ICD-10-CM Specific Coding Guidelines - Newborn Perinatal Pregnancy Part IV

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thank you Miss J on those amazing weight

instructions on chapter 15 and chorus

now now it's time for us as m j said to

move on to chapter 16 newborn patal so

chapter 16 is all about the newborn

perinatal guidelines and this ICD code

range from p00 to

p96 so let's look into the guidelines of

chapter 16 we have the guideline C1 16.

a.2 principal diagnosis for the birth

record

code so when coding The Birth episode in

a newborn record assign a code from

category

z38 yes liveborn infants according to

the place of birth and the type of

delivery as principal diagnosis and a

code from z38 is assigned only once to

the newborn at the time of birth so it's

very important important to note that

use only on the newbor record and this

can be only used once so one patient has

only one once in a lifetime z38 code in

his

chart okay so let's move on to the next

guideline the guideline

c16 a.

6 so it says that all clinically

significant conditions noted on a

routine newborn examination should be

quoted so you might ask what a

clinically significant conditions are so

a condition is clinically significant if

it requires a clinical evaluation or a

therapeutic

treatment or a diagnostic procedure or

an extended length of Hospital stay or

increased nursing care and or monitoring

or implication for future Healthcare

needs so in short we can say call them

cited so that's about guideline c16 A6

moving on to the next

guideline we have C1

16.8 6.

b.1 observation and evaluation of new

bones for suspected conditions not found

so the code z05 should be used if the

newborn is observed for a suspected

condition that is not

found and they may also be assigned as a

principle or first listed diagnosis when

category z38 is no longer applicable so

in the absence of the ICD code z38 z05

can be assigned as a principle or first

listed

diagnosis now it's time for us to do

some icd1 flip exess size and this is

your question select the diagnosis codes

for the newborns record your options are

option A P 59.9

z38.00 option b r

17080 z37.0 option C P

59.9 option d z

38. p

59.9 a male newborn delivered venally in

hospital is born with ch

select the code for the newborns record

and you got two and a half minutes so

I'm sure you will be finishing it before

that and your time starts

now

e

e

e e

okay codus I think most of you have got

this one correct and let me know course

how many of you have to really look up

the ICD codes in the book to get this

one correct how many of you check your

ICD books and search those codes so the

correct answer for this scenario is

going to be option D and the keywords is

mail by CH daily word Hospital Jes

newborns

record yes so if you know the guidelines

you could easily solve this one not even

by looking not without even looking into

the ICT book I will say how the

guideline that is going to help us in

this

scenario is going to be before that okay

we are quing for a newborns record we

cing for a newborn who's born in a

hospital and patient is is diagnosed

with the ches as well so in option b we

have got R17 o80 o80 is never given on a

newborn record right me J just went over

those guidelines O8 will not be assigned

in a newborn's record it will be

assigned only in a mother's record and

the guideline C

16.82 that is for principal diagnosis

for birth record since we are since we

are coding for a newborn record we have

to assign z38 as

primary yes if you knew that guideline I

can eliminate option A I can eliminate

option even B option C

also and the correct answer is going to

be option D as most of you have said

it's going to be option D which is

scoring for

z38.00 that is a single liveborn infant

delivered

vaginally the baby was born in a

hospital yes and B

59.9 which is coding

for neonatal

chantes yes so the correct answer is

option D and you all have done great job

in this scenario so let's move on to the

next one your options are option A are

63.6 option p p

92.9 option C P

92.1 option D P

76.0 assign the codes for feeding

problems in a newborn and coders your

time the time begins

now

e

e

e e

okay K so you all are

rocking in the chat this was a pretty

straightforward one right so the correct

answer is going to be option b we are

coding for feeding problems in newborn

and let's look into these options we

have option A

r63.6 that's coding for an underweight

that's not matching our keywords here we

are coding for a feeding problem in

newborn R

63.6 is wrong and we have option b which

is coding for okay option D that is

coding for P

76.0 that is for a meconium plug

syndrome and that is also not what we

are looking here we have options see

that is scoring for p 92.0 one that is

for a belous vomiting of newborn no the

patient didn't had that condition

finally we are left with option b that

is p 92.9

which is exactly matching all the

keywords that's coding for a feeding

problem in newborn

unspecified yes good job good job if you

got it wrong don't worry you have

learned something here it's Priceless so

don't get to yourself down yes great

effort great

work okay coders with that we are moving

on to prematurity grow and growth

retardation we have a guide L

c6d that's states that the assignment of

quotes in the category

p05 p05 disorders of newborn related to

the slow fetal growth and Fetal

malnutrition and p07 disorders of

newborn related to short gestation and

low birth weight not elsewhere

classified should be based on the

recorded birth weight and estimated

gestational age yes the codes p05 and

p07 are based upon the birth weight and

estimated gestational age documented

when the both birth weight and

gestational age are available two codes

from category should be assigned and

sequence the birth weight before the

gestational age so you have to code the

birth weight that is for p 07 first

followed by gation age p05 when both are

present and assign these are assigned

based solely on the recorded birth

weight or gational age so with that now

it's time for us to move on to chapter

17 that is congential