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Discharge Summary: This 28-year-old female presented to the hospital on 4/14/XX in active labor and was...

Discharge Summary: This 28-year-old female presented to the hospital on 4/14/XX in active labor and was admitted to the labor and delivery area. Pregnancy History: This is the second pregnancy for this woman. She previously delivered a male infant 2 years ago. This pregnancy was normal with no complications. Hospital Course: The patient was in labor for 9 hours and delivered a 7-pound, 12-ounce female at 1:23 a.m. on 4/15/XX. The child was examined by Dr. Peterson and referred to her care. The remaining hospital course was uneventful. Discharge Instructions: The patient was instructed to follow-up in my office in 10 days or sooner if any concerns develop.

I need the 2 ICD-10-PCS codes for this summary

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Answer #1

In the given condition a 28 year old in labour delivered a single live birth baby with no complications. The ICD 10 PCS codes that can be used are

1. Single live Birth - Z37.0

2. Uncomplicated Delivery - O80

CPT Code : 59400 for vaginal delivery.

Also there was a previous history of birth to a male baby and in this delivery baby is referred to further care.

1. New born Screening : Z13.228

CPT Code 96161

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