Question

cpt code

Surgical Case #66 Procedure Performed: Reason for Procedure Amniocentesis The patient is a 32 yearold white female who is gravida 5 intrauterine pregnancy at 36-4/7 weeks gestation. prodromal labor. She has gestational diabetes mellitus and an suggesting fetal weight of greater than 10 poundsultrasound quite unco be delivered. In view of the gestational diabetes requiring insulin I feel it important to document fetal lung maturity in a more or less elective She was admitted in patient has been in recent weeks and is adamant about wanting to I discussed amniocentesis and the risks, benefits and alternatives. After answering her questions she agreed to proceed with the procedure. Under ultrasound guidance a 4 to 5 cm pocket of amniotic fluid was identified in the fundal left side. The abdomen was prepped and draped. Under ultrasound guidance a 22-gauge needle was inserted into this pocket and approximately 8 cc of fluid was obtained, which was lightly blood stained. I attempted to aspirate more using a second syringe but was unable to get further fluid so the procedure was terminated. ultraso Description of the Procedure: Post procedure the fetal heart tracing was obtained and fetal heartbeat was in the 150s. Biophysical profile post procedure was 10 out of 10. We will await the amniocentesis results and if the /s (lecithin/sphingomyelin) is mature we will proceed with cesarean section. Assessment & Plan: Code(s): Index entries:

Answer 1

Code: Z36.84

Index entries: Amniocentesis is done on women to check fetal lung maturity. Z36 denotes the antenatal screening of mother for numerous reasons. Z36.84 is the encounter for antenatal screening of mother for fetal lung maturity.