1.) The 45-year-old female was admitted to the hospital in premature labor at 36 and 4/7^th weeks gestation with 5 cm dilation. The patient is gravida 6, para 5 with five daughters at home ranging in age from 8 to 18 years. This was a "surprise" pregnancy to this elderly multigravida patient and her husband. Two antepartum ultrasounds predicted the birth of a male infant, which has brought considerable excitement to the family. The patient's labor was augmented with Pitocin drip, and she was placed on an external fetal monitor. The patient has a known cystocele that was monitored during the pregnancy and will probably require surgical treatment in the near future. After a short period of labor, the patient had a manually assisted delivery of a healthy male infant at 4 lb 2 oz with Apgar scores of 8 and 9 at one and five minutes. When the patient was visited by the delivering physician in her room later the same day, the patient asked if it was "too late" for tubal ligation, as she and her husband concluded their family was complete and she desired permanent sterilization. The next day the patient was taken to the operating room for a postpartum endoscopic tubal ligation by division and ligation, which was completed uneventfully. The patient was discharged home on day 3, but the male infant remained in the nursery for observation and weight gain. Discharge instructions and a follow-up appointment with her obstetrician were given to the patient.

A.) What are the ICD-10-CM Codes For This Case Study? (There are 6 CM codes)

B.) What are the ICD-10-PCS Codes For This Case Study? (There are 3 PCS Codes)

2.) The obstetrics patient at 15 weeks gestation (second trimester) is seen for her regular antepartum visit. The woman has confessed to using cocaine both prior to and during her current pregnancy. A drug screen performed during this visit is positive for cocaine. She feels she is unable to quit using the drug on her own, but wishes to become drug-free for the safety of her baby and herself. The patient has consented to admission later today to a specialized antepartum unit at a nearby hospital for drug detoxification and cocaine dependence treatment.The patient will be seen again in the OB clinic in 1 month for continued antepartum care. The patient is also being treated for a urinary tract infection during the pregnancy.

A.) What are the 4 ICD-10-PCS Codes For This Case Study?

3.) The patient is a 23-year-old female, gravida 2, para 1, AB 0, who was admitted to the hospital in the early morning hours reporting she had sporadic contractions for the past 24 hours.She is 38 and 1/7 weeks gestation. At 2:45 a.m. she had an artificial rupture of membrane, her cervix was 4-5 cm dilated and 90% effaced. She had some variable fetal heart rate decelerations on the external fetal monitor. She was pushing with some of her contractions, and the fetal distress appeared to worsen. Presentation was vertex, and station was minus 1 for most of the morning. The fetal head came down to about zero station. However, since the fetal distress did not abate, a long discussion was held with the patient and her mother about a change in the management of her anticipated delivery. The doctor recommended a cesarean delivery for the intrauterine pregnancy be performed because of the fetal distress caused by fetal heart rate decelerations, and the patient consented to it. A low cervical cesarean section was performed at 10 a.m. under spinal anesthesia. A viable male infant with spontaneous respiration and cry was delivered. The cord was doubly clamped and cut, and the infant was placed in the warmer and examined by the pediatrician. The mother's placenta was removed, uterine cavity cleaned, and the uterine incision closed in two layers. Careful inspection of the uterus, fallopian tubes, and ovaries did not reveal any unusual findings or bleeding. The peritoneum was closed vertically, and the fascia was closed. Subcutaneous tissue was closed with plain silk, and the skin was closed with subcuticular sutures followed by staples. The patient received Pitocin and a gram of Ancef, per protocol. The patient's estimated blood loss was about 500 cc with no surgical complications. Postoperatively the patient complained of the typical abdominal discomfort from the incision. The patient was known to have microcytic anemia during her pregnancy, and the anemia was present at the time of delivery and at discharge as well. The anemia continued to be treated. The patient was discharged with her newborn son on day 3 with a follow-up appointment in the obstetrician's office in 10 days.

A.) What are the 5 ICD-10-CM Codes For This Case StudyjQuery200043966631837312686_1518640980405

B.) What are the 3 ICD-10-PCS Codes For This Case Study?

4.) The patient is a 30-year-old woman, gravida 3, para 2, in week 40 of pregnancy. The patient is admitted for "induction of labor at term." There is no other reason documented by the physician as the reason for labor induction. The patient was not in labor at the time of admission. The induction is performed by artificial rupture of membranes. Labor proceeds normally, and the woman delivers a healthy male infant vaginally without complications. The mother and baby were able to be discharged on the hospital day 2.

A.) What are the 3 ICD-10-CM Codes?

B.) What are the 2 ICD-10-PCS Codes?