LET'S PRACTICE 3-4 Inpatient Cesarean Section Delivery Indications: DR. AlPhA COVERING OB FOR DR. BELA. Dr. Alpha DELIVERS the baby and then CARE IS TRANSFERRED back to the PRIMARY CARE PHYSICIAN, DR. BELA. The 27-YEAR-Old GRAVIDA 1, PARA presented today to labor and delivery with ruptured membranes (2 hours) in early la- bor. PATIENT blood tYPE IS O+, COObS NEGATIVE, Rubella IMMUNE, VDRL nonREACTIVE, And GROUP B STREP NEGATIVE. NURSE noticed that thERE WAS A light MECONIUM STAINING. THE PATIENT IS AT TERM39 weeks and 5 days. Upon INSPEC- Steps: 1. Look UP DELIVERY COMPLICATED by high head at TERM 2. Look UP DELIVERY COMPLICATED by MECONIUM 3. Look UP DELIVERY COMPLICATED by fetal STRESS 4. Look UP PREGNANCY, WEEKS of GESTATION 5. Look UP OUTCOME of dELIVERY 6. VERIFY CODES In tabular list 7. In CPT book look UP CAESAREAN DELIVERY 8. VERIFY PROCEDURE code in tabular list What's your coding rationale? Diagnoses tion, the baby's head had not ENGAGED. PATIEnt dilated to 3 CM And RECEIVED AN EPIDURAL At which tIME the baby had A Prolonged bout of bRADYCARDIABecause of the un- engaged head, the meconium, and the fetal bradycardia, elected to perform a primary low cervical transverse C-section. (FIGURE 3-3). A healthy male infant WEIGHING 8 lbs., 4 oz., 21 inches WAS DELIVERED. APGARS WERE 8 And 9. THERE WAS A TWO-VESSEL CORD. THE PATIENT'S REGULAR PhySI- DX 3 CIAN Will TAKE OVER CARE In the hospital STARTING TOMORROW. Follow-UP will be AS PER HER REGULAR PHYSICIAN. First Listed DX DX 2 DX 4 DY ICD-10-CM Codes