| Patient | Visit Den2Edge Supp | Sex | Male |
| Date of birth | April 8th, 2008 08:00 | Date of expiration | |
| Race | White | Ethnicity | Hispanic Or Latino |
| Insurance Providers | Other | Patient IDs | 581b835ef081f31e4b001363 Cypress |
| Contact info | |||
| Document Id | 581b835ef081f31e4b001363 2.16.840.1.113883.3.72 |
| Document Created: | December 15th, 2016 17:54 |
| Author | Auto Generated |
| Contact info |
Tel: +1-781-271-3000 |
| Document maintained by | Cypress |
| Contact info | 202 Burlington Rd. Bedford, MA 01730 Tel: +1-781-271-3000 |
| Description | Codes | Time | Status | Results | Fields |
|---|---|---|---|---|---|
| Diagnosis |
SNOMED-CT:
40780007
ICD-10-CM: Z21 ICD-9-CM: V08 |
August 2nd, 2011 08:00 - present |
| Description | Codes | Time | Status | Results | Fields |
|---|---|---|---|---|---|
| Encounter |
CPT:
99381
|
January 1st, 2012 10:30 - January 1st, 2012 10:45 | performed |