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Computerized Procedural Terminology

  • Identification of the procedures performed in each patient encounter. (There are 3 different SOAP note encounters)
  • Assignment of CPT code for each procedure identified
  • Resources utilized for locating assigned CPT codes; if an online resource include the link to the site or page.
  • There needs to be Procedures and CPT codes for each SOAP note encounter and how the CPT code was found and determined.
 
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