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Read the mini-medical-record of the patient’s encounter, then abstract, assign,

ID: 137749 • Letter: R

Question

Read the mini-medical-record of the patient’s encounter, then abstract, assign, and sequence ICD-10-CM diagnosis codes using the Index and Tabular List. What are the correct code(s)?

A O07.30, O35.1XX0, Z3A.12 7. INPATIENT HOSPITAL Gender: F Age: 31 Gravida: 3 Para: 2 EDD: 10/11/ EGA: 12+5 Reason for admission: observation for signs of labor or other complications after failed legal abortion due to fetal chromosome abnormality Assessment: no labor or other complications were noted Plan: RTOFU in 2 days, supportive and genetic counseling Tip: Assign codes for the attempted abortion and the underlying reason for the attempt. See OGCR 15.b.3). 3 ICD-10-CM Codes

Explanation / Answer

Failed attempted termination of pregnancy without complication: O007.4
Fetal chromosome abnormality: O35.1XX0
Gestation period of 12 weeks: Z3A.12
Answer is option B. The sequence is O07.4, O35.1XX0, Z3A.12
The code O07.30 in option A and D indicates failed attempted termination of pregnancy with complication.
The code O35.2XX0 in option C and D indicates hereditary disease.

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