THIS IS A 78-YEAR-OLD MALE VETERAN WHO IS SEEN FOR HIS REGULAR APPOINTMENT

THIS IS A 78-YEAR-OLD MALE VETERAN WHO IS SEEN FOR HIS REGULAR APPOINTMENT. HE HAS A LONG-STANDING HISTORY WITH DIABETES MELLITUS, TYPE 2. HIS CONDITION HAS BEEN STABLE. HE USED TO COMPLAIN ABOUT A SLEEPING PROBLEM, BUT NO LONGER COMPLAINS OF SLEEPING PROBLEMS. HE REMAINS STABLE ON GLUCOPHAGE AND WAS RECENTLY PRESCRIBED LIPITOR FOR HYPERLIPIDEMIA, AND BOTH WERE REFILLED TODAY. DIAGNOSIS: DIABETES MELLITUS, TYPE 2, CONTROLLED. HYPERLIPIDEMIA. PLAN: CONTINUE MEDICATIONS AS PRESECRIBED CODE USING ICD-10-CM AND CPT