*For illustrative purposes only
encounter note
Mouse, Mickey Disney · #33423 · Dr. John Smith · Nov 30, 2025
S:
Has been more active recently. Reports weight loss. Joint pain for 10 months, more severe past 6 weeks. Managing with Tylenol and aspirin. Physiotherapy helped partially — ongoing functional impairment.
O:
Blood glucose 9.8 · A1C 9.8 (prev 8.5) · X-ray: degeneration of cartilage, R knee · Pain with flexion/extension · Mildly antalgic gait
A:
Uncontrolled DM · Osteoarthritis R knee
P:
Cortisone injection · Repeat knee X-ray · Lifestyle modifications · Repeat diabetic bloodwork in 3 months
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Bill Book — Dr. John Smith
Mouse, Mickey Disney · #33423 · 55 yr
250 Diabetes 715 Osteoarthritis
Code
Description
Date
#
Fee
Total
+$32.90 vs prior visit
→ parsing note
→ dx extracted: 250, 715 · injection documented
→ codes selected: K030 + G370 + E542
claim ready · total $78.65 · submitting to MOH ✓
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