What report is the official summary of the procedure performed, pre-operative and post-operative diagnosis, and step-by-step details for the actual procedure and or surgery performed?

While palpating your patient's neck, you notice a "rice crispy" feel. This is known as:

A) subcutaneous edema. B) rebound tenderness. C) subcutaneous emphysema. D) crepitation.

Using a CPT manual, select the appropriate code for the following:

Bill Many was admitted for observation on 2/4/XX for management of left upper quadrant pain. A detailed history was obtained, and a comprehensive examination was completed. Diagnostic testing was inconclusive. Medical decision making was of low complexity. He was discharged from observation on 2/4/XX.