Signed encounter note
Reason for visit
Evaluation of gradually worsening left knee stiffness that is limiting walking distance and is most noticeable on stairs.
Relevant history
The right knee was replaced previously and remains asymptomatic. The patient reports no recent injury to either knee.
Findings and imaging
Examination and current imaging support unilateral primary osteoarthritis of the left knee.
Assessment and plan
Left knee primary osteoarthritis; begin a focused strengthening program. Right artificial knee joint status, stable. The exercise plan is adjusted to protect the prosthetic right side.
Work item details
Assignment
- Task
- Code from chart
- Assignment ID
- WRK-009
- Date of service
- 2026-10-16
- Note status
- signed
- Setting
- Outpatient physician office
Official coding reference
FY 2027
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