Cypress Certification Patient Test Record: Visit Num1 VisitFreq

Patient Visit Num1 VisitFreq Sex Male
Date of birth October 1st, 1958 13:15 Date of expiration
Race Black or African American Ethnicity Not Hispanic or Latino
Insurance Providers Other Patient IDs 58471d16f081f3353400090e Cypress
Contact info
Document Id 58471d16f081f3353400090e 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
December 15th, 2008 15:00 - present

Encounters

Description Codes Time Status Results Fields
Encounter CPT: 99212
February 2nd, 2011 10:15 - February 2nd, 2011 10:45 performed
Encounter CPT: 99212
March 30th, 2011 10:00 - March 30th, 2011 10:15 performed
Encounter CPT: 99212
May 15th, 2011 11:00 - May 15th, 2011 11:15 performed
Encounter CPT: 99212
July 20th, 2011 11:00 - July 20th, 2011 11:15 performed
Encounter CPT: 99201
September 20th, 2011 10:15 - September 20th, 2011 10:45 performed
Encounter CPT: 99201
November 30th, 2011 10:00 - November 30th, 2011 10:15 performed
Encounter CPT: 99201
January 30th, 2012 11:00 - January 30th, 2012 11:15 performed
Encounter CPT: 99201
April 1st, 2012 11:00 - April 1st, 2012 11:15 performed
Encounter CPT: 99201
June 25th, 2012 11:00 - June 25th, 2012 11:15 performed
Encounter CPT: 99201
July 30th, 2012 11:00 - July 30th, 2012 11:15 performed
Encounter CPT: 99201
September 15th, 2012 11:00 - September 15th, 2012 11:15 performed
Encounter CPT: 99201
November 30th, 2012 11:00 - November 30th, 2012 11:15 performed