Patient Name: Bornman, Carole Medical Record #: 1011302 Admission Date: 04/12/20YY E.H.R. Resources 1. Face Sheet 2. History and Physical Examination Diagnosis Code(s): ICD-10-CM 1. ADD DIAGNOSIS CODE Procedure Code(s): CPT/HCPCS Level II Code Modifier(s) ADD PROCEDURE CODE Click "NEXT" to proceed to the next case.