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A two-week-old male infant is brought to the University Medical Center pediatric

ID: 139743 • Letter: A

Question

A two-week-old male infant is brought to the University Medical Center pediatric gastro- enterology clinic upon the request of the child's pediatrician based on findings of a recent well- baby exam. The infant was full-term when born and fed well after birth but then experienced occasional regurgitation of feedings. Several days later, the vomiting became more frequent and projectile containing the previous feedings. Shortly after the vomiting, the baby is ready to feed again. Imaging studies confirm the suspected diagnosis of congenital hypertrophic pyloric stenosis. The parents were instructed on the type of feedings to provide. A follow-up appointment is made for 1 week later. The parents were advised to return with the infant to the emergency department of the University Medical Center if the vomiting occurs more fre- quently. The possible need for surgery, specifically a pyloromyotomy, was discussed with the parents but will be reconsidered at the next visit. Selected Answer

Explanation / Answer

Correct Answer: ICD-10-CM Code is Q 40.0

Explanation: Q 40.0 is used to specify a diagnosis of congenital hypertrophic pyloric stenosis.

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