[Verified Answer]: Patient Name: Klatz, Donald MR# 1011247…

Patient Name: Klatz, Donald MR# 1011247 Date of Service: 03/12/YYYY Clinic note: A new patient presents to the clinic today complaining of fever and chills, headache, acute cough, and difficulty breathing. He is using OTC Nyquil and Ibuprofen to Tx symptoms. A home Covid-19 test was negative. Medications: No current Rx Past medical history: Appendicitis and T&A Allergies: Shell fish PFSH: The patient states he does not smoke or use recreational drugs. He gets moderate exercise weekly. No current Rx. ROS: HEENT: Slight redness in ear canal, nose has mucous, throat red with white pustules NECK: Enlarged lymph nodes HEART: RRR, no murmur heard LUNGS: Heavy rales, percussion test suggests buildup in both lungs ABDOMEN: Soft and tender EXTREMITIES: Normal In house test: Rapid Covid-19, negative Impression: Suspected Streptococcal pneumonia Treatment Plan: Order Rx of lungs. Rx, 14 day course Azithromycin. Follow-up one week. Four codes required to code this encounter. If there are no guidelines indicating sequencing, code in order of complaint: , , ,