What First Listed Question & Answer Guide (With Explanation)

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to what first listed and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves what first listed. A strong answer should include explanation, application, and examples.

Original Question

1) What is the ICD-10-CM first-listed diagnosis code? 2) What are the secondary diagnosis codes? (there are 5) 3) The principal CPT procedure code? (CPT’s 10004-69990) enter the CPT, otherwise enter the correct E/M CPT code 4) Secondary Procedure Code(s) LEAVE THIS BLANK or enter the CPT code if secondary surgical procedure is performed. CHIEF COMPLAINT: “My son has a fever.” HPI: Mathew Edwards is a 14-month old African American male who is brought to his PCP with a 2-day history of fever and decreased appetite. Mom states that his temperature the last 2 nights have been up to 101degrees F. He has also been coughing at night. PMH: Former 37 weeks, 3.2 kg healthy infant at birth. Routine immunizations are up to date. He also received the influenza vaccine in at 12 months and a second vaccine at 13 months old. Diagnosed with asthma at 13 months old. First episode of otitis media (AOM) at age 4 months. Otitis media x7 over past year; most recent episode 14 days ago treated with Augmentin x10 days. The current episode is the first episode of the new year. In addition to penicillin derivatives, Mathew has received cephalosporins and macrolides in the past. The only adverse effect has been significant diarrhea with Augmentin. FH: Parents both in good health. No siblings. SH: Mathew lives at home with his parents, who are both employed. He attends daycare. Parents are non-smokers. There is a pet dog at home. MEDS: Albuterol solution 0.25 mL with comolyn nebulized BID Beclomethasone MDI with spacer 2 puffs BID Tylenol PRN for last 2 days ALLERGIES: NKDA PE: GEN: WDWN male, now crying VS:100/60, HR 152, RR 50, T 36.2 degrees C; Wt13.2 kg, Ht 84cm HEENT: Both right and left TMs erythematous, bulging and non-mobile; throat is erythematous; nares patent. NECK: Supple CHEST: Bilateral wheezes CV: RRR ABD: soft, non-tender GU: Tanner stage I EXT: No c/c/e; moves all extremities well; warm, pink, no rashes NEURO: Response to stimulation, 2+ DTRs; no clonus, CNs intact ASSESSMENT: Bilateral AOM with asthma exacerbation TOTAL TIME SPENT WITH PATIENT: 20 minutes

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