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REVIEW EACH CASE STUDY AND SELECT THE CORRECT ICD-10-CM DIAGNOSTIC CODE.. CASE 1: Weight: 150 pounds....

REVIEW EACH CASE STUDY AND SELECT THE CORRECT ICD-10-CM DIAGNOSTIC CODE..

CASE 1: Weight: 150 pounds. This is a weight gain of 7lbs since her last visit 3 weeks ago. Blood pressure: 140/80.
Patient symptoms indicate mild pre-eclampsia during her 39th week. Patient advised to decrease salt intake and to follow up in 2 weeks

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CASE 2: This patient is gravida 2, para 1, and was seen in my office for all of her prenatal visit. Her prenatal course was uneventful. She was admitted with a history of contractions every 3 to 5 mins. Cervix was 100% effaced and 9cm dilated. HOSPITAL COURSE: At the time of admission, patient received IV and was placed on a fetal monitor. Her water broke at 2 A.M. After 3 hrs the patient delivered a baby boy with apgar scores of 8 at 1min and 10 at 5 mins. Postpartum care was uneventful. The patient was discharged 2 days later.

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CASE 3: This patient presents today in the 38ths week of her pregnancy. She complains of increased fatigue over the last month, edema of both legs, shortness of breath, and difficulty breathing when lying down. Review of diagnostic testing: EKG, chest X-ray, and coronary angiography results support a diagnosis of peripartum cardiomyopathy.

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CASE 4: 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 preformed.

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CASE 5: This 27-year old female, who is 12 weeks pregnant, is experiencing increased urination, increased fatigue, and bouts of nausea. An in-office blood sugar reading was 245, so a glucose tolerance test was ordered. The results confirmed gestation diabetes. Insulin is not necessary at this time.

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CASE 6: This 25-year old patient is being seen today for follow-up care. She has gestational diabetes that is controlled by diet. The pregnancy is progressing well. Vital signs are within normal limits. The fetal heartbeat was normal. She is to follow up with me in 3 weeks. This is the 30ths week of pregnancy.

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CASE 7: This 25-year-old, 29-week-pregnant patient presents to the office today stating that she is expreiencing urinary urgency, dysuria, and low back pain. Urinalysis and C/S confirmed UTI due to E. Coli. A prescription for antibiotics was written.

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CASE 8: This 13-weeks-pregnant patient is being discharged today following a 7-day length of stay for severe hyperemesis with electrolyte imbalance. She was given IV prenatal vitamin supplement and was NPO. After 4 days the vomiting subsided. She is now able to tolerate small amounts of food. She is discharged home at this time with instructions to call me if the vomiting persists throughout an entire day.

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CASE 9: This 42-year old pregnant patient is being seen today for a 24-week prenatal visit. This is her first pregnancy. Vital signs are normal. Blood glucose is within normal limits. Fetal heartbeat is normal. The pregnancy is progressing well. I will see her in 2 weeks.

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CASE 10: This patient returns to my office today following delivery of a female infant 2 weeks ago. She states that she is having bilateral breast pain that is increasing in intensity for the last 4 days. Upon exam both breast appear red and warm to the touch, confirming puerperal mastitis. The patient is very anxious about this and I informed the patient that this is nothing to be alarmed about. The patient was instructed to apply a heated compress to both breast and to take Tylenol for the discomfort and to wear a firm supporting bra to increase her comfort.

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Answer #1

CASE - 1

Patient symptoms indicate mild pre-eclampsia during her 39th week.

ICD 10 diagnosis code is O14.3

(Above O in the code is a letter O)

O14 is for Pre-eclampsia and O14.3 is for Mild to moderate Pre-eclampsia.

Answer - O14.3

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