Deck 20: Pregnancy, Childbirth, and the Puerperium

Question 1

ICD-10-CM Chapter 15 codes have sequencing priority over codes from other chapters.

Answer 1

True

Question 2

Abnormal placenta formation in the fourth week of pregnancy is reported with codes _____.

A) O43.101, Z3A.01
B) O43.102, Z3A.01
C) O43.103, Z3A.00
D) O43.109, Z3A.00

Answer 2

A

Question 3

The postpartum period begins from the time of conception until the delivery of the fetus.

Answer 3

False

Question 4

A perineal laceration during delivery is reported with a code from category _____.

A) O77
B) O73
C) O70
D) O71

Question 5

Which of the following conditions would not be reported with a code from category O02?

A) cornual pregnancy
B) molar pregnancy
C) missed abortion
D) abnormal product of conception

Question 6

An ectopic pregnancy is a pregnancy that occurs outside of the uterus.

Question 7

The peripartum period is defined as the last month of the pregnancy to five months postpartum.

Question 8

Dehiscence of cesarean delivery wound would be reported with code _____.

A) O71.09
B) O71.1
C) O90.0
D) O90.9

Question 9

Postpartum inversion of the uterus is reported with code _____.

A) O72.9
B) O71.2
C) O71.9
D) O77.9

Question 10

Category O03 reports induced abortions.

Question 11

ICD-10-CM Chapter 15 codes are used only in live infants' records.

Question 12

Pam was admitted to the hospital today due to severe pre-eclampsia in her 29th week of pregnancy. Dr. Smith, her OB/GYN, visits her in the hospital on the day of admission. The diagnostic code(s) reported for this visit is (are) ____________________.

Question 13

Office note: "Polly reports to the office today 5 weeks post delivery. Examination of her extremities and imaging indicate bilateral deep-vein thrombosis. I have referred her to a surgeon for follow up." This case would be reported with diagnosis code(s) ____________________.

Question 14

If a trimester is not indicated in the code book for a Chapter 15 code, it is because the condition always occurs in a specific trimester or the concept of trimester or pregnancy is not applicable.

Question 15

Mild pre-eclampsia in the 38th week of pregnancy is reported with codes _____.

A) O14.13, Z3A.38
B) O14.00, Z3A.38
C) O14.03, Z3A.38
D) O14.93, Z3A.38

Question 16

A postpartum complication is any complication occurring during delivery.

Question 17

Office note: "Sally presents to the office 18 weeks pregnant for her OB visit. Urinalysis was completed today and there is proteinuria." The diagnostic code(s) for the proteinuria is (are) ____________________.

Question 18

Category O10 includes codes for preexisting hypertension complicating pregnancy, childbirth, and the puerperium, including codes for hypertensive heart and hypertensive chronic kidney disease.

Question 19

History of infertility, ectopic pregnancy, and poor reproductive history are all reasons that a pregnancy is considered high risk.

Question 20

Which of the following is false?

A) A tubal pregnancy is reported with code O00.109.
B) Incomplete elective abortion is included in category O07.
C) Category O12 reports gestational edema and proteinuria with hypertension.
D) Category O08 reports complications following an ectopic and molar pregnancy.

Question 21

Cervical shortening at 30 weeks gestation is reported with code(s) _____.

Question 22

Hemorrhoids in the puerperium is reported with code _____.

Question 23

Eclampsia in the puerperium is reported with code _____.

Question 24

Operative report:
Pre-op diagnosis: abnormal product of conception.
Post-op diagnosis: hydatidiform mole, pathology confirmed.
Procedure: D&C.
This case is reported with diagnostic code(s) ____________________.

Question 25

Helen was admitted during her fifth week of pregnancy due to hyperemesis causing dehydration. She was discharged during her seventh week of pregnancy. The final diagnosis reported is hyperemesis with metabolic disturbance. The code(s) for the final diagnosis is (are) ____________________.

Question 26

Rupture of fallopian tube due to pregnancy without intrauterine pregnancy is reported with code(s) _____.

Question 27

Patient presents at 20 weeks of pregnancy with a history of preterm labor. This encounter would be reported with code(s) _____.

Question 28

Office note: "Janice presents to the office today for her 16-week OB visit. She has a history of infertility. At this time the pregnancy is progressing normally." The code(s) for this encounter is (are) ____________________.

Question 29

The outcome of delivery code for twins in which one is liveborn and the other is stillborn is ____________________.

Question 30

Discharge summary: "This 29-year-old delivered a 7-pound infant boy on 4/15/XX. Her pregnancy was uneventful. The delivery required no assistance except for an episiotomy. Vaginal cephalic delivery of a full term infant occurred at 1:23
a.m. The mother and child were discharged home on 4/17/XX at 9
a.m." The diagnostic code(s) for this case is (are) ____________________.