Wiki Please! Help on coding from patient notes

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Im fairly new to coding, and Im working on a set of patient notes and I've run into one that I just cannot get right. Ive literally been working on it for HOURS. I have NO idea what Im missing. Please somebody help me! Feel free to message me! Thank you so much in advance :)
 
Please post the scrubbed note

Please post the scrubbed note and I'm sure you will get a lot of very good responses.

F Tessa Bartels, CPC, CEMC
 
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