Physician 2nd Quarter 2016 Radiology IRR Case Study #6 – Orthopaedic
64yoM CDPHP – MEDICAID
Provider Specialty: Orthopaedic Surgery
Request Initiated: 03/24/2016
CPT: 73221 MRI Upper Extremity, any joint; without contrast material(s)
ICD10: M25.519 Pain in unspecified shoulder
Nurse Reviewer Note:
Web/Ortho Surg req MRI Left Shoulder w/o for 64yoM c/o left shoulder pain that has been bothering him for several years but has worsened in past month. R/O: RCT.
LOV: 03/20/2016
PE: Mild pain with ROM of C-Spine.
PMH: No history of cancer.
TX: None.
Previous Imaging: Undated x-ray left shoulder was negative.
ACDS Reviewed.
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