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…...
.
ICD -10-CM CODE is the tenth version of international classification of disease and is used by the healthcare workers to code a disease .
ICD-10-CM code :-
Spontaneous abortion is 003.9SA
Emergency cesarean section is 0.75.82
Antepartum anemia complicating pregnancy is D64.9
Liver disorders in childbirth is 026.62
Contraction ring dystocia is 062.4
Emergency Department Note This 26-year-old pregnant female presented to the emergency department. At the time of...
Emergency Department NoteThis 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...
USING AN ICD-10-CM CODE BOOK, ASSIGN THE PROPER DIAGNOSIS CODES TO THE FOLLOWING DIAGNOSTIC STATEMENTS. Severe pre-eclampsia, 16 weeks ... Antepartum hemorrhage, 10 weeks ... Vomiting complicating pregnancy, 8 weeks ... Low-lying placenta (during pregnancy, no hemorrhage) ... Tubal pregnancy, 5 weeks ... Termination of pregnancy complicated by renal failure, 13 weeks ... Upgrade to remove ads Only $0.99/month Miscarriage at 10 weeks' gestation ... Cervical pregnancy, 14 weeks ... Uterine fibroid found, 29 weeks ... Twin pregnancy, 20 weeks...
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 ... CASE 2: This patient is gravida 2, para 1, and was seen in my office for all of her prenatal visit. Her prenatal course...
Antenatal Scenario Sara Mohammed a 37- year old female pregnant came to hospital for follow up during 35 weeks gestation age. She is G2p1A0. Her LMP: 11/7/2019. She had complaints of back pain , incontinence and constipation . Past Obstetrical History: -1 previous NSVD (Normal spontaneous vaginal delivery -Last birth was 3 years ago by NSVD, weighed 3200 grams -No previous obstetrical complications or morbidity -No Past Medical Surgical History or Family history Social History: Patient lives with her husband...
Antenatal Scenario Sara Mohammed a 37- year old female pregnant came to hospital for follow up during 35 weeks gestation age. She is G2p1A0. Her LMP: 11/7/2019. She had complaints of back pain , incontinence and constipation . Past Obstetrical History: -1 previous NSVD (Normal spontaneous vaginal delivery -Last birth was 3 years ago by NSVD, weighed 3200 grams -No previous obstetrical complications or morbidity -No Past Medical Surgical History or Family history Social History: Patient lives with her husband...
son for Consultation: High-risk pregnancy with lete-term bleeding History of Present IIiness Patient is a 23-year-old female. She is currently estimated to be at 175 days of gestation. She has had a 23-lb weight gain with this pregnancy. Amnlocenteses at 20 weeks Indicated male fetus with no evidence of genetic or developmente disorders. She noticed a moderate degree of vaginal bleeding this morning but denles any cramping or pelvic pain. She immediately saw her obstetrician who referred her for high-risk...
SCENERIO Mrs. M is a 76-year-old Caucasian female who presented to the emergency department with extreme weakness, shortness of breath and increasing ankle edema which has progressively worsened over the last two weeks. Mrs. M has a history of myocardial infarction 8 years ago requiring stents. In addition, Mrs. M medical history is significant for HTN, DM Type II and Stage 4 Chronic Kidney Disease. Ms. M sees her primary care physician often for adjustments of her diuretics. She notes...
The patient, a 20-year-old female, presented to the emergency department complaining of bilateral arm and shoulder pain, "yellow eyes," and dark urine. The emergency department evaluation revealed profound jaundice with markedly elevated liver function tests. The patient was admitted for further evaluation. A non-contrast gall bladder ultrasound was negative for gall stones. Hematological studies indicated sickle-cell disease, which could be contributing to the jaundice. Because the liver function gradually improved, it was felt that she could be further evaluated as...
Mrs. M is a 76-year-old Caucasian female who presented to the emergency department with extreme weakness, shortness of breath and increasing ankle edema which has progressively worsened over the last two weeks. Mrs. M has a history of myocardial infarction 8 years ago requiring stents. In addition, Mrs. M medical history is significant for HTN, DM Type II and Stage 4 Chronic Kidney Disease. Ms. M sees her primary care physician often for adjustments of her diuretics. She notes her...
Antenatal Scenario Sara Mohammed a 37- year old female pregnant came to hospital for follow up during 35 weeks gestation age. She is G2p1A0. Her LMP: 11/7/2019. She had complaints of back pain , incontinence and constipation . Past Obstetrical History: -1 previous NSVD (Normal spontaneous vaginal delivery -Last birth was 3 years ago by NSVD, weighed 3200 grams -No previous obstetrical complications or morbidity -No Past Medical Surgical History or Family history Social History: Patient lives with her husband...