Commercial Insurance and Self Pay Wellness Patient: ICD10
Man
#1 Caregiver annual health check (Z00.00): Wellness exam performed. He is healthy and all of his questions were answered. We went over all the recommended screening tests, his family history, his risk profile, and the health and wellness topics.
#2 Screening for lipoid disorders (Z13.220): Lab studies were sent for cholesterol evaluation and risk stratification.
#3 Screening for thyroid disorders (Z13.29): Lab studies were sent for evaluation of the thyroid system.
#4 Screening for diabetes mellitus (Z13.1): Lab studies were sent for diabetes screening and blood sugar evaluation.
#4 Special screening for malignant neoplasms of colon (Z12.11): Patient advised to schedule colonoscopy and I explained the importance of screening for colon cancer, as well as various options to complete this.
WOMAN
#1 Caregiver annual health check (Z00.00): Wellness exam performed. She is healthy and all of her questions were answered. We went over all the recommended screening tests as well as health and wellness topics.
#2 Screening for lipoid disorders (Z13.220): Lab studies were sent for cholesterol evaluation and risk stratification.
#3 Screening for thyroid disorders (Z13.29): Lab studies were sent for evaluation of the thyroid system.
#4 Screening for diabetes mellitus (Z13.1): Lab studies were sent for diabetes screening and blood sugar evaluation.
#5 Screening for malignant neoplasms of cervix (Z12.4): A thin-prep pap test was performed and sent with appropriate viral evaluation as indicated. Patient instructed on appropriate screening for cervical pathology.
#6 Breast screening, unspecified (Z12.39): Breast exam performed with healthy appearance. Advised her to perform self breast exams and instructed on how to perform this. Patient has been advised to obtain a screening mammogram and orders have been sent.
#7 Special screening for malignant neoplasms of colon (Z12.11): Patient advised to schedule colonoscopy and I explained the importance of screening for colon cancer, as well as various options to complete this.
