SYNTHETIC HOSPITAL CLINICAL SOURCE. NOT A REAL PATIENT RECORD.
Document: CLN-000083
Claim number: MER-000083
Specialty: Orthopedics
Author: Rivera, Elena MD
Recorded: 2026-08-27

SYNTHETIC CLINICAL SOURCE. NOT A REAL PATIENT RECORD. Claim MER-000083, patient token SYN-PT-QCKY2WC2U, service date 2026-08-26. Pre-operative diagnosis M23.221. Procedure performed: Laminectomy, facetectomy and foraminotomy, lumbar (63047, modifier 59). Surgeon Rivera, Elena MD. The patient was positioned and prepared in the usual fashion. The procedure was completed as planned with no intra-operative complication recorded. Estimated blood loss was documented as minimal. Counts were correct at closure.  Disposition to recovery in stable condition. This record is fictional source material for document to claim linkage. It is not a coverage determination and asserts no payment entitlement.

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