062.2 : Other uterine inertia Z3A.41: 41 weeks gestation of pregnancy Z37.0: Single live birth 10D07Z5: Extraction of products of conception, high forceps, via natural or artificial opening 0W8NXZZ: Division of female perineum, external approach To Locate: 062.2: Delivery > complicated by > inertia > uterine Z31.41: Pregnancy > weeks of gestation > 41 weeks Z37.0: […]
A 24-year-old patient is admitted in active labor at 41 weeks gestation. After being in labor for 32 hours, due to poor contractions a high forceps delivery was required. A single female infant was delivered over a perineum that required an episiotomy. How would you code for this?
ICD-10 PDx: O60.03 (Premature labor without delivery, third trimester) SDx: O09.613 (Supervision of young primigravida, third trimester) Z3A.30 (30 weeks gestation of pregnancy) To Locate: O60.03: Index > Premature > labor > see Pregnancy complicated by preterm labor > third trimester > without delivery O09.613: Pregnancy > Supervision of > young mother > primigravida […]
15-year-old patient is admitted at 30 weeks gestation with abdominal pain and questionable labor. On exam she was 50% effaced and tight fingertip dilated with cephalic presentation. She was placed on Terbutaline. By the next day, she was without discomfort or contractions, and was discharged. Final diagnosis: Premature labor, undelivered. How would you code for […]
IPDx: I48.1 (Persistent atrial fibrillation) SDx: I11.9 (Hypertensive heart disease) Px: 02564ZZ (Destruction of right atrium, percutaneous endoscopic approach) 02574ZZ (Destruction of left atrium, percutaneous endoscopic approach) To Locate: I48.0: Fibrillation > atrial > paroxysmal I11.9: Hypertension, hypertensive > heart > I11.9 02564ZZ: Ablation > see Destruction > Atrium > Right […]
A patient diagnosed with a history of hypertensive heart disease was recently diagnosed with persistent atrial fibrillation for which he was admitted. He underwent a Maze procedure (ablation of atrial tissue) of the right and left atrium. The Maze procedure was performed thorascopically. How do you code the diagnoses and procedures?
ICD-10-CM PDx: I44.2 (Atriventricular block, complete) ICD-9-CM PDx: 426.0 Pxs: 0JH636Z (Insertion of pacemaker, dual chamber into chest subcutaneous tissue and fascia, percutaneous approach) 02H63JZ (Insertion of pacemaker lead into right atrium, percutaneous approach) 02HK3JZ (Insertion of pacemaker lead into right ventricle, […]
How would you code insertion of a dual chamber permanent pacemaker, pulse generator, and an antimicrobial envelope in a patient with 3rd degree atrioventricular block? One lead was placed in the right ventricle and the other lead was placed in the right atrium. The leads were inserted via transvenous percutaneous approach. The pulse generator was […]
02100Z9: Bypass coronary artery, one site from left internal mammary artery, open approach 5A1221Z: Performance of cardiac output, continuous To Locate 02100Z9: 02100Z9: Px index > Bypass > Artery > Coronary > 0210 > locate table 021 and go across the row to assign the remaining characters: Section […]
