Nursing 35 Clinical Views

Rw soap week 6: CC: I’m having hot flashes and mood... | Nursing

Clinical Requirement:

CC: I’m having hot flashes and mood swings. HPI: 51-year-old Black female in menopause for 1 year. Reports frequent hot flashes and sleep disturbance. Denies vaginal bleeding. Not on HRT. Seeks non-hormonal options. CPT: 99214 (Established, moderate complexity) ICD: N95.1 (Menopausal and perimenopausal disorder) Complexity: Moderate Race: Black/African American Visit: Follow-up
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