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(1)When a person visits a hotel, hospital, or a shopping

Provide icd-10-cm code and icd-10- pcs codes for scenario This is a 49-year-old female who came in secondary to severe headache. The headache started suddenly at 5 PM yesterday. It’s located in the back of her head and goes to her neck into the bilateral ears. She stated that the pain was unusual for her as she had a feeling of plugging in her ears. She describes the pain as a 9/10. There were some mild visual changes. Patient denied any nausea, vomiting, photophobia, fevers, chills. There is no recent trauma. She went to XYZ Hospital and at that time a CT scan of the brain was performed and showed a subarachnoid hemorrhage. She was transferred here for further neurosurgical evaluation and monitoring. Review of Systems: I have performed a complete review of systems with the pertinent positives and negatives documented in the history of present illness. All other systems are negative. Medical History: Crohn’s disease, htn, Hypothyroidism Surgical History: Thyroidectomy Allergies: NKDA Social History: Smokes 1ppd cigarettes Family History: Non-contributory Vitals: Temperature: 98.9°F Pulse: 80 Respirations: 17 Blood Pressure: 120/78 SpO2: 98% Physical Examination General: No acute distress, Alert. HEENT: Atraumatic, normocephalic, extraocular muscles intact, pupils equal and round, external examination of the ears and nose are normal, oropharynx is moist. Neck: There was some mild nuchal rigidity, trachea midline. Cardiovascular: Regular rate. Regular rhythm. No mu

 
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