darmandahl
Guest
Case Scenario#1 Atrial Fibrillation - Cardiovascular Chief Complaint The patient is a 56 year old male with intermittent episodes of irregular heart beat that causes mild shortness of breath and a general sense of malaise, but no chest pain. He has been evaluated over the past year and has documented recurring episodes of atrial fibrillation recorded on a Holter monitor. He is being treated for ongoing benign hypertension with an ACE inhibitor. Questioning reveals that he has not been taking his medication as prescribed and more as he feels the need. On previous visits to this office related to his hypertension he continues to admit noncompliance.
History The patient is otherwise in good health with no significant history of coronary atherosclerosis, angina or valvular disease. Assessment Intermittent atrial fibrillation Ongoing benign hypertension Poor BP medication compliance
I came up with these but have since been told that Z91.14
I48.91; I10; Z91.14
History The patient is otherwise in good health with no significant history of coronary atherosclerosis, angina or valvular disease. Assessment Intermittent atrial fibrillation Ongoing benign hypertension Poor BP medication compliance
I came up with these but have since been told that Z91.14
I48.91; I10; Z91.14