Wiki Well Women Exam

[carol ann]

Please help to code this.
57 year old female comes into office for well women exam S/P hysterectomy. No complaints or symptoms. Smokes 6 cigarettes per day. Medications synthroid, metoprolol, zocor, linsinopril, premarin, aspirin. Physical exam: complete physical exam. No pap or pelvic exam done. Breast exam was done.
CABG,.
The list of dx:
1.Normal well women exam/annual physical
2. CAD, stable
3. Aterial hypertension, benign, well controlled
4. Hypothyroidism
5. Hyperlipidemia

Orders:
Labs to include CBC, CMP, Lipids and TSH

 

[rryder1963]

Cpe

I'd code that out as V70.0.. Was the GYN exam deferred because of the TAH? Was that in the note? Nothing else was done, pt had no complaints..it's a physical..