ICD 10 Chapter 21: Certain Conditions Originating in the Perinatal Period
Terms in this set (45)
(T/F) Code P95 reports stillbirth
(T/F) Codes from this chapter can be found in the record of either the mother or the newborn.
(T/F) Low birth weight may be referred to as "fetal immaturity."
(T/F) Code P83.9 would be used to report congenital hydrocele.
(T/F) Acidosis of the newborn would be reported with code P70.
The perinatal period extends from birth up to______.
Code_____reports massive umbilical hemorrhage of the newborn.
Code P29.0 reports_______.
Neonatal cardiac failure
Respiratory failure of the newborn is reported with code_______.
Congenital tuberculosis is coded with code_______.
Maternal hypertension affecting the fetus
Dehydration of newborn
Post-term infant, 41 weeks
Premature baby, birth weight of 1900 grams
Fetal malnutrition, 6 days old, 1300 grams
Cold injury syndrome of the newborn
Transitory neonatal hypoglycemia
CNS dysfunction in newborn due to birth injury
Mild birth asphyxia
Pulmonary hemorrhage originating in the perinatal period
Bronchopulmonary dysplasia originating in the perinatal period
Placenta previa affecting the fetus
Acidosis of newborn
Birth injury to brachial plexus
CASE 1: Two day old infant examined today to follow up after the results of diagnostic tests. Infant continues to exhibit signs of infant respiratory distress syndrome, type 2
CASE 2: 2/3/XX Five-hour old neonatal is jaundiced, and delivering physician has just determined that the child is RH-positive and mother is RH-negative. The mother just moved to the area, and it cannot be determined from history whether the mother had screening for RH incompatibility prior to delivery.
CASE 3: The patient was discharged in stable condition on 1/20/XX. She is to continue on breast milk and can be supplemented with Similac with iron. The patient is the product of a full-term gestion. The Apgars were 9 and 10. Birth weight was 6lbs 10ozs. Physical examination shortly after birth was negative. The infant's temperature was elevated, and urinalysis revealed a urinary tract infection. The plan was to observe the patient. Antibiotic therapy was started.
She had no difficulty nursing and ate well while she was in the hospital. She had no problems with her bowel movements. On the day of discharge, the patient's weight was down 3ozs from birth. She will be seen in my office in 7days.
CASE 4: The patient is a female, born 36hrs ago and now experiencing convulsions. The product of a normal delivery with birth weight of 7lbs 2ozs. Her vital signs are normal at this time. The nursing staff contacted the physician immediately upon noting the convulsions, which they said lasted several seconds. An EEG, and ECG have been ordered, along with a complete blood workup. The baby will be monitored closely until all test results are back.
CASE 5: The patient is a newborn infant male, born 2 hrs ago to a mother who was experiencing severe hypertension prior to her pregnancy. The mother was being monitored closely for this condition during her current pregnancy because she had difficulty during her last one. IT appeared now that the baby boy is experiencing some respiratory distress due to the maternal hypertension. Pulse ox reading was 70, and his respiration were elevated. His vital signs at this time are all within normal limits since we started the oxygen. His pulse ox reading is now at 98. He will be monitored until such time as there is no need for the oxygen and his vital remain normal.
CASE 6: This 15-day-old infant was born in the hospital and discharged. Ten days after discharge she developed a high fever and she was seen in my office. Diagnostic testing indicated sepsis due to group B streptococcus. She is stable at this time and she is being discharged home.
CASE 7: This 7-pound, 2-ounce female infant was born 4 days ago and there were no complications during the delivery. The following day the child appeared jaundice and a diagnosis of hyperbilirubinemia was made. She was given phototherapy. She is not stabilized and she is being discharged with no other complication.
CASE 8: This 12-day-old infant present to the office with numerous pustules that have a yellow crust over the lesions. The lesions are on the infant's face and hands consistent with neonatal pyoderma. I instructed the mother to bath the child twice a day and to apply an antibiotic ointment. If the skin does not clear within 1 week they should return to the office.
CASE 9: This 4-day-old infant is being discharged today following a normal delivery. The child did experience noninfectious diarrhea for the last 2 days that has now stabilized. I instructed the mother to supplement her breast feeding with Pedialyte and to call me if the diarrhea increases.
CASE 10: This 20-day-old infant is bring seen in my office today because at the time of birth he experienced a cardiac dysrhythmia suggestive of tachycardia. But the rhythm was normal at the time of discharge. His cardiac rhythm still is tachycardia at this time. I am having the infant and his mother go from my office directly to the ED, where they will be met by the pediatric cardiologist.
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