PROSTHETICS ELECTRONIC ORDER / SUSPENSE PROCESSING …

ICD-10 Code(s): _____ Clinical History: Allergies: Allergic to Iodine: Yes No (If yes, notify MD/Radiologist for further orders) ... ULTRASOUND - BLADDER, OB < 14 weeks AND PELVIS: Drink 4 (10 oz.) glasses of water one hour before exam. Do not empty bladder until after the exam. OTHER ULTRASOUND, CT OR FLUOROSCOPY EXAMS: Nothing to eat or drink ... ................
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