c Coding additional perinatal diagnoses 1 Assigning codes for conditions that

C coding additional perinatal diagnoses 1 assigning

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c. Coding additional perinatal diagnoses 1) Assigning codes for conditions that require treatment Assign codes for conditions that require treatment or further investigation, prolong the length of stay, or require resource utilization. Newborn delivered via vaginal delivery in Rural Hospital A, experienced meconium aspiration resulting in pneumonia. Rural Hospital A is not equipped to handle the extensive respiratory therapy this baby needs and transfers the patient to Metropolis Hospital B, where the pneumonia resolves and the newborn is eventually discharged. Rural Hospital A Z38.00 Single liveborn infant, delivered vaginally P24.01 Meconium aspiration with respiratory symptoms Metropolis Hospital B P24.01 Meconium aspiration with respiratory symptoms Explanation: A code from category Z38 is a one-time use only code. The hospital that actually delivered the newborn, in this case Rural Hospital A, can append a code from category Z38 but for the delivery admission only. Once the patient is transferred or discharged, the Z38 category no longer applies for that patient. The reason for the transfer to Metropolis Hospital B was for the respiratory symptoms (pneumonia) the newborn was exhibiting secondary to aspirating meconium. A 7-year-old patient with history of birth injury that resulted in Erb’s palsy is seen for subscapularis release P14.0 Erb’s paralysis due to birth injury Explanation: Although in this instance Erb’s palsy is specifically related to a birth injury, it has not resolved and continues to be a health concern. A perinatal code is appropriate even though this patient is beyond the perinatal period. Newborn delivered via vaginal delivery; previous ultrasounds showed what appeared to be an abnormality of the right kidney. Kidney function tests were performed and ultrasounds taken and any genitourinary conditions ruled out. Z38.00 Single liveborn infant, delivered vaginally Z05.6 Observation and evaluation of newborn for suspected genitourinary condition ruled out Explanation: The newborn had no signs or symptoms of kidney or other genitourinary condition but was evaluated after delivery due to the abnormal prenatal ultrasound findings. A Z code describing the type and place of birth should be coded first, followed by a Z05 category code for the work performed to rule out a suspected genitourinary condition.
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Guidelines and Examples Chapter 16. Certain Conditions Originating in the Perinatal Period ICD-10-CM 2017 Chapter 16. Certain Conditions Originating in the Perinatal Period 468 ICD-10-CM 2017 2) Codes for conditions specified as having implications for future health care needs Assign codes for conditions that have been specified by the provider as having implications for future health care needs. Note: This guideline should not be used for adult patients.
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