Tina, Age 31, Gravida 2, Para 1, Is Pregnant with Twins

Multiple Choice

Tina, age 31, gravida 2, Para 1, is pregnant with twins and has been seeing Dr. Smidley. At 41 weeks she experiences labor and is taken directly to the hospital by her husband. After 14 hours of extremely hard labor the first twin is born; it is a male weighing 6lbs 3ozs. Dr. Petrowski, the attending OB-GYN, orders a cesarean section because the second twin is large for dates, causing cephalopelvic disproportion. The second twin, a female weighing 9lbs 2ozs, was delivered via C-section. Select the appropriate CPT and ICD-10-CM codes.

A) 59400, 59514, O80, O30.003, O34.2, Z38.30, Z38.31
B) 59514, 59409, O30.003, O33.5xx2, Z37.2
C) 59514, 59412, O33.5xx2, Z38.30, Z38.31
D) 59510, 59409, O30.003, 034.2, Z37.2