Discharge Summary: This 28-year-old female presented to the hospital on 4/14/XX

Question

Discharge Summary:

This 28-year-old female presented to the hospital on 4/14/XX in active labor and was admitted to the labor and delivery area.

Pregnancy History: This is the second pregnancy for this woman. She previously delivered a male infant 2 years ago. This pregnancy was normal with no complications.

What is the correct diagnostic code(s) for this case?

Hospital Course:
The patient was in labor for 9 hours and delivered a 7-pound, 12-ounce female at 1:23 a.m. on 4/15/XX. The child was examined by Dr. Peterson and referred to her care. The remaining hospital course was uneventful.

Discharge Instructions:
The patient was instructed to follow up in my office in 10 days or sooner if any concerns develop.

What is the correct diagnostic code(s) for this case?

Explanation / Answer

1 Ans) ICD-10-CM Code -  Z34.00 ---- Preganancy with unspecified trimister.

2 Ans) ICD-10-CM Code - 775 ----- Vaginal delivery without complicating diagnoses

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