Problem
This 29-year-old female is admitted to the hospital with pneumonia due to Pneumocystis carinii. She is in her 30th week of pregnancy and has AIDS. What diagnosis codes are assigned? ICD-10-CM codes:
• This 30-year-old female comes to the clinic because of excessive vomiting for the past three days. She is in her 24th week and has had no problems with vomiting in her early pregnancy. What is the correct diagnostic code assignment for this case? ICD-10-CM Codes:
• History of Present Illness: This is a 31-year-old, G4P0 who presents today for following up of a suspected spontaneous abortion. She had a history of having elective abortions at ages 17 and 19. At age 27 she experienced a spontaneous abortion and is now nine weeks pregnant. She presents today after experiencing blood loss, cramping, and pain during the early hours of the morning.
Physical Examination: The abdomen is soft and non-tender, but the vaginal vault does show remnants of bloody discharge. Ultrasound showed no fetal heart tones or movement. A dilation and curettage is performed to treat this incomplete spontaneous abortion. What are the ICD-10-CM diagnosis and CPT procedure codes for this encounter?