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Diagnosis
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Cervical DX
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Cervical joint dysfunction (M99.01)
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Cervicalgia (M54.2)
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Cervical Radiculopathy (M54.12)
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Cervicothoracic Radiculopathy (M54.13)
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C/S Disc Degeneration C1-C4 (M50.31)
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C/S Disc Degeneration C4/C5 (M50.321)
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C/S Disc Degeneration C5/C6 (M50.322)
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C/S Disc Degeneration C6/C7 (M50.323)
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C/S Disc Displacement/Hern C1-C4 (M50.21)
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C/S Disc Displacement/Hern C4/C5 (M50.221)
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C/S Disc Displacement/Hern C5/C6 (M50.222)
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C/S Disc Displacement/Hern C6/C7 (M50.223)
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Neck Strain-Initial (S16.1XXA )
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Episodic Tension Headache-Not Intract (G44.219)
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Tension Headache-Not Intract (G44.209)
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Head/Neck Myalgia (M79.12)
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Thoracic DX
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Thoracic joint dysfunction (M99.02)
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Rib joint dysfunction (M99.08)
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Pain in thoracic spine (M54.6)
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TOS (G54.0)
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Thoracic strain (S29.012A)
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Rib sprain (S23.41XA)
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Thoracic Disc Degeneration (M51.34)
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Thoracic Disc Displacement/Hern (M51.24)
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Lumbar/Pelvis DX
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Lumbar joint dysfunction (M99.03)
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Pelvic joint dysfunction (M99.05)
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Sacral joint dysfunction (M99.04)
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Low back pain (M54.59)
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Lumbar Radiculopathy (M54.16)
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Lumbosacral Radiculopathy (M54.17)
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Sciatica, right side (M54.31)
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Sciatica, left side (M54.32)
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Lumbar Disc Degeneration (M51.36)
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Lumbosacral Disc Degeneration (M51.37)
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Thoracolumbar Disc Degeneration (M51.35)
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Lumbar Disc Displacement/Hern (M51.26)
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Lumbosacral Disc Displacement/Hern (M51.27)
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Thoracolumbar Disc Displacement/Hern (M51.25)
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Low Back/Lumbar Strain-Initial (S39.012A )
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Myalgia, other site (M79.18)
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Upper Extremity DX
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Upper extremity joint dysfunction (M99.07)
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Pain in left shoulder (M25.512)
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Pain in right shoulder (M25.511)
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Right rotator cuff strain, initial (S46.011A)
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Left rotator cuff strain, initial (S46.012A)
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Pain in left elbow (M25.522)
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Pain in right elbow (M25.521)
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Prognosis
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Excellent, Good, Fair, Poor, Guarded?
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Complicating Factors
• • •
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Response to care
• • •
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Additional Comments
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