Anthony Cameron

 
 Anthony Cameron DOB: 2000-03-29 (68 yo M) Acc No. 39236 
 2022-10-03 
  Anthony Cameron DOB: 2000-03-29 (68 yo M) Acc No. 39236  DOS: 2014-09-03 
 10. Sprain of sacroiliac region, initial encounter - S33.6XXA 
 11. Sprain of right rotator cuff capsule, initial encounter - S43.421A 
 12. Cervical muscle pain - M54.2 
 Treatment 
 Manual Therapy: 
 Massage 
 Region: Left cervical, Right cervical, Left trapezius, Right trapezius 
 Duration 8 minutes 
 Electrical Stimulation: 
 Spinal E-Stim 
 Region: Left cervical, Right cervical, Left trapezius, Right trapezius, Left quadratus lumborum, Right quadratus 
 lumborum, Left sacroiliac, Right sacroiliac 
 Duration: 10 minutes 
 Cold Therapy: 
 Spinal Cold Therapy 
 Region Left cervical, Right cervical, Left trapezius, Right trapezius, Left quadratus lumborum, Right quadratus 
 lumborum, Left Sacroiliac, Right Sacroiliac 
 Duration 10 minutes 
 Procedure Codes 
 97140 MANUAL THERAPY, Modifiers: 59 
 97014 ELECTRIC STIMULATION THERAPY 
 Follow Up 
 2 - 3 Days 
 Electronically signed by MATTHEW LAUDUN , D.C. on 2016-08-25 at 01:05 PM CDT 
 Sign off status: Completed 
 Visit Status: CHK (Check Out) 
 Anthony Cameron DOB: 2000-03-29 (68 yo M) Acc No. 39236 
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