AHA Coding Clinic® for ICD-9 - 2009 Issue 1; Ask the Editor

Documentation Discrepancy for Gestational Age

Term birth is marked on the Newborn Physical Examination sheet. The number of weeks from the mother’s chart (which is put in the baby’s chart) is 41 4/7. The mother’s chart is coded with the post-term pregnancy diagnosis code. Is it appropriate to assign diagnosis code 766.21, Post-term infant, on the baby’s chart? ...

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