Cypress Certification Patient Test Record: Dx Den4Edge Supp

Patient Dx Den4Edge Supp Sex Male
Date of birth September 12th, 1974 08:00 Date of expiration
Race Black or African American Ethnicity Not Hispanic or Latino
Insurance Providers Other Patient IDs 581a9d4af081f3073800020a Cypress
Contact info
Document Id 581a9d4af081f3073800020a 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

Diagnoses

Description Codes Time Status Results Fields
Diagnosis ICD-9-CM: 042
SNOMED-CT: 111880001
ICD-10-CM: B20
December 31st, 2011 08:00 - present

Encounters

Description Codes Time Status Results Fields
Encounter CPT: 99386
March 30th, 2012 13:00 - March 30th, 2012 13:30 performed