Presents today with wheezing and shortness of breath, states has been better, but had to walk from parking lot.Vitals - T - 99.2, BP - 132/89, P 48, O2 - 91 , Ht 6, Wt 210, BMI 28.5PMH COPD, Legionnaires (1997), BPH, EmphysemaSocial divorce 2, admits to 2 drinks per day, smoker for 16 years, quit smoking 2010 (32 pack years)Medications albuterol sulfate, 1 inhalation 2-4 hoursDiagnosis: COPD/EmphysemaCoded as:J43.9 Emphysema, unspecified Z87.891 History of tobacco dependence*The sole purpose of the examples is to demonstrate the application of coding guidelines discussed in the materials
This condition happens when the smallest airways in your lungs are damaged by breathing in harmful chemicals, making it harder to breathe
Fasting for blood work means you don't eat or drink anything but water for 8-12 hours before you have a blood test
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In section IX.E.5.g