Home Readings and Treatment Review

Code from chart · WRK-019

Clinical chart

Signed note

Signed encounter note

DOS · 2026-10-28Assignment · WRK-019Setting · Outpatient physician office

Reason for visit

Follow-up for type 2 diabetes and persistently elevated home glucose readings.

Findings

Review of the home log shows repeated readings above the individualized target. No hypoglycemic episodes are reported.

Medications

Medication reconciliation confirms basal insulin used every day as established long-term therapy. No oral glucose-lowering or non-insulin injectable medication is used.

Assessment and plan

Type 2 diabetes mellitus with hyperglycemia. Increase the basal insulin dose, continue home monitoring, and return with a new glucose log.

Coding workbench

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Review the chart, then verify each diagnosis before submitting.

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