3rd Qtr Physician 2016 Radiology Case Study #1-Neuro
20 y/o F. CIGNA SI-PPO/OAP
Provider Specialty: Unverified
Request Initiated 07/15/2016
CPT: 70552 MRI BRAIN (head); with contrast material(s)
ICD10: H30.93 Unspecified chorioretinal inflammation, bilateral
Nurse Reviewer Note:
Per ACDS and Clinical note/ Unverified specialty req MRI Brain w for 19 yo F c/o Vitreous degeneration, bilateral x unspecified duration. Reason: Rule out Multiple sclerosis
FOV/LOV: 7/15/2016
PE: no significant finding
PMH: mother has RA, several with MS, No personal hx cancer, recent injury or relevant surgery, migraines, brain tumor and seizures.
TX: None
Prior imaging: None
Labs: none
ACDS and Clinical note Reviewed.
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