DOS: 02/07/2020 Visit Type: Established office visit Chief Complaint: Pre-Op HPI:Pre op laparoscopy 48 y/o on 02/12/2020 at Mease Allergies: Iodine Medication:Xarelto 20mg tablet-1 tablet by oral route every day. Medical/Surgical/Interim History: Pulmonary Embolism-09/2012-XareltoRobotic assisted hysterectomy w/unilateral salpingo-oophorectomy-04/01/2013Hysteroscopy biopsy-01/20/2013Tubal ligation-1991 Family History: Daughter-Diabetes Mellitus, Breast cancerMother-Malignant tumor of breast Social History: Tobacco smoking-never smokerAlcohol intake-noneExercise level-occasionalMarital status-married Review of Systems:Constitutional: Negative for fevers, significant weight loss Cardiovascular: Negative for chest pain, arm pain on exertion, SOB when walking or lying down, palpations, heart murmur. Respiratory: Negative for cough, wheezing, SOB Gastrointestinal: Negative for abdominal pain, vomiting, diarrhea.Genitourinary: Negative for incontinence, difficulty urinating, hematuria, increased frequency.Musculoskeletal: Negative for muscle aches, muscle weakness, arthralgias/joint pain, back pain, and swelling.Integumentary: Negative for abnormal mole, jaundice, rashes, and cyanosis.Neurology: Negative for loss of consciousness, weaknesses, numbness, seizures, dizziness, headaches, and tingling. Physical Exam:Vitals: BP: 122/80 Ht: 5’ Wt: 150 lb BMI: 29.3Constitutional: Healthy appearing, well-nourished and well- developed.Neck: Thyroid-no enlargement or nodules and non-tender.Lymph nodes: normal palpationsCardiovascular: Auscultation: RRR and no murmur. Assessment/Plan: 1. Pain in pelvis 2. Cyst of right ovary-preop done What is the appropriate CPT 99212 99213 99214 None of the above
[Expert Solution]: DOS: 02/07/2020 Visit Type: Established…
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