- Icd 10 Pcs Code Needed 1 (177.72 KiB) Viewed 58 times
ICD 10 PCS CODE NEEDED
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ICD 10 PCS CODE NEEDED
ICD 10 PCS CODE NEEDED
non condition in turned incation. The uterus was returned to the abdomen and inspection of the incisioned to be e procedure well and was taken to the recovery room in the condon bith all the layers being closed and the spongelap, and need counts were corect 2 These & Operative Report PEOPERATIVE DIAGNOSIS Term pregnancy at 40 3/7th weeks pre-existing hypertension OPERATIVE DIAGNOSIS: Term pregnancy at 103.7th weeks, pre-existing hypertension Spontaneous vaginal delivery following artificial rupture of membranes OPERATION DICATIONS: The patient is a 30-vear-old female who presented to labor and delivery trage area 40 and a weeks gestation with complaint of contractions every ten minutes. She also stated that she has lost her acces plug. She did have fetal movement, noted no leak of fluid and did have some spotting PROCEDURE DETAILS: The patient was admitted to labor and delivery for expected management of labor AROM is performed and the amniotic fluid was noted to be meconium stained. After her membranes were ruptured. contractions did increase to every two to three minutes as well as the intensity increased. She had a spontaneous aginal delivery of a liveborn female at 11:57 am from the ROA position. After controlled delivery of the head. ligt nachal cord without compression was noted, which was quickly double damped and cut and the shoul dies and body were delivered without difficulty. The infant was taken to the awaiting pediatrician Weight was 1580 grams, length was 50 cm. The Apgar scores were 6 at 1 minutes and 9 at 5 minutes. Spontaneous delivery of an intact placenta with a three-vessel cord was noted at 12:05 pm, On examination, there was no perineal casions or laceration. One vaginal exam, there were no cervical or vaginal sidewall lacerations. Estimated blood loss was less than 250 cc
non condition in turned incation. The uterus was returned to the abdomen and inspection of the incisioned to be e procedure well and was taken to the recovery room in the condon bith all the layers being closed and the spongelap, and need counts were corect 2 These & Operative Report PEOPERATIVE DIAGNOSIS Term pregnancy at 40 3/7th weeks pre-existing hypertension OPERATIVE DIAGNOSIS: Term pregnancy at 103.7th weeks, pre-existing hypertension Spontaneous vaginal delivery following artificial rupture of membranes OPERATION DICATIONS: The patient is a 30-vear-old female who presented to labor and delivery trage area 40 and a weeks gestation with complaint of contractions every ten minutes. She also stated that she has lost her acces plug. She did have fetal movement, noted no leak of fluid and did have some spotting PROCEDURE DETAILS: The patient was admitted to labor and delivery for expected management of labor AROM is performed and the amniotic fluid was noted to be meconium stained. After her membranes were ruptured. contractions did increase to every two to three minutes as well as the intensity increased. She had a spontaneous aginal delivery of a liveborn female at 11:57 am from the ROA position. After controlled delivery of the head. ligt nachal cord without compression was noted, which was quickly double damped and cut and the shoul dies and body were delivered without difficulty. The infant was taken to the awaiting pediatrician Weight was 1580 grams, length was 50 cm. The Apgar scores were 6 at 1 minutes and 9 at 5 minutes. Spontaneous delivery of an intact placenta with a three-vessel cord was noted at 12:05 pm, On examination, there was no perineal casions or laceration. One vaginal exam, there were no cervical or vaginal sidewall lacerations. Estimated blood loss was less than 250 cc
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