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Patient:

Name: AN

 Age:

36 years

Race:

White, Non Hispanic

Gender:

Female

Insurance:

Private insurance

Referral:

No referral 

 Chief Complaint

“Headache 

 ICD-10 Diagnosis Codes

G43.011 – MIGRAINE WITHOUT AURA, INTRACTABLE, WITH STATUS MIGRAINOSUS 

 CPT Billing Codes

99204 – OFFICE/OP VISIT, NEW PT, 3 KEY COMPONENTS:COMPREHENSIVE HX;COMPREHENSIVE EXAM;MED DECISN MOD COMPLEX 

Types of New/Refilled Prescriptions This Visit:
Analgesic/Antipyretic – NSAIDS
Neurology – Migraine