Medical Coding

Category - ICD-10-CM Volumes 1 and 2

A little girl was born to a mother who used cocaine up to the day before delivery. The drug screen is pending, but the patient is suspected to be affected by the maternal use of cocaine. The patient is small for gestational age, at 2450 grams. What are the correct ICD-10-CM codes for this patient?
  1. P04.41, P05.18
  2. P04.49, P05.17
  3. P04.41, P05.17
  4. P04.49, P05.18
Explanation
Answer: A - P04.41, P05.18 is the correct sequence of codes. Code P04.41 is correct because the patient is suspected to be affected by maternal use of cocaine. Code P05.18 is correct for newborn small for gestational age at 2000-2499 grams.
Code P04.49 is incorrect because this code is for “other drugs of addiction.” Code P05.17 is incorrect because ,while it is a code for newborn who is small for gestational age, it is for newborns weighting 1750-1999 grams.
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