Nursing Codes

Unit 7 Assignment 2 Natasha Lilly HI255: Medical Coding II Kaplan University Unit 7 Assignment 2 Chapter 18 1.) The patient is a 40-year-old G2 P1 woman who is 26-weeks pregnant and being seen for gestational hypertension. Other than being an elderly, multigravida patient, she is not having any other problems during this pregnancy. Code: O13.2 – O09.522 – Z3A.26 3.) Patient returns to the office with breast pain. The patient is a 24-year-old woman who is three weeks postpartum. Final diagnosis documented as nonpurulent postpartum mastitis. Code: O91.22 16.) PROCEDURE: Low cervical cesarean delivery Code: 10D00Z1 Character Code Explanation Section 1 Obstetrics Body System 0 Pregnancy Root Operation D Extraction Body Part 0 Products of Conception Approach 0 Open Device Z No Device Qualifier 1 Low Cervical 20.) PROCEDURE: Treatment of incomplete spontaneous abortion by dilation and curettage (extraction) of retained products of conception. Code: 10D17ZZ Character Code Explanation Section 1 Obstetrics Body System 0 Pregnancy Root Operation D Extraction Body Part 1 Products of Conception, Retained Approach 7 Via Natural or Artificial Opening Device Z No Device Qualifier Z No Qualifier Chapter 19 2.) Full-term newborn was delivered four days ago and discharged home. The infant was readmitted to the hospital and diagnosed with hyperbilirubinemia. Phototherapy was initiated and the baby will continue to have phototherapy provided at home after discharge. Code: P59.9 3.) Newborn, full term, born in hospital, vaginal birth with meconium peritonitis Code: Z38.00 – P78.0 10.) Twin newborn, born in hospital, by cesarean delivery, full term; newborn with neonatal bradycardia Code: Z38.31 – P29.12 11.) Full-term infant, born in hospital, vaginal delivery. Meconium staining was noted at the time of delivery. There were no complications in the infant as a result of it. Code: Z38.00 – P96.83 20.) PROCEDURE: Percutaneous endoscope insertion of feeding tube into jejunum Code: 0DHA4UZ Character Code Explanation Section 0 Medical and Surgical Body System D Gastrointestinal System Root Operation H Insertion Body Part A Jejunum Approach 4 Percutaneous Endoscopic Device U Feeding Device Qualifier Z No Qualifier Chapter 20 3.) Full-term female infant was born in this hospital by vaginal delivery. Her mother has been an alcoholic for many years and would not stop drinking during her pregnancy. The baby was born with fetal alcohol syndrome and was placed in NICU. Code: Z38.00 – Q86.0 10.) Polycystic kidney disease, autosomal recessive Code: Q61.19 13.) Hirschsprung’s congenital megacolon disease Code: Q43.1 18.) PROCEDURE: Reopening of chest wall to control bleeding after thoracic surgery to correct congenital pulmonary abnormality, bleeding controlled and incision closed Code: 0W380ZZ Character Code Explanation Section 0 Medical and Surgical Body System W Anatomical Regions, General Root Operation 3 Control Body Part 8 Chest Wall Approach 0 Open Device Z No Device Qualifier Z No Qualifier 19.) PROCEDURE: Frenulotomy to treat ankyloglossia and speech dysfunction Code: 0CN7XZZ Character Code Explanation Section 0 Medical and Surgical Body System C Mouth and Throat Root Operation N Release Body Part 7 Tongue Approach X External Device Z No Device Qualifier Z No Qualifier Part 2 The condition I chose is Mastitis. I actually had this multiple times when I nursed my son. Mastitis can be a common condition to breastfeeding mothers and is worse than the usual pain of dry, cracked nipples. Mastitis usually occurs within the first 6 to 12 weeks after birth, however it can also happen later on during breast-feeding. Mastitis is usually treated with antibiotics and the pain can be relieved by pumping and nursing. The sample code I chose to use is actually out of our homework; O91.22. This code is for a 24-year-old woman who is three weeks postpartum. References 1.) Casto, A. B. (2015). ICD-10-PCS Code Book 2016. Chicago, IL: American Health Information Management Association. 2.) Casto, A. B. (2016). ICD-10-CM Code Book. Chicago, IL: American Health Information Management Association. 3.) Schraffenberger, L. A. (2015). Basic ICD-10-CM/PCS Coding Exercises (5th Ed.). Chicago, IL: American Health Information Management Association. 4.) Mastitis - Mayo Clinic. (n.d.). Retrieved from http://www.mayoclinic.org/diseases-conditions/mastitis/basics/definition/con-20026633