Procedure access and referrals

Parkview has transitioned select laboratory services to Labcorp. Patients are encouraged to schedule an appointment in advance or call their preferred Labcorp location prior to visiting to inquire about current wait times. Book an appointment with Labcorp.

To refer patients to gastroenterology, Parkview Physicians Group and Community Connect providers should use REF25 in Epic.

For referrals for colonoscopies or direct access endoscopies (DAE), select “Procedure Only” after entering the referral code. Procedure-only referrals allow direct access to the procedure that your patient needs. If your patient meets the necessary criteria and is stable, these procedures can be done without a prior gastroenterology office visit.

External providers may contact Parkview Gastroenterology at (260) 266-5230.

Procedures for referral

Colonoscopy (diagnostic and screening)
DAE
Upper endoscopy (EGD)
Double (EGD and colonoscopy)

Approved diagnoses for direct access

The following diagnoses and reasons, along with any additional ones noted at the GI physician’s discretion, are approved for patient direct-access referrals to procedures:

Abnormal imaging
Anemia
Barrett’s esophagus screening
Colon cancer screening
Dysphagia
Hematochezia
GERD (stable)
Positive Cologuard
Positive FIT
Melana

Prior office consult requirements

Some patients may require an office consult prior to procuedure, even if the procedure is on the approved direct access list. Patients with any of the following may need a consult:

Age 80+
Age <45 (for screening colon)
On Supplemental O2
Weight > 400lbs
Hemoglobin < 8
Personal History of Inflammatory Bowel Disease
Cirrhosis
Esophageal varices
Achalasia
Diverticulitis flare C
annot hold/stop anticoagulant
Acute or Severe Abdominal Pain
Severe Rectal Pain
Rectal Prolapse