 1 POST-OP TONSILLAR BLEED Table 1 RADIO FREQUENCY TONGUE REDUCT Table 1 RELEASE FRENULUM Table 1 RELEASE NASAL SYNECHIA Table 1 REMOVAL FOREIGN BODY NOSE Table 1 REMOVAL GRAN TISSUE MID EAR Table 1 REMOVAL NASAL PACKING Table 1 REMOVAL ORAL HARDWARE Table 1 Page 9 of 12

10 REMOVAL SEPTAL BUTTON Table 1 REMOVAL TEFLON TUBE Table 2 No Labs or Test Required by Anesthesia unless general anesthesia, then see Anesthesia Protocol per Table 1 REMOVAL TRACHEOSTOMY Table 1 REPAIR LACERATION MOUTH Table 1 REPAIR ORBITAL FRAC EYE Table 1 REVISION ENDOSCOPIC SINUS SURG Table 1 RHINOPLASTY Table 1 SAGITTAL RAMUS OSTEOTOMY Table 1 SEPTECTOMY Table 1 SEPTO W/SMC AND TURBINATE Table 1 SEPTOPLASTY Table 1 Page 10 of 12

11 SEPTOPLASTY W/INF.TURBINOPLAST Table 1 SEPTOPLASTY W/TURBINATE REDUCT Table 1 SEPTORHINOPLASTY Table 1 SINUSOTOMY Table 1 T AND A W/BMT Table 1 TONGUE BASE REDUCTION Table 1 TONSILLECTOMY Table 1 TONSILLECTOMY AND ADENOID Table 1 TOTAL THYROIDECTOMY Table 1 TRACHEOSTOMY Table 1 TURBINECTOMY Table 1 Page 11 of 12

12 TURBINOPLASTY Table 1 TYMPANOMASTOIDECTOMY Table 1 TYMPANOPLASTY Table 1 TYMPANOPLASTY W/GRAFT Table 1 UNILATERAL THYROIDECTOMY Table 1 UVULAPALATOPLASTY Table 1 UVULECTOMY Table 1 UVULOPALATOPHARYNGOPLASTY Table 1 VERTICAL RAMUS OSTEOTOMY Table 1 VOCAL CORD GELFOAM INJECTION Table 1 Page 12 of 12

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