Cypress Certification Patient Test Record: Dx Den5Edge Supp

Patient Dx Den5Edge Supp Sex Female
Date of birth April 8th, 1998 08:00 Date of expiration
Race White Ethnicity Not Hispanic or Latino
Insurance Providers Other Patient IDs 581a9eebf081f30738000346 Cypress
Contact info
Document Id 581a9eebf081f30738000346 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
March 31st, 2012 12:00 - present

Encounters

Description Codes Time Status Results Fields
Encounter CPT: 99393
October 1st, 2012 11:00 - October 1st, 2012 11:30 performed