Multiple Choice
Patient Infant Male Crowley
I was present, at the request of the delivering physician, at the vaginal delivery at 5:07 p.m. of a male infant 29 weeks' gestation with a spontaneous cry. At the 1-minute mark the Apgar was 5, the decreases were in tone, grimace, and color. An Apgar of 8 was reached at the 5-minute mark, with decreases continued in grimace and tone. The infant was taken to NICU for further management. Upon examination, decreased breath sounds and increased work to breathe were noted. The infant was intubated with difficulty. The patient did tolerate this well.
An umbilical artery catheter was placed without difficulty, and labs were ordered. A chest x-ray and abdominal films were done. Both UAC and the endotracheal tube are in proper placement. The OG has been advanced; the lung fields do show significant granularity. Blood gas is 8.32, PCO2 of 50, PO2 of 102 on a setting of 22/4 rate of 60, and 80% FiO2.
PE: Patient currently is intubated. His weight is 1,706 grams; OFC is 30.5; length is 39.6 cm. Heart rate is in the 120s to 130s. Respiratory rate is 60 on the ventilator; O2 saturation is in the mid-90s. Blood pressure in right arm is 67/34, with a mean of 46, and in right leg is 67/32, with a mean of 44.
Plan: Observation for sepsis
Maternal hypermagnesemia.
Admission to the NICU, continued mechanical ventilation.
Select the appropriate ICD-10-CM and CPT code(s) :
A) Z38.00, P22.0, P07.16, P07.32, 99464, 99468
B) Z38.00, P22.0, P07.17, P07.32, P00.2, 99468
C) P22.0, P07.15, P07.32, P71.8, P00.2, Z38.01, 99468
D) P22.0, P07.17, P07.32, P71.8, P00.2, Z38.02, 99468, 99464
Correct Answer:

Verified
Correct Answer:
Verified
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