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Kelley Dumont, a 19-year-old female, comes in to see Dr. Molusky. Kelley complains that she feels powerless
and depressed. Kelley is accompanied by her mother. Mrs. Dumont states that Kelley has given up activities and
has become fearful. Dr. Molusky completes a psychological examination and diagnoses Kelley with chronic
paranoid reaction.
What is the principal diagnosis code? F22
Paige Henderson, a 42-year-old female, comes in today with the complaint of numbness in her left little finger.
Dr. McKenna notes Paige has difficulty performing fine motor movements with her left hand and fingers. After
an examination and the appropriate tests, Dr. McKenna diagnoses Paige with tardy ulnar nerve palsy, left arm.
What is the principal diagnosis code? G56.22 Lesion of Ulnar Nerve, Left Upper Limb
Carol Abuelo, a 39-year-old female, presents today with general restlessness. Dr. Sabbagha documents
unintentional and uncontrollable movements as well as slowed saccadic eye movements. Carol is admitted. An
MRI scan reveals atrophy of the caudate nuclei and genetic tests confirmed the diagnosis of Huntington’s
chorea.
What is the principal diagnosis code? G10
Albert Goings, a 54-year-old male, presents today with abdominal cramping and diarrhea. Albert had knee
surgery 6 months ago and the surgeon prescribed oxycodone for pain control. Albert has stopped taking the
medication but is having difficulty. Dr. Kenneth documents dilated pupils as well as goose bumps. Albert is
diagnosed with oxycodone dependence, uncomplicated.
What is the principal diagnosis code? F11.20 Opioid dependence, uncomplicated
Ruby Jenkins, a 26-year-old female, presents with popping or clicking sounds in her ears. After a thorough
examination and the appropriate tests, Dr. Thompson diagnoses Ruby with palatal myoclonus.
What is the principal diagnosis code? G25.3
Charles Homer, a 6-year-old male, is brought in by his parents to see his pediatrician, Dr. Freibert. Mrs. Homer
is concerned because Charles has been eating dirt and sand and he has tried to eat paper for approximately 1
month. Dr. Freibert completes a thorough examination and notes paleness and failure to thrive. Charles is
admitted to Weston Hospital for a full workup. After reviewing the laboratory and developmental test results,
Charles is diagnosed with pica.
What is the principal diagnosis code? F98.3
Donald DuFour, an 8-month-old male, is brought in by his mother and Kent Fuller to determine if Kent is the
biological father. Don’s mother is applying for child support and social welfare benefits and needs proof of the
biological father before she can proceed. Dr. Sanderson completes a paternity test, results 99.99% that Kent is
the biological father.
What is the principal diagnosis code? Z02.81
Ross Risinger, a 47-year-old male, presents today for screening of a malignant neoplasm of the prostate. Ross’s
grandfather died of prostate cancer. Dr. Richardson completes the appropriate test; results were negative.
What is the principal diagnosis code? Z12.5
What is the second diagnosis code? Z80.42
Charles Copeland, a 48-year-old male, presents today to see Dr. McElmurray. Charles is scheduled to have a
cardiac pacemaker implanted. Dr. McElmurray completes the pre-procedural cardiovascular examination and
clears Charles for the implant.
What is the principal diagnosis code? Z01.810
, Tammy Coco, a 33-year-old female, went on a tour of 19th century buildings last week. The company that
conducted the tour just announced asbestos was found in some of these buildings. Tammy comes to see Dr.
Kiefer today because she is concerned she might have been exposed to asbestos. Dr. Kiefer completes the
appropriate tests, which return a negative result for asbestos exposure.
What is the principal diagnosis code? Z77.090
Connie Burton, a 63-year-old female, presents today for a screening for malignant neoplasm of the ovaries.
Connie’s mother died at age 58 of ovarian cancer. Dr. Bales performs the screening; results were negative.
What is the principal diagnosis code? Z12.73
What is the second diagnosis code? Z80.41
Alexandra Smith, a 31-year-old female, presents today to donate blood platelets for her child, who has been
diagnosed with thrombocytopenia.
What is the principal diagnosis code? Z52.091 WRONG, SHOULD BE Z52.091
Z52.098 I think this is it
Steven Jordan, a 51-year-old male, comes to see Dr. Kolb because he is experiencing nausea and vomiting and
his stool is unusually light in color. Steven is accompanied by his wife, Sally. Sally says her husband seems
confused and less alert lately. Upon examination, Dr. Kolb notes hepatosplenomegaly, jaundice, and RUQ
tenderness. Steven is admitted to the hospital, where blood test results confirm the presence of IgG anti-HAV
antibodies. Steven is diagnosed with acute hepatitis A.
What is the principal diagnosis code? B15.9
Steven Crooks, a 16-year-old male, presents today with a sore throat. Dr. Hoffman notes acute pharyngitis with
a low-grade fever, as well as petechiae on the roof of the mouth. A serological test confirms the diagnosis of
Epstein–Barr infectious mononucleosis.
What is the principal diagnosis code? B27.00
Joan Kenney, a 27-year-old female, is having difficulty breathing. Dr. Aung documents a fever of 101 F and
facial edema. Joan recently returned home from a trip to Asia. Joan said they were contending with some sort of
larval infestation in Asia. Joan is diagnosed with nasopharyngeal myiasis.
What is the principal diagnosis code? B87.3
Victor Lockhart, a 29-year-old male, presents today with a fever of 100.6 F. He says 1 minute he is sweating and
the next he is shivering and his stomach hurts. Dr. Osterlund documents paleness and tenderness in the right
hypochondria region. Victor is admitted to Weston Hospital, where blood tests, a liver function test, and a CT
scan confirm the diagnosis of amebic liver abscess due to Entamoeba histolytica.
What is the principal diagnosis code? A06.4
Robin Pullen, a 36-year-old female, comes to see Dr. Ditolla because she is running a fever and has a sore throat
and overall body aches. Test results are positive for H1N1.
What is the principal diagnosis code? J09.X2
John Brennen, a 7-year-old male, is brought in by his parents. Johnny has developed a hard cough and says his
sides hurt. Dr. Travis, Johnny’s pediatrician, completes blood work and takes a CXR and nasopharyngeal
specimen. A subconjunctival hemorrhage is noted in the left eye. Test results confirm a diagnosis of whooping
cough due to Bordetella pertussis with pneumonia. Johnny is admitted to Weston Hospital.
What is the principal diagnosis code? A37.01
What is the second diagnosis code? H11.32
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