VA.gov Home | Veterans Affairs

ICD code: _____ Date of diagnosis: _____ Side affected: Right Left Both ... Implanted automatic implantable cardioverter defibrillator (AICD) Indicate date of admission for treatment and treatment facility: _____ ... multiple scattered shrapnel wound scars, acne scarring. or pseudofolliculitis barbae), indicate “TNTC” and provide ... ................
................