need icd and cpt/hcpcs codes
Global Care Medical Center 100 Main St, Alfred NY 14802 (607)555-1234 EMERGENCY DEPARTMENT PHYSICIAN DOCUMENTATION PATIENT NA

PATIENT NUMBER EDCase015 PATIENT INFORMATION: NAK: LEWIS, Mona ADDRESS: 17 Parrot Avenue СҮТ Pittsford STATE: NY ZIP COD 1453

Show transcribed image text

Transcribed Image Text from this Question

Global Care Medical Center 100 Main St, Alfred NY 14802 (607)555-1234 EMERGENCY DEPARTMENT PHYSICIAN DOCUMENTATION PATIENT NAME: LEWIS, Mona PATIENT NUMBER: EDCase015 Benjamin Baker, MD LOCATION Emergency Room ED PHYSICIAN: DATE OF SERVICE: 01-05-YYYY DATE OF BIRTHI 06-13-YYYY Physician Notes: Splinted left arm. Sulfa administered to left knee. 0.5cc tet tox admin Diagnost: Possible fractures of left radius and left knee. Physician Orders: Discharge instructions: Call tomorrow re: x-ray report SIGNATURE OF ED PHYSICIAN Benjamin Baker PATIENT NUMBER EDCase015 PATIENT INFORMATION: NAK: LEWIS, Mona ADDRESS: 17 Parrot Avenue СҮТ Pittsford STATE: NY ZIP COD 14534 ADMISSION DATE & TIME: 06-13-YYYY 810 DISCHARGE DATE & TIME! 06-13-YYYY 920 CONDITION ON DISCHARGE Satisfactory Home Inpatient Admission Transfer to Instruction Sheet Given ОАМА TELEPHONE 585-284-8863 DOA GENDER Female Code Blue Died DATE OF BIRTH: 01-05-YYYY NURSING DOCUMENTATION: ALLERGIES: No Yes CURRENT MEDICATIONS: No Yes EXPLAIN EXPLAIN EP P: R: T CC: Pain, left leg and left wrist. Mini-bike accident with injury to left leg and left wrist. HPI CONDITION ASIAE Left leg and left wrist swollen and red. Gail Watson, RN SIGNATURE OF PRIMARY CARE NU SE ICD COM CFTCRCS LIVE CODE ORI
(Visited 2 times, 1 visits today)
Translate »