2 Encounter for elective termination of pregnancy This advice is appropriate

2 encounter for elective termination of pregnancy

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and Z33.2, Encounter for elective termination of pregnancy. This advice is appropriate even when the patient was discharged previously with a discharge diagnosis of complete abortion. 3) Complications leading to abortion Codes from Chapter 15 may be used as additional codes to identify any documented complications of the pregnancy in conjunction with codes in categories in O07 and O08. r. Abuse in a pregnant patient For suspected or confirmed cases of abuse of a pregnant patient, a code(s) from subcategories O9A.3, Physical abuse complicating pregnancy, childbirth, and the puerperium, O9A.4, Sexual abuse complicating pregnancy, childbirth, and the puerperium, and O9A.5, Psychological abuse complicating pregnancy, childbirth, and the puerperium, should be sequenced first, followed by the appropriate codes (if applicable) to identify any associated current injury due to physical abuse, sexual abuse, and the perpetrator of abuse. See Section I.C.19. Adult and child abuse, neglect and other maltreatment. Patient was seen two days ago for complete spontaneous abortion but returns today for urinary tract infection (UTI) with ultrasound showing retained products of conception O03.38 Urinary tract infection following incomplete spontaneous abortion Explanation: Although the diagnosis from the patient’s previous stay indicated that the patient had a complete abortion, it is now determined that there were actually retained products of conception (POC). An abortion with retained POC is considered incomplete and in this case resulted in the patient developing a UTI.
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Chapter 16. Certain Conditions Originating in the Perinatal Period ICD-10-CM 2017 Chapter 16. Certain Conditions Originating in the Perinatal Period Guidelines and Examples ICD-10-CM 2017 467 Chapter 16. Certain Conditions Originating in the Perinatal Period (P00–P96) Chapter Specific Guidelines with Coding Examples The chapter specific guidelines from the ICD-1 0 -CM Official Guidelines for Coding and Reporting have been provided below. Along with these guidelines are coding examples, contained in the shaded boxes, that have been developed to help illustrate the coding and/or sequencing guidance found in these guidelines. For coding and reporting purposes the perinatal period is defined as before birth through the 28th day following birth. The following guidelines are provided for reporting purposes a. General perinatal rules 1) Use of Chapter 16 codes Codes in this chapter are never for use on the maternal record. Codes from Chapter 15, the obstetric chapter, are never permitted on the newborn record. Chapter 16 codes may be used throughout the life of the patient if the condition is still present. 2) Principal diagnosis for birth record When coding the birth episode in a newborn record, assign a code from category Z38, Liveborn infants according to place of birth and type of delivery, as the principal diagnosis. A code from category Z38 is assigned only once, to a newborn at the time of birth. If a newborn is transferred to
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