ICD-10-CM and ICD-10-PCS code. Identify the principaldiagnosis, secondary diagnosis and the procedure codes 2021.
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12 The patient was admitted to the hospital from the obstetrician’s office at 38 and 3/7 weeks gestation. She came to the office today complaining of not feeling well and noticing a lack of fetal movement over the past day or two. She had been in the office three days ago, and the infant was reactive. The biophysical profile in the office today was 6/8 with no breathing movement. The nonstress test was reactive. The patient also has severe iron deficiency anemia of pregnancy and gestational hypertension complicating her pregnancy. She desires a tubal ligation during this delivery for her grand multiparity. In 2019, she is 38 years old and gravida 6. para 3. AB 2 with an estimated date of delivery of June 30. She has three sons living with two previous cesarean deliveries, one in 2000 and one in 2005. Her oldest son was delivered vaginally in 1999. Because of the decreased fetal movement, a repeat low cesarean delivery was performed on June 19th. A bilateral tubal ligation was also performed by ligation and crushing. Delivered at 4:55 p.m. was a 6 pounds, 2 ounces live female infant with Apgar scores of 7 and 8. The patient had an uneventful recovery from the delivery, was continued on her medications for anemia and gestational hypertension and asked to return to the office in two weeks. Mother and daughter were discharged home together on post-op day 3. Principal Diagnosis: Secondary Diagnoses: Principal Procedure: Secondary Procedure(s):
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