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admission note

Wikipedia Summary

An admission note is part of a medical record that documents the patient's status (including history and physical examination findings), reasons why the patient is being admitted for inpatient care to a hospital or other facility, and the initial instructions for that patient's care..
Related Codes (23)
Code
Description
Billable
Details
R40.2123Coma scale, eyes open, to pain, at hospital admission
R40.2124Coma scale, eyes open, to pain, 24 hours or more after hospital admission
R40.2134Coma scale, eyes open, to sound, 24 hours or more after hospital admission
R40.2144Coma scale, eyes open, spontaneous, 24 hours or more after hospital admission
R40.2214Coma scale, best verbal response, none, 24 hours or more after hospital admission
R40.2223Coma scale, best verbal response, incomprehensible words, at hospital admission
R40.2233Coma scale, best verbal response, inappropriate words, at hospital admission
R40.2243Coma scale, best verbal response, confused conversation, at hospital admission
R40.2244Coma scale, best verbal response, confused conversation, 24 hours or more after hospital admission
R40.2253Coma scale, best verbal response, oriented, at hospital admission

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