Cpc Icd-9-Cm Coding
PATIENT: Mara Bell Lee
PHYSICIAN: Randy Greenfield,
MD PREOPERATIVE DIAGNOSIS: Pleural effusion with unknown cause.
POSTOPERATIVE DIAGNOSIS: Pleural effusion with unknown cause.
Four-quadrant pleural biopsy,
Pleural …show more content…
5. and 6. OFFICE VISIT
PATIENT: Milly Mortonson
PHYSICIAN: Donald Grossman, MD CHIEF COMPLAINT: Hypothyroidism.SUBJECTIVE: Milly is a 39-year-old, established patient who is a married white female with a history of hypothyroidism. The TSH level done in May of 2000 was mildly elevated at 12.37. Since then, the patient has been taking an increased dose of Synthroid at 0.125 mcg daily. Except for her weight, she reports that she is feeling quite well. She is frustrated that she has gained weight over the summer. OBJECTIVE: Weight is 180 pounds. No other examination is done today during this problem-focused encounter.
ASSESSMENT: 1. Hypothyroidism, euthyroid on treatment.2. Weight gain.PLAN: She will continue on brand name Levothroid (this is the brand carried by the hospital) 0.125 mcg daily. The patient was given some information on a weight loss and walking program put on through the Public Health Department. Medical decision making at a straightforward level. Return clinic visit p.r.n.
ICD-9-CM Codes: 5. __________________ and 6. __________________
7. OPERATIVE REPORT PATIENT: Ann Zantza
PHYSICIAN: Dennis Munoz, MD PREOPERATIVE DIAGNOSIS: Cancer of