Integrated Family Medicine & Aesthetic Wellness

7808 Pacific Avenue Ste 4 Tacoma WA 98408

Step 1 Of 3

These visits are for:
Review of prior external notes
Review of tests/ exams
Order testing
Requirement of outside assessment
Illness or injury that is chronic, progressive, or a threat to bodily function or life
Decision txt plan: Drug therapy, surgery / risk factors, hospitalization or life sustaining decision making or referral.
Virtual medical appointment with the provider for established patients.
Your card must be on file in order to book the appointment and will be run at the beginning of your session.

If you do not cancel the appointment within 24 hours or are a no-show, you will forfeit the $50 deposit.

Eligible telehealth services
Annual Wellness - G0438, G0439
Evaluation and Management Codes (E&M Codes):
  • 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215
  • Audio Only: 99441, 99442, 99443, 98966, 98967, 98968
  • Home visit: 99347, 99348
  • Prolonged Visit: G2212
Behavioral Counseling & Therapy - G0445, G0446, G0447
Behavioral Health:
  • 90785, 90791, 90792, 90832, 90833, 90834, 90836, 90837, 90838, 90839, 90840, 90846, 90847, 90853
  • Screening: G0444
Care Planning - 99483, 99495, 99496
Chemical Dependency - G0296, G0396, G0397, G0442, G0443, G2086, G2087, G2088
Chronic Pain Management - G3002, G3003
CKD Educational Services - G0420, G0421
Critical Care Consult - G0508, G0509
Diabetes Management - G0108, G0109
ESRD-Related Services - 90951, 90952, 90954, 90955, 90957, 90958, 90960, 90961, 90963, 90964, 90965, 90966, 90967, 90968, 90969, 90970
Home Health - G0320, G0321
Inpatient Services - G0406, G0407, G0408, G0425, G0426, G0427, G0459
Neurobehavioral Status Examination - 96116, 96121
Nutrition Counseling/Therapy - 97802, 97803, 97804, G0270
Palliative Care - 99497, 99498
Preventive Services: G0513, G0514
Psychological/Behavioral Testing & Evaluation - 96127, 96131, 96138, 96139
Smoking and tobacco use cessation - 99406, 99407
Virtual Check-in - G2012, G2251, G2252
Other Services - 96156, 96158, 96159, 96164, 96165, 96167, 96168, 96160, 96161

Remote Monitoring (other)
  • Remote Monitoring (other) - 0733T 0734T
Remote Physiologic Monitoring
  • RPM non-reimbursable - 99453, 99454, 99457, 99458, G0322 (home health)
Remote Therapeutic Monitoring
  • RTM 98978, 0740T, 0741T
  • RTM non-reimbursable - 98975, 98976, 98977, 98980, 98981

• 1 or more chronic illness with exacerbation, progression or side effect from treatment 
• 2 or more stable chronic illnesses 
• 1 undiagnosed new problem w/ uncertain prog 1 acute illness w/ systemic symptoms 
• 1 acute complicated injury 

Moderate (must meet 1 of 3 categories) 
Category 1: Tests, documents or independent historian Any combo of 3 from: • Review of prior external notes, each unique source *; • Review of the results of each unique test *; • Ordering of each unique test * • Assessment requiring an independent historian  
Category 2: Independent interpretation of tests • Independent interpretation of test performed by another provider  
Category 3: Discussion of management or test interpretation • Discussion of management or test interpretation with external provider 

Moderate risk of morbidity from additional diagnostic testing or treatment Examples only:
 • Prescription Drug Management 
• Decision regarding minor surgery w/ identified patient or procedure risk factors 
• Decision regarding elective major surgery without identified patient or procedure risk factors 
• Diagnosis or treatment significant limited by social determinants of health 
E&M Services Codes

DHVD1,25-Dihydroxyvitamin D, Serum82652
2425D25-Hydroxyvitamin D:24,25-Dihydroxyvitamin D Ratio, Serum8230682542
25HDN25-Hydroxyvitamin D2 and D3, Serum82306
96372 ther/prop/diag inj sc/im
Annual Wellness Visit (AWV)
Visit to develop or update a Personalized Prevention Plan (PPP) and perform a Health Risk Assessment (HRA).
Covered every 12 months
Patients pay nothing (if provider accepts assignment)

85025 CBC
80061 Lipid panel
83036 Hemoglobin A1c
84132 CMP
84443 TSH
82607 Vit D
82542 Vit B12


95165 - Cost of Antigens
95117- Professional services for the supervision of preparation and provision of multiple immunotherapy injections for 10 weeks
Infusions are $150.00-500 ml bag or $199- 1L bag and can include: Myers Cocktail

Add Ons:

Liquivida Rise & Shine
Liquivida Natural Defense Kit
Liquivida The Executive Kit
Liquivida Fountain Of Youth Kit
Liquivida Gluthathione Kit
Liquivida Vitamin C Kit

  • In the therapeutic phase (after the diagnostic phase is completed), the frequency should be two months or longer between each injection, provided that there is initial pain relief with diagnostic injections of greater than or equal to (>/=) 75% - 100% with the ability to perform previously painful maneuvers, and a persistent pain relief of greater than or equal to (>/=) 50% with the continued ability to perform previously painful maneuvers is maintained for at least six weeks. The therapeutic frequency must remain at least two months or longer. 
  • In the treatment or therapeutic phase, the injections should be repeated only as medically necessary. No more than four per patient per year are anticipated for the majority of patients. 
A trigger point injection can help soothe myofascial pain, especially in your neck, shoulder, arms, legs and lower back.
Trigger points are painful “knots” in your muscles that can be very sensitive to touch/pressure. They may form after acute trauma or by repetitive micro-trauma, leading to stress on muscle fibers. It causes the muscle fibers to be stuck in a contracted state. Sometimes you can feel these knots when you rub your muscle.
Trigger point injections commonly involve injections of local anesthetic with or without corticosteroid, botulinum toxin, or without any injection substance (dry needling).
Trigger points can develop in any muscle, but the most common muscle groups that are treated with trigger point injections include:
  • Masseter (a muscle in your jaw).
  • Levator scapulae (a muscle on the sides of your neck).
  • Gluteus medius (a muscle in your hip).
  • Quadratus lumborum (a deep muscle in your low back).
  • Trapezius (the muscle extending over the back of your neck and shoulders).
  • Sternocleidomastoid (a muscle in the front of your neck).
  • Temporalis (a muscle on the sides of your head).
Procedure Details
What do I need to do to prepare for a trigger injection? There’s nothing you need to do to prepare for a trigger point injection. However, as with any type of treatment, it’s important to discuss your current medications, symptoms and overall health with your provider before getting the procedure. What happens during a trigger point injection procedure? You can expect the following during a trigger point injection procedure: Depending on the trigger point location, you may be sitting or laying down on an exam table. Your healthcare provider will cleanse your skin on the affected area with an alcohol pad. Your provider may mark the trigger point with a skin marker. Once your provider has identified the trigger point by feeling it, they’ll pinch the point between their fingers and stabilize the tissue. This may feel uncomfortable. They’ll insert a thin needle attached to a syringe into the trigger point and rhythmically continue needling the area by repeatedly inserting and retracting the needle without completely withdrawing the needle from the muscle or your skin.You’ll likely feel your muscle spasm or twitch. Your provider will continue the motion in multiple directions until the muscle twitching has stopped or until the muscle feels adequately relaxed. Your provider will then inject the area with a local anesthetic with or without corticosteroid or botulinum toxin. The procedure will be over and you’ll be able to go home.

  • Botulinum toxin type A – Botox, Dysport (per unit):  J0585
  • Botulinum toxin type B – Myobloc (per 100 units):  J0587