3rd Qtr Physician 2016 Med Surg Case Study #1
51 yoF CIGNA SI-PPO/OAP
Provider Specialty Family Practice
Request initiated 5/9/16
CPT: 71260 CT CHEST with contrast
ICD-10: R22.1 Localized swelling, mass and lump, neck
Nurse Reviewer Note
per ACDS/clinical notes:FP req CT Chest with contrast for 51yoF c/o right upper back/shoulder nodule is enalrging x unspecified duration. Reason: Evaluation of Chest Wall Mass
FOV/LOV:04/23/16
PE: enlarging mass on chest wall, right side of neck, right temple & left upper eyelid with moles, raised
PMH: No hx of CA, relevant surgery nor trauma
Tx: non-contributory
Prior Imaging: Chest X-ray : non-diagnostic
Labs:(undated) U/A: N
ACDS/clinical notes: reviewed
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