Final answer:
The correct ICD-10 code for 'meconium passage' as a complication of delivery is 'b. P03.82', as it indicates an infant affected by complications of labor and delivery, with the provided documentation specifically noting a risk of respiratory distress related to meconium.
Step-by-step explanation:
The appropriate ICD-10 code for "meconium passage" under the presented circumstances is b. P03.82. This code represents newborn (suspected to be) affected by other complications of labor and delivery, not elsewhere classified, which includes meconium passage. The correct code for meconium passage is option c. P24.00. This code specifically identifies meconium passage during delivery and is used to document and categorize the occurrence of this event. It is important to assign the appropriate code to ensure accurate medical reporting and analysis.
Meconium passage can indicate fetal distress, often due to factors such as maternal drug abuse, hypertension, insufficient amniotic fluid, or placental issues. In some cases, this may precede or lead to meconium aspiration syndrome (MAS), where meconium is inhaled into the lungs, potentially causing respiratory problems. However, as the infant has been described as 'vigorous' and only at risk, without further complications or aspiration mentioned, a diagnosis specific to MAS (e.g., P24 series) is not yet indicated. It is the provider's documentation of 'infant is at risk for respiratory distress secondary to meconium delivery' that specifically supports the use of code P03.82.