Question Using the coding techniques you have learned, carefully read… Using the coding techniques you have learned, carefully read through the case study and determine the most accurate diagnosis code(s). Remember, check the chapter-specific, subchapter-specific, and category-specific notations within the Tabular List. Then, determine the most accurate procedure code(s) along with any modifier(s), if appropriate. OPHTHALMOLOGY CARE CENTER6481 SIGHT BOULEVARD ANYTOWN, FL 32719 407-555-5137PATIENT: DENTMER, BARNEYACCOUNT/EHR #: DENTBAR001DATE: 10/07/18Attending Physician: Walter P. Henricks, MDThis new patient is a 4-week-old male infant born to a 26-year-old G2P2 O1, rubella immune, group B strepnegative, HBsAg-negative, VDRL-negative, GC- and Chlamydia-negative married female at 40 weeks gestation via spontaneous vaginal delivery with Apgar scores of 8 and 9 at 1 and 5 minutes. Pregnancy, delivery, and postpartum hospital course were uncomplicated. He presents with his mother to our office with a 2-day history of bilateral eye drainage. He had been in good health until 2 days ago, when he developed yellow drainage and mild periorbital swelling.Review of systems is negative except for the recent development of a cough that he “probably caught from his older brother.”EXAM: VS T 37.5, P 120, RR 60, BP 60/40, oxygen saturation 94% in room air, weight 4.0 kg (50 %ile). He is a well developed, well nourished, nontoxic male infant with mild tachypnea and staccato cough, but in no acute distress. His upper and lower eyelids are edematous. There is mild conjunctival infection with moderate amounts of mucopurulent drainage bilaterally. Pseudomembranes are seen with eversion of the upper eyelids. Coarse breath sounds are appreciated bilaterally with occasional rales and fine expiratory wheezes. The remainder of his exam is unremarkable.The conjunctiva is swabbed for gram stain, culture, and chlamydia direct fluorescence antibody staining. Complete blood count is remarkable for eosinophilia. All lab work was done by an outside laboratory. Chest radiograph, 2 views, frontal and lateral, reveals bilateral patchy infiltrates with hyperinflation. After receiving positive chlamydia DFA results, I informed the mother of the diagnosis. Initially shocked, she admits that 6 months ago, she and her husband had separated briefly but are now back together.DX: Ophthalmia neonatorum, due to Chlamydia trachomatisPLAN: Order written for testing for other STDs in the infant. In addition, both parents are urged to be tested for STDs by their own physicians. Parents are counseled regarding a reported association between oral erythromycin and infantile hypertrophic pyloric stenosis. Retesting for C. trachomatis is not indicated once treatment has been completed unless symptoms persist. The mother is informed that, if left untreated, chlamydia conjunctivitis will subside within 2-3 weeks, but chronic infection is common.RX: Oral erythromycin (50 mg/kg/day in four divided doses) for 14 daysWalter P. Henricks, MDWPH/mg D: 10/07/18 09:50:16 T: 10/09/18 12:55:01 Be sure to list the codes, one code per box, in the correct sequence, from top to bottom, and in the proper row. Capitalization, punctuation, and spacing can impact whether or not your answer is correct. Follow coding best practices. Please list modifiers with the code they relate to as necessary. Include a hyphen in between the code and the modifier. Example Procedure: 43846-74 or for Anesthesia: 00797-P2. Health Science Science Nursing MEDICAL BI HITT 2335 Share QuestionEmailCopy link Comments (0)