Physician 2nd Quarter 2016 Radiology IRR Case Study #5 Neurology
84yoM AETFL JAX - Medicare Advantage
Provider Specialty: Neurology
Request Initiated: 04/20/2016
CPT: 78608 PET BRAIN; metabolic evaluation
ICD10: F03.90 Unspecified dementia without behavioral disturbance
Nurse Reviewer Note:
MDO/Neuro req PET Brain metabolic 78608 for 83yoM c/o short-term memory issues for the last few years. Daughter states he is having problems w dream processing: "Sometimes he will dream of people who are not alive and he will wake up and start looking for these people." Also complains of some visual hallucinations. No head injury noted. Reason: Dementia.
FOV: 04/06/2016. LOV: 04/20/2016.
PE: MMSE 25/30.
PMH: Stroke, pacemaker, craniotomy for subdural hematomas; no hx of CA noted.
TX: Neuro evaluation.
Prior Imaging: CT Head 2014 and 2015, no acute findings.
ACDS note not populated.
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