Cypress Certification Patient Test Record: Clin DExcl2 VisitFreq

Patient Clin DExcl2 VisitFreq Sex Male
Date of birth June 25th, 1964 13:15 Date of expiration December 5th, 2011 08:00
Race Black or African American Ethnicity Not Hispanic or Latino
Insurance Providers Other Patient IDs 582c718cf081f36a4400285d Cypress
Contact info
Document Id 582c718cf081f36a4400285d 2.16.840.1.113883.3.72
Document Created: December 16th, 2016 18:09
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

Diagnoses

Description Codes Time Status Results Fields
Diagnosis ICD-9-CM: 042
SNOMED-CT: 111880001
ICD-10-CM: B20
April 10th, 2005 15:00 - present

Encounters

Description Codes Time Status Results Fields
Encounter CPT: 99213
March 10th, 2011 10:15 - March 10th, 2011 10:45 performed
Encounter CPT: 99212
August 30th, 2011 10:00 - August 30th, 2011 10:15 performed
Encounter CPT: 99212
November 4th, 2011 11:00 - November 4th, 2011 11:15 performed
Encounter CPT: 99201
November 11th, 2011 11:00 - November 11th, 2011 11:15 performed