1
(PRINT ONLY) FAX# o On Cpap AUG.09 416.8 - .9 Chronic Heart Disease 428.0 - .1 CHF 492.8 Other Emphysema 428.9 Heart Failure Unspecified 496 COPD Diastolic Heart Failure 428.40 - .43 Combined Heart Failure 780.09 Alteration of Conciousness 780.51 Insomnia with Sleep Apnea 780.53 780.54 Hypersomnia 780.57 Sleep Apnea 799.01 Asphyxia 799.02 Hypoxemia v12.53 History of Sudden Cardiac Arrest 327.21 - .27 OSA 415.12 Septic Embolism 416.0 Pri. Pulmonary HTN 416.8 - .9 Chronic Heart Disease 428.0 - .1 CHF 492.8 Other Emphysema 428.9 Heart Failure Unspecified 496 COPD 428.20 - .23 Systolic Heart Failure 428.30 - .33 Diastolic Heart Failure 428.40 - .43 Combined Heart Failure 780.09 Alteration of Conciousness 780.51 Insomnia with Sleep Apnea 780.53 Hypersomnia with Sleep Apnea 780.54 Hypersomnia 780.57 Sleep Apnea 799.01 Asphyxia 799.02 Hypoxemia v12.53 History of Sudden Cardiac Arrest

Uploads Direct Prescription

Embed Size (px)

Citation preview

(PRINT ONLY)

FAX#

, 786.05 (not accepted in Tx.)

o On Cpap

,SOB NOT ACCEPTED

AUG.09

327.21 - .27 OSA415.12 Septic Embolism

416.0 Pri. Pulmonary HTN

416.8 - .9 Chronic Heart Disease

428.0 - .1 CHF

492.8 Other Emphysema

428.9 Heart Failure Unspecified

496 COPD

428.20 - .23 Systolic Heart Failure

428.30 - .33 Diastolic Heart Failure

428.40 - .43 Combined Heart Failure

780.09 Alteration of Conciousness

780.51 Insomnia with Sleep Apnea

780.53 Hypersomnia with Sleep Apnea

780.54 Hypersomnia

780.57 Sleep Apnea

799.01 Asphyxia

799.02 Hypoxemiav12.53 History of Sudden Cardiac Arrest

, 786.05 (not accepted in Tx.),SOB NOT ACCEPTED

327.21 - .27 OSA415.12 Septic Embolism

416.0 Pri. Pulmonary HTN

416.8 - .9 Chronic Heart Disease

428.0 - .1 CHF

492.8 Other Emphysema

428.9 Heart Failure Unspecified

496 COPD

428.20 - .23 Systolic Heart Failure

428.30 - .33 Diastolic Heart Failure

428.40 - .43 Combined Heart Failure

780.09 Alteration of Conciousness

780.51 Insomnia with Sleep Apnea

780.53 Hypersomnia with Sleep Apnea

780.54 Hypersomnia

780.57 Sleep Apnea

799.01 Asphyxia

799.02 Hypoxemiav12.53 History of Sudden Cardiac Arrest