Article Figures & Data
Figures
- Figure 1.
Number of reported mCAFM procedures and family physicians reporting them by cluster in 2021.
CAFM = Council of Academic Family Medicine; mCAFM = modified CAFM list of recommended outpatient primary care procedures.
- Figure 2.
Trends in total mCAFM procedures: 2014-2021.
CAFM = Council of Academic Family Medicine; EENT = eyes, ears, nose, throat; mCAFM = modified CAFM list of recommended outpatient primary care procedures.
Tables
CAFM Procedure Cluster CAFM Procedure Category Procedure Anesthesia A0 Topical anesthesia. Local anesthesia/field block A1 Digital block A2 Peripheral nerve block (other than digital nerve) Cardiovascular A0 Arterial puncture Eyes, ears, nose, throat A0 Removal of foreign body from ear or nose A0 Cerumen disimpaction A0 Anterior nasal packing for epistaxis A0 Fluorescein examination of the eye without a slit lamp A0 Superficial conjunctival foreign body removal A2 Slit-lamp examination A2 Removal of superficial corneal foreign body Gastrointestinal and colorectal A0 Nasogastric tube A0 Fecal disimpaction. Digital rectal examination A1 Anoscopy A2 Paracentesis A2 Incision and drainage of perianal abscess A2 Excision of thrombosed external hemorrhoid A2 Remove perianal skin tags Genitourinary A0 Bladder catheterization Musculoskeletal A0 Simple closed reduction of subluxed joint without sedation (eg, nursemaid elbow) A1 Upper- and lower-extremity splints A1 Upper- and lower-extremity casts A1 Injection/aspiration of joint, bursa, ganglion cyst, tendon sheath, or trigger point A2 Reduction of shoulder dislocation Pulmonary A0 Hand-held spirometry A2 Thoracentesis Skin A0 Remove corn/callus A0 Drain subungual hematoma A0 Laceration repair with tissue glue or skin staples A1 Removal of skin tags A1 Biopsies (punch, shave), including vulvar biopsy A1 Excisional biopsy A1 Destruction of skin lesion (including warts) using cryosurgery, RF/electrocautery, chemical ablation, or intralesional injection A1 Remove ingrown nail or full toenail A1 Incision and drainage of abscess, including paronychia A1 Simple laceration repair with sutures A2 Fine-needle aspiration of cyst (including breast) A2 Needle biopsy of solid mass Women’s health A0 Pap smear collection A1 Bartholin cyst management (Word catheter) A1 Remove cervical polyp A1 Endometrial biopsy A2 Cervical dilation A2 Colposcopy A2 Cervical cryotherapy A2 Uterine aspiration/dilation and curettage A0 = simple procedures that family medicine residency graduates should be able to perform independently on the basis of skills acquired in medical school or residency; A1 = all residents must be able to perform these procedures independently by graduation; A2 = procedures for which all family medicine residencies are expected to offer training; CAFM = Council of Academic Family Medicine; Pap smear = Papanicolaou test; RF = radiofrequency.
Note: Outpatient only; laboratory, neurologic (lumbar puncture), and ultrasonography clusters excluded. Pediatric and reproductive health procedures excluded.
Adapted from: CAFM Consensus Statement for Procedural Training in Family Medicine Residency.3
CAFM Procedure Cluster CAFM Procedures Modified to Match CPT Categories 2019 CPT Codes Anesthesia Digital and peripheral nerve block 64450 Cardiovascular Arterial puncture 96373 Eyes, ears, nose, throat Anterior nasal packing for epistaxis 30901 Cerumen disimpaction 69209, 69210 Removal of foreign body from ear or nose 30300, 30310, 30320 Superficial conjunctival foreign body removal (without slit lamp) 65205, 65210, 65220 Gastrointestinal and colorectal Anoscopy 46600 Placement of nasogastric or enteral feeding tube 43753 Paracentesis 49082 Incision and drainage of perianal abscess 46050 Excision of thrombosed external hemorrhoid 46083 Remove perianal skin tags 46220, 46230 Genitourinary Bladder catheterization 51701, 51702 Musculoskeletal Injection/aspiration of joint, bursa, ganglion cyst, tendon sheath, or trigger point 20600, 20604-20606, 20610-20615 Simple closed reduction of subluxed joint without sedation (eg, nursemaid elbow or lateral patellar dislocation) 23650, 24640, 27560 Upper- and lower-extremity casts 29055, 29065, 29075, 29085, 29125, 29305, 29325, 29345, 29355, 29365, 29405, 29425, 29435, 29440, 29445, Upper- and lower-extremity splints 29105, 29125, 29126, 29130, 29131, 29505, 29515 Pulmonary Hand-held spirometry 94010 Skin Destruction of skin lesion (including warts) using cryosurgery, RF/electrocautery, chemical ablation, or intralesional injection 17000, 17003, 17004, 17106-17108, 17110, 17111, 17250, 17260-17264, 17266, 17270-17274, 17276, 17280-17284, 17286 Biopsies (punch, shave), including vulvar biopsy 11102, 11104, 56605 Drain subungual hematoma 11740 Excisional biopsy 11106 Incision and drainage of abscess, including paronychia 10060, 10061, 1180 Removal of skin tags 11200 Remove corn/callus 11055-11057 Simple, intermediate, and complex laceration repair with sutures, tissue glue, or staples 12001, 12002, 12004-12007, 12011, 12013-12018, 12020, 12031, 12032, 12034-12037, 12041, 12042, 12044-12047, 12051-12057, 13100, 130101, 13120, 13121, 13131, 13132, 13151, 13152 Women’s health Bartholin cyst management 56420, 56440 Endometrial biopsy 58100, 58558 Remove cervical polyp 57500 CAFM = Council of Academic Family Medicine; CPT = Current Procedural Terminology; PAP smear = Papanicolaou test; RF = radiofrequency.
Note: Local and topical anesthesia included with procedure. Digital rectal examination, fecal disimpaction, ocular fluoresceine examination, and PAP smear bundled under evaluation and management codes.
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