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Basic Med Coding_14
Complications of pregnancy, childerbirth, and the puerperium (630-677)
| Question | Answer |
|---|---|
| What is the name and code numbers for chapter 11 of ICD-9-CM? | Complications of pregnancy, childbirth, and the puerperium (630-677) |
| What is the 5 digit name & number for an abortion in which all the products of conception are removed? | Complete abortion, 2 |
| What is the 5 digit name & number for an abortion in which some but not all the products of conception are removed? | Incomplete abortion, 1 |
| Under the abortions category the fourth digit 7 is assigned when a specific complication is stated in the health record but cannot be classified to the previous six subcategories. In these cases how would this be coded? | The abortion code would be 1st followed by a code specifying the complication. |
| When a complication of pregnancy is the known cause of the abortion, what fifth digit should be assigned with the pregnancy code. | 3, antepartum condition or complication |
| How much does a baby weigh that is confirmed & coded as an early dilivery. | less than 500g or less than 22 weeks. |
| How would you code: Spontaneous abortion resulting in liveborn fetus? | 644.21, early onset of delivery, V27.0 outcome of delivery, single liveborn |
| How would you code: Induced abortion resulting in liveborn fetus : aspiration and curettage? | 644.21, Earlly onset of delivery; V27, Outcome of delivery, single liveborn; 69.51, Aspiration curettage of uterus for termination of pregnancy. |
| The retention in the uterus of a fetus that has died. In contrast to a spontaneous abortion, no products of conception, fetal parts, or tissue is expelled from the uterus. | 632, Missed abortion |
| Bleeding of intrauterine origin occurring before the 22nd completed week of gestation, without expultion of the products of conception, and without dilation of the cervix. | Threatened abortion (640.0) |
| A recurrent spontaneous expultion of a dead fetus. Different codes are used depending on if the reoccurance is current, or if the current admission involves or does not involve a pregnancy. | Recurrent pregnancy loss. |
| If a physician notes that the condition being treated is not affecting the pregnacy what code should be used? | V22.2, Incidental pregnancy |
| In cases where a cesarean delivery was performed what should the principal diagnosis reflect? | The reason for the cesarean delivery. |
| How would you code: Encounters for routine prenatal visits without the presence of any complications. Note: these codes are not to be assigned with codes from chapter 11 | V22.0, Supervision of normal first pregnancy, and V22.1 supervision of other normal pregnancy. |
| How would you code: Encounters for high-risk pregnancies. | V23, supervision of high-risk pregnancy. Additional codes form ch 11 should be assigned for the complication. |
| Delivery without prenatal or postartum complications. Procedure codes that may be coded following this are: artificial rupture, other manually-assisted delivery, episiotomy & injection into spinal cord. | Normal delivery 650 |
| This code should always be included on all maternal delivery records. It is never a princible diagnosis code. | V27, outcome of delivery, single liveborn. |
| How would you code: Term pregnancy complicated by benign essential hypertention, delivered. | 642.01, Benign essential hypertension complicating pregnancy, childbirth, and the puerperium, single liveborn infant, V27.0 |
| Delivery between 38 and 40 completed weeks of gestation. | Term |
| Delivery for a pregnancy that has advanced beyond 42 completed weeks of gestation. | Prolonged |
| This category should be coded for women who are between 40 and 42 weeks gestation. | 645 late pregnancy |
| Delivery between 41 and 42 completed weeks of gestation. | Postterm |
| How would you code: Term pregnancy with chronic nephropathy, delivered. | 646.21; 582.9; V27, outcome of delivery, single liveborn. |
| How would you code: Intrauterine pregnancy, 18 weeks with chronic gonorrhea. | 647.13, 098.2 |
| What are the 4 (670) Major Puerperal Infections that are the most serious manifestations of major POSTpartum infections. | Puerpeal, endometritis, puerpeal sepsis, puerpeal septic throbophlebitis. |
| How long does postpartum occur? | 42 days after delivery |
| What form of sepsis should be coded when applicable with puerperal sepsis? | Only severe sepsis and any associated acute organ dysfunction. Also any causual organisms should be assigned such as a bacterial infection. |
| What are the code words in the Tabular Alphabetic Index to procedures to find obstetrical procedures. | Delivery |
| This code is assigned when a chemical substance (such as Pitocin) is introduced into the mother's body to simulate labor. | Code 73.4 Medical induction of labor |
| Under Medical induction of labor what does the exlusion note "medication to augment labor-omit code" mean? | To omit this code if a medication is administered to "move along" the labor process. |
| This code is used when the physician externally and internally manipulates the fetus. | 73.2, Internal and combined version and extraction. |
| This code is assigned when the vulvar orifice is incised to facillitate the birthing process. | 73.6 Episiotomy |
| How would you code:Patient admitted at 38 weeks gestation for a scheduled cesarean delivery (classical) for konwn fetal hydocephalus confirmed on ultrasound. | 655.01; 74.99 & V27 |
| How would you code: Pt addmitted at 38 weeks gestation in fetal distress; emergency cesarean delivery performed. | 656.31; 74.99; V27 |
| What is the title and codes for Chapter 15 ICD-10-CM? | Pregnancy, Childbirth, and the Puerperium (O00-O009A) |
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marrufotheresa
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