Metabolic Medication Review

Code from chart · WRK-006

Clinical chart

Signed note

Signed encounter note

DOS · 2026-10-13Assignment · WRK-006Setting · Outpatient physician office

Reason for visit

Follow-up for type 2 diabetes and review of the current medication plan.

Interval history

Home glucose readings have remained consistent, and the patient reports taking metformin daily as prescribed.

Medications and status

Metformin has been used for several years as long-term oral glucose-lowering therapy. The patient does not use insulin or an injectable non-insulin drug.

Assessment and plan

Type 2 diabetes mellitus without complications. Continue metformin and the current nutrition and activity plan. No medication changes are planned today.

Coding workbench

Code this encounter

Review the chart, then verify each diagnosis before submitting.

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Add every supported diagnosis in reporting order. Position 1 is first-listed.

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