3rd Qtr Physician 2016 Med Surg Case Study #3

57yoM AETWA-PPO

Provider Specialty: Oncology

Request Initiated: 7/20/16

CPT: 74183 MRI ABDOMEN; without contrast material(s), followed by with contrast material(s) and further sequences

ICD-10: E83.110 Hereditary hemochromatosis, R79.89 Other specified abnormal findings of blood chemistry

Nurse Reviewer Note

fax/onc Req: MRI abd w wo Age/Gender: 57/m C/O: none

Reason: hereditary hemachromatosis

LOV: 6/14/16

PE: WNL

PMH: hx. of Ca. none

TX: not provided

LABS: 3/21/16- Hematocrit- 20.4, Folate- 746

Prior Imaging: none

ACDS Reviewed

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