MSN6050C Advanced Practice Women Health
|
| Procedures/Skills (Observed/Assisted/Performed) |
| Physical Assessment – Physical Assessment (Perf) General Skills – Vital Signs (Perf) |
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Order Paper Now| ICD-10 Diagnosis Codes | |
| #1 – | N95.9 – UNSPECIFIED MENOPAUSAL AND PERIMENOPAUSAL DISORDER |
| #2 – | E08.9 – DIABETES DUE TO UNDERLYING CONDITION W/O COMPLICATIONS |
| #3 – | I10 – ESSENTIAL (PRIMARY) HYPERTENSION |
| CPT Billing Codes | |
| #1 – | 99202 – OFFICE/OP VISIT, NEW PT, MEDICALLY APPROPRIATE HX/EXAM; STRTFWD MED DECISION; 15-29 MIN |
| Birth & Delivery |
| Medications | |
| # OTC Drugs taken regularly: | 0 |
| # Prescriptions currently prescribed: | 2 |
| # New/Refilled Prescriptions This Visit: | 1 |
| Types of New/Refilled Prescriptions This Visit: Endocrinology – Minerals/vitamins | Adherence Issues with Medications: |
| Other Questions About This Case | |
| Patient’s Primary Language: | Spanish |
| Smoking Assessment: | Never |
| Advanced Directive: | No |
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