Physician 2nd Quarter 2016 Radiology IRR Case Study #3 – Sleep
75yoM AETDF - Medicare Advantage
Provider Specialty: Internal Medicine
Request Initiated: 04/29/2016
CPT: 95810 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
ICD10:
E75.6 Lipid storage disorder, unspecified
G47.9 Sleep disorder, unspecified
R53.83 Other fatigue
Nurse Reviewer Note:
Web user fax/ IM req PSG 95810 for 75yoM c/o trouble falling asleep and sleeping too much.
REASON or R/O: Not reported.
LOV: 04/19/2016
PE: BMI 25
PMH: No hx CA. No mention of parasomnias or severe cardiac, pulmonary, or neuromuscular issues.
TX: Nocturnal pulse-ox
PRIOR IMAGING/TESTING: No reports provided.
REVIEWED ACDS
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