Medication Adjustment and Risk-Factor Review

Code from chart · WRK-021

Clinical chart

Signed note

Signed encounter note

DOS · 2026-10-30Assignment · WRK-021Setting · Outpatient physician office

Reason for visit

Follow-up for blood-pressure readings that remain above goal.

Interval history

Home readings over the past two weeks have generally been in the 150s/90s despite taking the current medication as directed. No chest discomfort, shortness of breath, or medication adverse effect is reported.

Results reviewed

The recent lipid panel and lipid-lowering medication are reviewed; mixed hyperlipidemia remains stable.

Assessment and plan

Essential hypertension is above goal. Increase the antihypertensive dose and continue the home log. Continue current therapy for mixed hyperlipidemia without change.

Coding workbench

Code this encounter

Review the chart, then verify each diagnosis before submitting.

Diagnosis codes

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

No diagnoses selected yet. Add the first-listed diagnosis, then any additional diagnoses.

When you need a nudge

Hints

Open one level at a time. Using any hint means a later first solve is recorded as solved with hints.

Submits your answer for feedback only. Nothing is sent to a payer.

Select a first-listed diagnosis before submitting.