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Coding meconium aspiration

HCPro Coder Connection, March 7, 2007

Scenario #1:

 

Term, liveborn, male infant born via vaginal delivery, infant is covered in meconium, but no effects of the meconium are noted on the chart. The physician documents the following:

1. Normal living male infant, appropriate size

2. Some meconium noted in fluid, with passage, but of no consequence

3. Discharge today

 

Report the following codes:

 

  • V30.00-single liveborn, born in a hospital, no mention of C section
  • 763.84-abnormal findings in other body substance, amniotic fluid (assigned for the meconium during passage)

Scenario #2:

 

Term, liveborn, male infant born via vaginal delivery, infant is covered

in meconium. Upon examination, the infant appears to be in no distress, but

meconium was noted in the infants mouth. The physician documents the following:

            1. Normal living male infant, appropriate size and weight

            2. Meconium staining, noted, meconium in the mouth, noted

                no airway contamination

            3. Discharge today

 

Report the following codes:

  • V30.00-single liveborn, born in a hospital, no mention of C-section
  • 779.84-meconium staining