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How detailed is this one.

  1. #1
    Default How detailed is this one.
    Medical Coding Books
    In wheelchair, off meds.

    S/P- CVA
    S/P- left AKA
    B/P- 160/80- P-56 R-16

    Exam, ENT neg
    Chest clear
    S1, S2
    Abdomen- soft,+BS
    Extremities neg. for edema
    EKG results indicated SR 55 m
    Pl. – elevated B/P second to procrit
    Re-start meds. And f/u in 4wks.


    Follow-up questions:
    • How detailed is the history?
    • How extensive is the examination?
    • How complex is the decision-making?


    Thank You
    Daniel
    cPC

  2. #2
    Default
    PF hx
    EPF exam
    Low MDM

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