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Posted By mary peabody on 05-31-2019, 13:17:57 in Ob-Gyn
Hello,

What ICD-10 codes would you assign to a pregnant 37 weeks pregnant female seen in triage for a motor vehicle accident? Z04.1, Z3a.37

Patient was in a car on her way out of her clinic appointment and the car was hit from the drivers side in a collision at moderate speed. Patient was restrained passenger . She reports that upon impact she felt a severe tightening over her abdomen where the seatbelt was located and hit the right side of her head against the door. She did not lose consciousness.
 

 Physical Examination
General: Well appearing. No acute distress.
HEENT: Head examined thoroughly no signs of trauma, bony step-off, bleeding, or lesions noted.
CV: RRR
Lungs: Clear to auscultation, bilaterally.
Abdomen: Soft. Nontender. No signs of trauma noted.
GU: Gravid
Extremities: No peripheral edema

Fetal status reassuring over our observation. Maternal status appeared reassuring but necessitated further monitoring and evaluation by trauma physicians.
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