Physician 1st Quarter 2016 Radiology IRR Case Study #2 - Med-Surg
41yoM CIGNA-SELF INSURED HMO
Provider Specialty: Urology
Request Initiated: 01/22/2016
CPT: 74178 - CT ABDOMEN and PELVIS; without contrast in one or both body regions, followed by contrast and further sections in one or both body regions
ICD10:
C61 - Malignant neoplasm of prostate
R31.9 - Hematuria, unspecified
R36.1 - Hematospermia
Nurse Reviewer Note:
Per ACDS/Fax/urology req CT A/P wwo for 41yoM.
LOV: 01/22/16
Reason: Assessment: Hematospermia, hematuria, prostate cancer screening.
ONC Member hx updated/no hx of CA
Prior Imaging: No recent imaging done.
PE: No pertinent abnormal findings.
Sx: Hematospermia, some hematuria in past.
Labs: Recent urine culture negative, U/A positive for blood 1/22/2016
ACDS and Fax reviewed.
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