4th Qtr 2016 Medicare Nursing Case Study #3
70yom-whole body PET/CT (78816)
CDPHP-MEDICARE HMO (NY)
To MD Review: Per: faxed clinical/ONC
LOV: 10/27/2016
Reason: PET/CT being ordered to consider discontinuing therapy. Melanoma L axillary LN, 6/6 LN +, unknown primary DOD 10/10/12 with Mets 11/7/14 w/ongoing chemo
ONC member hx Updated ___ Verified X Reviewed ___
Prior Imaging: 09/12/2016 CT C/A/P - overall stable CT without evidence of new or worsening metastatic disease. Stable mildly prominent AP window LN without evidence of recurrence of L axillary or subpectoral LN. Grossly stable hypodense and hyperdense liver lesions. Grossly stable enlarged left external iliac LN
PE: WNL
Sx: none
Labs: LFT’s and creat are WNL
Nurse Comment: ONC 32.1, ONC 5.4 Previous allotted PET/CT’s may have been fulfilled. MD to review for PET/CT over CT’s to discontinue therapy.
This quiz requires you to log in.
Please enter your Quia username and password. |
|
|
|
