Newborn Record:

The patient, a preterm, newborn male triplet (1,720 grams), was delivered by cesarean section, as were the other two liveborn males.

He initially required supplemental oxygen and a nasal prong CPAP for transient tachypnea.

He was weaned five hours after birth. The one-minute Apgar score was 6, and the five-minute score was 8.

He was also noticed to be jaundiced on the initial screening labs. Lab tests showed the total bilirubin was increased, and he was started on a single session of phototherapy under bilirubin lights.

A circumcision was performed prior to discharge.

Answers:

0VTTXZZ Resection of prepuce, external approach

5A09357 Assistance with respiratory ventilation, less than 24 consecutive hours, continuous positive airway pressure

6A600ZZ Index: Phototherapy > Skin > 6A60

Rationale:

Circumcision is a routine part of the newborn’s care and is captured with the PCS procedure code; a diagnosis code is not reported for circumcision. In circumcision, the foreskin, or prepuce, is removed. Because the prepuce has its own body part and is completely removed, the root operation “Resection” is selected.

The newborn had a single session of phototherapy for neonatal jaundice.