Cypress Certification Patient Test Record: Visit Den1Edge Supp

Patient Visit Den1Edge Supp Sex Male
Date of birth January 19th, 1988 08:00 Date of expiration
Race Black or African American Ethnicity Not Hispanic or Latino
Insurance Providers Other Patient IDs 581b8306f081f31e4b001308 Cypress
Contact info
Document Id 581b8306f081f31e4b001308 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 SNOMED-CT: 40780007
ICD-10-CM: Z21
ICD-9-CM: V08
August 2nd, 2011 08:00 - present

Encounters

Description Codes Time Status Results Fields
Encounter CPT: 99213
February 2nd, 2012 10:30 - present performed