SOLVED2942

PHYSICAL THERAPY INITIAL EVALUATION AND BEHAVIOR/MAIN COMPLAINT: Patient has history of back pain off and on for five years. Recently, patient had severe back pain radiating down right lower extremity (RLE). Pain is worse when rising after lying; it is also severe upon sitting for more than a few minutes and when bending while sitting. Patient has no personal factors and/or comorbidities that impact the plan of care. Clinical presentation is stable.PLAN: Modalities to be used; whirlpool and hot packs for six weeks, twice per week for 30 minutes. DIAGNOSES: Severe back pain. Muscle spasms, RLQ of back. Burning pain with numbness, RLE. Assign the most appropriate ICD-10-CM diagnosis code(s) and CPT procedure code(s). ICD-10-CM: , CPT:
SCIENCE
HEALTH SCIENCE
NURSING

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