Question

   Emergency Department Note
This 26-year-old pregnant female presented to the emergency department. At the time of admission she was experiencing crampy abdominal pain. She stated that at home she had passed a considerable amount of blood. She is also having vaginal bleeding at this time. She states it has been 8 weeks since her last menstrual period.
Diagnosis: spontaneous abortion.
Plan: I will contact the patient’s OB to determine a plan of care.

What is the correct ICD-10-CM diagnostic code(s) for this case?...…X………...

Case 4
Discharge Note
Linda presented to the hospital in active labor. She was admitted, and a fetal monitor was used, which showed a very unstable fetal heart rate of 100–125. After physical examination, it was determined that she was fully dilated but the baby was in breech position. Linda was instructed to begin pushing, at which time the fetal heart rate dropped. It was decided that an attempt would be made to turn the baby, but this attempt was unsuccessful. At this point, an emergency cesarean delivery was successfully performed.
ICD-10-CM Code Assignment...……X……. ,...……X……. ,...……X…….

antepartum anemia complicating pregnancy...…X………. ,...……X………. , .......X......

liver disorders in childbirth ........X...........,........X........

contraction ring dystocia, 42 weeks .......X...........,.......X...........,........X..........

delivery with retained placenta with manual removal of retained placenta, 42 weeks...…X…….. ,...……X…….. , .…...X........

obstruction of delivery during labor caused by prolapsed arm of fetus, 41 weeks ......X..........,.....X......... , ........X.…....

cervical incompetence, Shirodkar suture needed to hold pregnancy ……X………,...…X………,...…X

Answer 1

ICD 10 CM- International statistical classification of disease 10 th version clinical modification. It is used to code the diagnosis, symptoms, procedure.

ICD 10 CM CODE for spontaneous abortion- O03.9

ICD 10 CM Code for abnormality in fetal heart rate and rhythm complicating labor and delivery- O76

ICD 10 CM code for Maternal care for Breech presentation- O32.1

ICD 10 CM code for Delivery by emergency caesarean section- O82.1.

ICD 10 CM code for Anemia complicating pregnancy- O99.0

ICD 10 CM code for Anemia complicating pregnancy, Unspecified trimester- O99.019

ICD 10 CM code for Anemia complicating pregnancy, First trimester- O99.011

ICD 10 CM code for Anemia complicating pregnancy, Second trimester- O99.012

ICD 10 CM code for Anemia complicating pregnancy, Third trimester- O99.013

ICD 10 CM code for Liver and biliary tract disorders in pregnancy, childbirth and the puerperium - O26.6

ICD 10 CM code for Liver and biliary tract disorders in childbirth - O26.62

ICD 10 CM code for Contraction ring dystocia - O62.4

ICD 10 CM code for 42 weeks of gestation- Z3A.42

ICD 10 CM code for retained placenta without hemorrhage - O73.0

ICD 10 CM code for retained portion of placenta without hemorrhage - O73.1

ICD 10 CM code for 42 weeks of gestation- Z3A.42

ICD 10 CM code for 41 weeks of gestation- Z3A.41

ICD 10 CM code for Obstructed labor due to malpresentation and malposition of fetus- O64

ICD 10 CM code for Obstructed labor due to prolapsed arm - O64. 4

ICD 10 CM code for cervical Incompetence- N88.3

ICD 10 CM code for Maternal care for shirokar suture with or without cervical Incompetence- O34.3

ICD 10 CM code for Maternal care for shirokar suture with cervical Incompetence- O34.33