What is the Primary Diagnosis, Secondary Diagnosis,

What is the Primary Diagnosis, Secondary Diagnosis, CPT code, and EM Level (If any) for the following scenario: Electronic Medical Record Office Visit Date: 11/01/2019 _____ MD Reason for Visit: Follow up of R cataract; Referred by _____, MD Visit Diagnoses Combined form of age-related cataract, both eyes Blurry vision Noise-induced hearing loss of both ear Chronic fatigue Essential hypertension, benign Vital Signs – Last Recorded Most Recent Update: 11/01/2019 16:14 BP: 142/62 Pulse: 65 Resp: 16 Ht: 1.651 m (5′ 5″) Wt: 75.3 kg (166 lb) BMI: 27.62 kg/m² History of Present Illness: Patient is a 81 Years old male here for follow up of R cataract. Patient was accompanied by the patient’s wife, who provided additional HPI. He reports that he is need of R cataract surgery and he is scheduled for it on 01/15/2019 with Dr. _____, Ophthalmology. He has noticed that he was squinting more often. He can see much more clearly out of his L eye. He is also possibly interested in a second opinion to see if laser surgery could be an option. Patient believes his hearing has worsened. She notes that he often misses parts of a conversation. He agrees that he sometimes

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