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.

Question

Quizplus · Accepted Answer

The correct codes are 59514 for the cesarean delivery of the second twin, 59409 for the vaginal delivery of the first twin, O30.003 for twin pregnancy, third trimester, O33.5xx2 for maternal care due to disproportion of fetus and pelvic size, and Z37.2 for twins, both liveborn. This combination accurately reflects the scenario of a twin pregnancy with one vaginal delivery and one cesarean delivery due to cephalopelvic disproportion, with both twins being liveborn.

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