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Presents today with wheezing and shortness of breath, states has been better, but had to walk from parking lot.Vitals - T - 99.2, BP - 132/89, P 48, O2 - 91 , Ht 6, Wt 210, BMI 28.5PMH COPD, Legionnaires (1997), BPH, EmphysemaSocial divorce 2, admits to 2 drinks per day, smoker for 16 years, quit smoking 2010 (32 pack years)Medications albuterol sulfate, 1 inhalation 2-4 hoursDiagnosis: COPD/EmphysemaCoded as:J43.9 Emphysema, unspecified Z87.891 History of tobacco dependence*The sole purpose of the examples is to demonstrate the application of coding guidelines discussed in the materials

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This sphincter impairment contributes to stone formation in the gallbladder and biliary tract, which increases the risk of acute (or chronic) biliary pancreatitis and the development of chronic obstructive pancreatitis, thereby enhancing pancreatic fibrosis