I have these codes and know they are correct I need assistance uncovering the other codes I may be missing F31.89, F06.3
Posted: Tue May 17, 2022 10:12 pm
I have these codes and know they are correct I need assistance
uncovering the other codes I may be missing F31.89, F06.33
PATIENT NAME: Cadwell, Annabeth DATE OF SERVICE: 08-26-2018
PATIENT NUMBER: DATE OF BIRTH POCase001 07-07-1976 NURSING
DOCUMENTATION: MEDICATIONS ALLERGIES/REACTIONS: None CURRENT
MEDICATIONS: Lithium 1,500 mg BP: R: CC: PMH: NOTES: 130/80 P: 84
T: WT: 265 Patient states She feels well today. Was seen in
outpatient psych today. Bipolar disorder, with Recurrent manic
episodes. Veteran here for scheduled appointment. Voices no
concerns. SIGNATURE OF NURSE: Reviewed and Approved: Jeanette Allen
RN ATP-BS:02:1001261385: Jeanette Allen RN (Signed: 8/26/2018
2:20:44 PM EST) PHYSICIAN DOCUMENTATION: Notes: HISTORY: Patient
seen today for regular appointment. She appears relaxed,
cooperative, and coherent. No evidence of recurrent manic behavior.
She is a 42-year-old, divorced twice, Navy veteran, who served from
1991 to 1995 as a machinist mate in non-combat situation. She has
been suffering from bipolar disorder, manic type, and takes
medication, Lithium 1,500 mg a day, which seems affective. She has
been employed at Alstom plant as a machinist for nine years, full
time. Mental Status Exam: She has been doing very well with the
current medication. No evidence of memory loss or any psychotic
behavior, her affect is appropriate, and mood is stable. Insight
and judgment are good. She is not considered a danger to herself or
others. DIAGNOSIS: Bipolar disorder, with recurrent manic episodes.
PLAN: Continue lithium 1,500 mg a day. SIGNATURE OF PROVIDER:
Reviewed and Approved: Raymond Massey MD ATP-BS:02:1001261385:
Raymond Massey MD (Signed: 8/26/2018 2:20:44 PM EST) Raymond E.
Massey, M.D Psychiatrist
uncovering the other codes I may be missing F31.89, F06.33
PATIENT NAME: Cadwell, Annabeth DATE OF SERVICE: 08-26-2018
PATIENT NUMBER: DATE OF BIRTH POCase001 07-07-1976 NURSING
DOCUMENTATION: MEDICATIONS ALLERGIES/REACTIONS: None CURRENT
MEDICATIONS: Lithium 1,500 mg BP: R: CC: PMH: NOTES: 130/80 P: 84
T: WT: 265 Patient states She feels well today. Was seen in
outpatient psych today. Bipolar disorder, with Recurrent manic
episodes. Veteran here for scheduled appointment. Voices no
concerns. SIGNATURE OF NURSE: Reviewed and Approved: Jeanette Allen
RN ATP-BS:02:1001261385: Jeanette Allen RN (Signed: 8/26/2018
2:20:44 PM EST) PHYSICIAN DOCUMENTATION: Notes: HISTORY: Patient
seen today for regular appointment. She appears relaxed,
cooperative, and coherent. No evidence of recurrent manic behavior.
She is a 42-year-old, divorced twice, Navy veteran, who served from
1991 to 1995 as a machinist mate in non-combat situation. She has
been suffering from bipolar disorder, manic type, and takes
medication, Lithium 1,500 mg a day, which seems affective. She has
been employed at Alstom plant as a machinist for nine years, full
time. Mental Status Exam: She has been doing very well with the
current medication. No evidence of memory loss or any psychotic
behavior, her affect is appropriate, and mood is stable. Insight
and judgment are good. She is not considered a danger to herself or
others. DIAGNOSIS: Bipolar disorder, with recurrent manic episodes.
PLAN: Continue lithium 1,500 mg a day. SIGNATURE OF PROVIDER:
Reviewed and Approved: Raymond Massey MD ATP-BS:02:1001261385:
Raymond Massey MD (Signed: 8/26/2018 2:20:44 PM EST) Raymond E.
Massey, M.D Psychiatrist