Physician 2nd Quarter 2016 Radiology IRR Case Study #2 – Med-Surg

60yoF AETCA SI-PPO
Provider Specialty: Internal Medicine
Request Initiated: 05/02/2016

CPT: 74170 CT ABDOMEN; without and with contrast material

ICD10: K57.92 Diverticulitis of intestine, part unspecified, without perforation or abscess without bleeding

Nurse Reviewer Note:
Per ACDS/IM req CT abd wow for 60yoF c/o LLQ abdominal pain, N/V x duration unknown R/O: Diverticulitis

LOV: 05/01/2016

PE: Moderate abdominal tenderness.

PMH: Hx of CA not provided, (+) hx of diverticulitis

TX: None provided.

Prior Imaging: None Provided.

Labs: None provided.

ACDS Note Reviewed.

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