Question Description
Hello follow instruction please can you use these ICD-10 Codes to make up 10 Soap notes with each of them for OBGYN patients coming up for checkup at the clinic please. Below is a sample on how to do the soap notes. Use different age and information for each soap notes
This is the sample :
N39.0 | Urinary tract infection, site not specified
Patient is a 20 year old female, present o the clinic complaining of back pain, burning on urination and frequency which started 6 days ago. Patient not on medication at this time, no past medical or surgical history, G1P1, no past history of STD's. LMP was 08/01/18, regular last 3-4 days, currently sexually active. NKA Pan: vital signs WNL, U/A collected and will be send to the lab, all systems assessed and WNL, next appointment in 1 week for lab result, Nitrofurantoin 100 mg, 1 cap by mouth Q12 hours X 7 days, teaching provided on douching, hygiene after sexual activity and urology consult if symptoms persist.
N64.52 | Nipple discharge
N64.53 | Retraction of nipple
N64.59 | Other signs and symptoms in breast
N64.81 | Ptosis of breast
N64.82 | Hypoplasia of breast
N64.89 | Other specified disorders of breast
N64.9 | Disorder of breast, unspecified
N39.0 | Urinary tract infection, site not specified
N39.3 | Stress incontinence (female)
N39.41 | Urge incontinence
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