PATIENT: PETRY, MASON ACCOUNT/EHR #: PETRMA001 DATE: 09/25/25 Attending Physician:…

PATIENT: PETRY, MASON ACCOUNT/EHR #: PETRMA001 DATE: 09/25/25 Attending Physician: Sandford Lockard, MD S: Patient is a 45-year-old male seen by his regular physician after he was involved in a traffic accident. Mason was driving home when his car was struck from behind by another car. Patient is complaining of severe neck pain and difficulty turning his head. O: PE reveals tightness upon palpation of ligaments neck and shoulders, most pronounced C3 to C5. X-rays are taken of head and neck, including the cervical vertebrae, 3 views. Radiologic review denies any fracture. A: Anterior longitudinal cervical sprain P: Rx: Cervical collar to be worn during all waking hours Rx: Vicodin (hydrocodone) 500 mg po prn 1,000 mg aspirin q.i.d. Patient to return in 2 weeks for follow-up CODE USING ICD-10-CM and CPT