Laceration of the right middle finger.
Global Care Medical Center EMERGENCY DEPARTMENT 100 Main St, Alfred NY 14802 PHYSICIAN DOCUMENTATION (607) 555-1234 PATIENT NAME: LEWIS, Gerald PATIENT NUMBER: EDCase017 LOCATION: Emergency Room ED PHYSICIAN: Benjamin Baker, M.D. DATE OF SERVICE: 07-20-YYYY DATE OF BIRTH 12-23-YYYY Physician Notes: S: patient is a 14-year-old status post laceration of the right middle finger. He is here today for suture removal. O: The sutures were removed without complications. A: Suture removal of healed laceration, right middle finger. P: The patient was told to care locally for the area of laceration. Recheck prn. Diagnosis: Suture Removal – Healed Laceration Physician Orders: Discharge instructions: See prn SIGNATURE OF ED PHYSICIAN Benjamin Baker DD: 07-20-YYYY Benjamin Baker, M.D DT: 07-22-YYYY
WHAT ARE THE ICD 10 CM AND CPT/ HCPCS CODES?
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