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The patient had no complications during pregnancy, and is admitted in labor. She delivers a healthy liveborn infant. However, the patient experiences a periurethral laceration during delivery that ...
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A 41-week pregnant patient was admitted in labor. Her pregnancy is complicated by gestational diabetes mellitus and post-term status. The patient delivers and suffers a second degree perineal lacer...
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The patient is admitted for induction of labor due to gestational hypertension and experiences a third degree laceration and a nuchal cord entanglement during delivery. What is the principal diagno...
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The patient is admitted with spontaneous rupture of membranes greater than 24 hours. The patient failed to progress in labor with arrested dilation. Pitocin augmentation was administered.
She...
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A patient had a completely normal delivery, except for an obstetric third-degree perineal laceration. Is it correct to separately code each body part (i.e., perineum and anal sphincter) or should t...
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A patient had a spontaneous vaginal delivery and experienced an obstetric fourth-degree perineal laceration. Is it correct to assign a code for each body part separately (i.e., perineum and anal sp...
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A pregnant patient, 13-weeks gestation, presents for anteversion of retroverted incarcerated uterus. During the procedure, the posterior wall of the uterus was pushed and the uterus was corrected b...
The ICD-10-P...
The patient presented at 39-weeks gestation for delivery. Due to maternal exhaustion, the decision was made to proceed with assisted vaginal delivery. First a vacuum was placed and assistance was g...
The vacuum w...
Please reconsider the advice previously published in Coding Clinic, First Quarter 2014, page 25, stating that the coder cannot assume either diastolic or systolic failure or a combination ...
Based on add...
The ICD-10-CM Alphabetic Index entry for 'Diabetes with' includes listings for conditions associated with diabetes, which was not the case in ICD-9-CM. Does the provider need to document a relation...
According to...