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To choose the first-listed diagnosis, look for the diagnosis that represents the main reason the patient is being seen and code that first. Then, code any secondary diagnoses that were treated or managed. In this activity, you will review four patient scenarios and then use your diagnostic coding manual to identify the first-listed diagnosis for each. Jack is seen today with a complaint of a burning sensation in his chest and excessive belching and bloating for the past two days. He has tried several types of antacid with very little relief. An EKG performed in the office was normal. After further discussion with the patient, the physician determines the symptoms occurred after the patient had eaten a large quantity of food from a buffet that had many different types of spicy foods. Jack also has a history of a peptic ulcer but has not been bothered by it for almost one year. This appears to be a case of indigestion with excessive gas. Over-the-counter medication is recommended to provide relief. Enter the first-listed diagnosis code in the blank:
SCIENCE
HEALTH SCIENCE
NURSING

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