Qtr 1 Physician RBM 2017 (Head/Neuro) case study # 2
CIGNA SI LOCALPLUS – Commercial
70450- CT HEAD or Brain; without contrast
81 y/o M
Case initiated 11/08/2016
To MD Review: Per: ACDS note/fax/NRN R/T: Episodes of depression and anxiety.
Duration: many years ago. Reason: For further evaluation of depression with anxiety.
FOV: Unspecified LOV: 11/7/2016
PE: No focal deficits.
PMH: No hx of Migraines/HA, 1st degree relative with aneurysm, Head trauma or Cancer.
TX: (Plan) trintellix x unspecified duration.
Prior Imaging: none
NURSE COMMENT: (C-HD-4.1) Advance imaging may not be indicated without noted criteria
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