If a premature newborn infant was born outside the admitting hospital and was a twin at 31 weeks gestation would the following be used for secondary code.

If a premature newborn infant was born outside the admitting hospital and was a twin at 31 weeks gestation would the following be used for secondary code.  Was admitted for Respiratory distress syndrome – addmitted on CPAP Follow, cxr pending.  The principal diagnosis I would choise is Z38.4 for twin, liveborn infant, born outside hospital.

1). P07.16, P22.0, P07.34, 99222 OR

2). P07.34, P0716, P22.0, 99222

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