1995 & 1997 DOCUMENTATION GUIDELINES

(Be sure to OLDCART the symptoms in addition to the hospital course) A 32 year old male was admitted into the hospital on 10/07/14 for a scheduled procedure for the removal of the silicone oil eye as a follow-up surgery proceeding a vitrectomy of the left eye on 07/08/14 for treatment of a retinal detachment associated with diabetic retinopathy. ................
................