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AUG.09




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                                                                           o On Cpap

 327.21 - .27 OSA
   327.21 - .27 OSA                        428.40 - .43 Combined Heart Failure 780.54 Hypersomnia
                                             428.40 - .43 Combined Heart Failure 780.54 Hypersomnia
  415.12 Septic Embolism
    415.12 Septic Embolism                428.9 Heart Failure Unspecified
                                            428.9 Heart Failure Unspecified          780.57 Sleep Apnea
                                                                                      780.57 Sleep Apnea
 416.0 Pri. Pulmonary HTN
   416.0 Pri. Pulmonary HTN               492.8 Other Emphysema                      799.01 Asphyxia
                                            492.8 Other Emphysema                      799.01
 416.8 - .9.9 Chronic Heart Disease                                   (not NOT ACCEPTED
                                                            , 786.05 ,SOB accepted inin Tx.) Asphyxia
                                                                                       Tx.)
                                                                         (not NOT ACCEPTED
                                                               , 786.05 ,SOB accepted799.02 Hypoxemia
   416.8 - Chronic Heart Disease          496 COPD
                                            496 COPD                                   799.02 Hypoxemia
 428.0 - .1.1 CHF
   428.0 - CHF                            780.09 Alteration of of Conciousness
                                                                Conciousness         v12.53 History of of
                                            780.09 Alteration                          v12.53 History
 428.20 - .23 Systolic Heart Failure      780.51 Insomnia with Sleep Apnea           Sudden Cardiac
                                                                                       Sudden Cardiac
   428.20 - .23 Systolic Heart Failure      780.51 Insomnia with Sleep Apnea         Arrest
                                                                                       Arrest
 428.30 - .33 Diastolic Heart Failure
   428.30 - .33 Diastolic Heart Failure   780.53 Hypersomnia with Sleep Apnea
                                            780.53 Hypersomnia with Sleep Apnea

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  • 1. AUG.09 (PRINT ONLY) FAX# o On Cpap 327.21 - .27 OSA 327.21 - .27 OSA 428.40 - .43 Combined Heart Failure 780.54 Hypersomnia 428.40 - .43 Combined Heart Failure 780.54 Hypersomnia 415.12 Septic Embolism 415.12 Septic Embolism 428.9 Heart Failure Unspecified 428.9 Heart Failure Unspecified 780.57 Sleep Apnea 780.57 Sleep Apnea 416.0 Pri. Pulmonary HTN 416.0 Pri. Pulmonary HTN 492.8 Other Emphysema 799.01 Asphyxia 492.8 Other Emphysema 799.01 416.8 - .9.9 Chronic Heart Disease (not NOT ACCEPTED , 786.05 ,SOB accepted inin Tx.) Asphyxia Tx.) (not NOT ACCEPTED , 786.05 ,SOB accepted799.02 Hypoxemia 416.8 - Chronic Heart Disease 496 COPD 496 COPD 799.02 Hypoxemia 428.0 - .1.1 CHF 428.0 - CHF 780.09 Alteration of of Conciousness Conciousness v12.53 History of of 780.09 Alteration v12.53 History 428.20 - .23 Systolic Heart Failure 780.51 Insomnia with Sleep Apnea Sudden Cardiac Sudden Cardiac 428.20 - .23 Systolic Heart Failure 780.51 Insomnia with Sleep Apnea Arrest Arrest 428.30 - .33 Diastolic Heart Failure 428.30 - .33 Diastolic Heart Failure 780.53 Hypersomnia with Sleep Apnea 780.53 Hypersomnia with Sleep Apnea