ICD-10-CM and CPT codes
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Patricia E. Harris
June 30 Bilateral salpingo-oophorectomy w/total omentectomy, total abdominal
hysterectomy for malignancy. Performed at Bay Medical Center Outpatient
July 9 Follow-up surgery visit.
July 20 Follow-up surgery visit.
Aug 10 Follow-up surgery visit, healing nicely, scarring is minimal.
Aug 12 Office visit for casting of right humeral shaft fracture due to falling downstairs at
home. No manipulation was performed during casting of arm.
Stephen D. Novak
June 29 E.P. office visit for earache and sore throat. History and exam EPF, and MDM is
moderate. Impression is otitis media and pharyngitis.
Dianne E. Novak
Aug 19 E.P. complaining of pain and lump in right breast with tenderness.
History and exam are problem-focused, MDM low.
Aug 21 Bilateral Screening Mammogram.
Aug 28 Right breast needle core biopsy without imaging guidance.
Impression: fibrocystic breast disease, negative for cancer.
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