MBC 1233 Diagnostic Coding 1 WK 3 CH 12 Case Studies
Terms in this set (10)
Case Study #1 H10.33
Office Note:
This 7 yr old male presents today with redness OU.
Upon examination, the conjunctiva are swollen. He is
experiencing no other symptoms.
DX: Acute Conjunctivitis (1)
Case Study #2 H02.812 ; Z18.9
ER Visit Note:
This 37 yr old male presents in the ER with pain in his
eye. Exam shows an object in the right lower eyelid.
Because the object is deeply embedded in the skin, I
am asking for a consultation from Dr. Ferrar. The object
is retained in the lower right eyelid. The patient was
sent to Dr. Ferrar's office. (2)
, MBC 1233 Diagnostic Coding 1 WK 3 CH 12 Case Studies
Case Study #3 H00.031
Office Visit Note:
This 54 yr old man works on a dairy farm and 2 weeks
ago he "got something in my eye." Exam of the eyes
reveals that there are no foreign objects in the eyes at
this time. The left eye is red and there is an abscess of
the right upper eyelid. The patient was given antibiotics,
drops, and patient education material. He was
instructed to follow up if the eye becomes worse or in
10 days. (1)
Case Study #4 H25.032
Ambulatory Surgery Discharge Note:
This 74 yr old female patient underwent cataract
extraction with intraocular lens replacement in her left
eye due to anterior subcapsular polar senile cataracts.
The surgery was uneventful and she was instructed to
follow up in my office in 6 days. (1)
Terms in this set (10)
Case Study #1 H10.33
Office Note:
This 7 yr old male presents today with redness OU.
Upon examination, the conjunctiva are swollen. He is
experiencing no other symptoms.
DX: Acute Conjunctivitis (1)
Case Study #2 H02.812 ; Z18.9
ER Visit Note:
This 37 yr old male presents in the ER with pain in his
eye. Exam shows an object in the right lower eyelid.
Because the object is deeply embedded in the skin, I
am asking for a consultation from Dr. Ferrar. The object
is retained in the lower right eyelid. The patient was
sent to Dr. Ferrar's office. (2)
, MBC 1233 Diagnostic Coding 1 WK 3 CH 12 Case Studies
Case Study #3 H00.031
Office Visit Note:
This 54 yr old man works on a dairy farm and 2 weeks
ago he "got something in my eye." Exam of the eyes
reveals that there are no foreign objects in the eyes at
this time. The left eye is red and there is an abscess of
the right upper eyelid. The patient was given antibiotics,
drops, and patient education material. He was
instructed to follow up if the eye becomes worse or in
10 days. (1)
Case Study #4 H25.032
Ambulatory Surgery Discharge Note:
This 74 yr old female patient underwent cataract
extraction with intraocular lens replacement in her left
eye due to anterior subcapsular polar senile cataracts.
The surgery was uneventful and she was instructed to
follow up in my office in 6 days. (1)
