A 23-year-old who is pregnant at 39 weeks and 3 days is presenting for a low transverse cesarean section. An abdominal incision is made and extended superiorly and inferiorly with good visualization of the bladder. The bladder blade is then inserted, and the lower uterine segment incised in a transverse fashion with the scalpel. The bladder blade is removed, and the infant's head is delivered atraumatically. The nose and mouth are suctioned with the bulb suction trap, and the cord is doubly clamped and cut. The placenta is then removed manually.

What CPT® and ICD-10-CM codes are reported for this procedure?

A. 59610, O34.211, Z37.0, Z3A.39
B. 59510, O64.1XX0, Z37.0, Z3A.39
C. 59514, O82, Z37.0, Z3A.39
D. 59515, O82, Z37.0, Z3A.39

The correct CPT and ICD-10-CM codes for a low transverse Cesarean section delivered at 39 weeks and 3 days are 59514, O82, Z37.0, Z3A.39 respectively.

Explanation:

The procedure described is a low transverse Cesarean section, a method of delivering a baby through an incision made across the lower abdomen and uterus. The correct CPT (Current Procedural Terminology) code for this procedure is 59514, which covers the Cesarean delivery only.

ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) codes in this context are as follows: O82 represents Cesarean delivery; Z37.0 stands for singleton, born in hospital; Z3A.39 signifies 39 completed weeks of gestation. Consequently, the accurate answer is C. 59514, O82, Z37.0, Z3A.39. These codes are used universally in healthcare for billing purposes, and assigning the appropriate codes is crucial for both medical records and billing accuracy.

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