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[Answered]: Physician Office Visit CHIEF COMPLAINT: Patient…

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Physician Office Visit CHIEF COMPLAINT: Patient fell walking up her steps last night. She states that she is also having a severe headache since the fall. PHYSICAL EXAMINATION: HEENT: Normal CHEST: Normal On examination, there is no swelling of the ankles and no other areas of pain reported. The patient was instructed to go to the hospital radiology department for a CT of the skull. Tylenol 3 was ordered for her headache. Patient will be contacted following results of CT. ICD-10-CM Code Assignment:

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