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A 35 year old female patient presents to the office for genetic counseling, ultrasound and possible amniocentesis. This is the third pregnancy for the patient. The correct diagnosis code to use for the diagnostic tests would be:
If the patient is indeed
experiencing her second or more pregnancy and will be 35 years of age
or older by the expected date of delivery, diagnosis code 659.63 (elderly
multigravida, antepartum condition or complication) could be used.
This code specifies the mother's age as an indication for care or intervention
related to labor and delivery; the mother's age could possibly contribute
to, or be the cause of, a complication with the pregnancy, fetus or newborn.
In conclusion, if the mother's age is the sole reason for the genetic counseling, ultrasound and/or amniocentesis, then diagnosis code 659.63 should be used. If there are other conditions or problems that the mother is experiencing that are affecting the fetus or newborn, not just age related, then code 760.9 would be the most appropriate code to use.
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