Worksheet 5
1. Code the following case study. One code is required.
Preoperative Diagnosis: A 37-week intrauterine pregnancy with a previous
C-section
Postoperative Diagnosis: A 37-week intrauterine pregnancy with a
previous C-section
Procedure: Repeat Cesarean section
Operative Report: The patient was brought into the operating room and
under spinal anesthesia was prepped and draped in the usual manner for a
gynecologic abdominal operation. Through the old suprapubic incision from
the previous C section, an incision was made into the abdominal cavity
without much difficulty. A midline low transverse incision was made at the
lower uterine segment with a knife and carried down the uterine cavity
without any difficulty. The incision was then extended to the level of the
round ligament on both sides. A male infant in vertex position was delivered
with a vacuum and handed over to the nursery staff in attendance. Birth
weight was 6 pounds 5 ounces. Apgar was 9 and 9. Placenta was manually
delivered. The uterine cavity was inspected and found to be normal,
irrigated, and then closed by suture. Hemostasis was verified and found to
be adequate. The abdominal cavity was irrigated and closed in layers. The
pyramidal muscle was closed with suture, the fascia was closed with suture
in two halves, and the skin was closed with staples. The patient tolerated the
procedure well.
ICD-10-PCS code:
Answer
10D00Z1
2. Amniocentesis for diagnostic purposes done using a percutaneous
approach. The PCS code for this procedure is:
10903ZU
3. An abortion was induced with the use of mifepristone (also known as
the abortion pill). The PCS code for this procedure is:
10A07ZX
1. Code the following case study. One code is required.
Preoperative Diagnosis: A 37-week intrauterine pregnancy with a previous
C-section
Postoperative Diagnosis: A 37-week intrauterine pregnancy with a
previous C-section
Procedure: Repeat Cesarean section
Operative Report: The patient was brought into the operating room and
under spinal anesthesia was prepped and draped in the usual manner for a
gynecologic abdominal operation. Through the old suprapubic incision from
the previous C section, an incision was made into the abdominal cavity
without much difficulty. A midline low transverse incision was made at the
lower uterine segment with a knife and carried down the uterine cavity
without any difficulty. The incision was then extended to the level of the
round ligament on both sides. A male infant in vertex position was delivered
with a vacuum and handed over to the nursery staff in attendance. Birth
weight was 6 pounds 5 ounces. Apgar was 9 and 9. Placenta was manually
delivered. The uterine cavity was inspected and found to be normal,
irrigated, and then closed by suture. Hemostasis was verified and found to
be adequate. The abdominal cavity was irrigated and closed in layers. The
pyramidal muscle was closed with suture, the fascia was closed with suture
in two halves, and the skin was closed with staples. The patient tolerated the
procedure well.
ICD-10-PCS code:
Answer
10D00Z1
2. Amniocentesis for diagnostic purposes done using a percutaneous
approach. The PCS code for this procedure is:
10903ZU
3. An abortion was induced with the use of mifepristone (also known as
the abortion pill). The PCS code for this procedure is:
10A07ZX
