Incident reports are not subject to ____________________ when patient records are subpoenaed

When a patient experiences a severe spinal injury, he or she:

A. will likely be paralyzed from the neck down. B. may lose sensation below the level of the injury. C. most commonly has a palpable spinal deformity. D. often loses motor function on one side of the body.

Office note: "DeDe Smith, 4 months old, was brought to the office today by her mother. The mother states that the child has been very ‘fussy' for the last four days and she does not know why. Examination: HEENT: clear and no findings. Lungs: clear. Abdomen: soft and tender. Skin: skin in the groin area is red and inflamed. I gave the mother some ointment to apply to the skin for the next 10

days to clear the psoriasiform diaper rash.". This encounter should be reported with code(s) ____________________. Fill in the blank(s) with correct word