Deck 10: Obgyn

Question 1

It is appropriate to report 58670-50 when both oviducts are fulgurated.

Answer 1

False

Question 2

_________ is a condition that occurs when uterine tissue migrates outside the uterus into the pelvic cavity.

A) Uterine prolapse
B) Endometriosis
C) Leiomyoma
D) Uterine adhesions

Answer 2

Endometriosis

Question 3

A 32-year-old woman went to the ER with severe abdominal pain. She stated that she had a positive pregnancy test and recently saw her OB doctor. Serum HcG was lower than stated EDC. Ultrasound showed tubal pregnancy. A laparoscopic right salpingectomy with removal of tubal pregnancy was performed.

A) 633.80, 59150
B) 633.10, 59151
C) 633.10, 59120
D) 633.11, 59121

Answer 3

633.10, 59151

Question 4

Patient is treated for an incomplete abortion at 9 weeks. Patient originally thought she expelled all uterine products until she became very ill and developed a fever. Physician determined she was septic.

A) 59812
B) 59820
C) 59830
D) 59840

Question 5

Patient is seen in the surgery center for planned laser removal of 8+ genital warts from the vulva and vagina.

A) 56515
B) 56501
C) 11420 x 8
D) 56605, 56606 x 7

Question 6

When reporting colposcopies of multiple sites such as the vulva and cervix, codes for each site should be assigned.

Question 7

Trichomoniasis is an STD that appears as a chancre sore in the primary stage.

Question 8

Which of these drugs is given to induce labor?

A) Oxycontin
B) Terbutaline
C) Pitocin
D) Prostaglandin inhibitor

Question 9

The peripartum period begins at the completion of delivery and ends at 6 weeks.

Question 10

The female reproductive system consists of only internal organs.

Question 11

The normal position of the uterus is tipped slightly forward and is referred to as retroverted.

Question 12

Physician requests his partner to be on standby in case of assistance needed during a c-section. No assistance was needed; however, physician was on 30 minutes of standby. What is the correct code?

A) 99436
B) 59514, 99356
C) 99360
D) 59514

Question 13

Since newborn services are coded separately from the mother's services, outcome of delivery is placed on the newborn's chart.

Question 14

When an operative reports use of loupes, code 69990 would be assigned in addition to the primary procedure.

Question 15

If a patient is admitted because of a condition complicating the pregnancy or for a pregnancy complication, the obstetric complication should be the principal diagnosis.

Question 16

Pregnant patient visits her OB physician six times but then moved out of state. What would the physician report to the insurance company?

A) 59400-52
B) 59425
C) 59426
D) 59400-56

Question 17

Patient is admitted directly from the physician's office for cramping and excessive bleeding at 20 weeks. Fetal death resulted.

A) 634.10
B) 656.41
C) 634.10, 639.1
D) 632, 639.1

Question 18

The postpartum period begins immediately following delivery and lasts for ____ weeks after delivery.

A) 4
B) 6
C) 8
D) 12

Question 19

HCPCS II codes are required for Medicaid annual GYN examinations.

Question 20

In Para 1- 1 -2-2, the second number indicates the _________.

A) number of preterm infants
B) number of abortions
C) number of living children
D) number of full term infants

Question 21

Time period that a woman is pregnant and period of fetal development

A) Menopause
B) Gestation
C) Menarche
D) Puerperium
E) Gravity
F) STD
G) Parity

Question 22

Cessation of menstruation

A) Menopause
B) Gestation
C) Menarche
D) Puerperium
E) Gravity
F) STD
G) Parity

Question 23

Time period from third stage of labor to 6 weeks later

A) Menopause
B) Gestation
C) Menarche
D) Puerperium
E) Gravity
F) STD
G) Parity

Question 24

A 17-year-old girl visits a gynecologist for her first GYN exam and counseling for birth control and STDs. Physician prescribes Orthovera.

A) V25.02, V65.45,99394
B) V25.01, V65.45, 99384
C) V25.01, V65.45. 99394, 99401
D) V25.01, 99202

Question 25

Patient is admitted for laparoscopic bilateral tubal banding with falope rings for permanent sterilization. Assign both ICD-9 and CPT-4 codes.

Question 26

Patient is undergoing fertility testing. Patient has tried for 4 years to get pregnant. Today she is having a hysterosalpingogram to determine if her fallopian tubes are blocked. The physician inserted a catheter and injected contrast to view the fallopian tubes. Assign the appropriate code(s).

Question 27

Patient suffers from menorrhagia and undergoes a hysteroscopy with D&C and removal of leiomyomata. Assign both the ICD-9 and CPT-4 codes.

Question 28

____________________ is the prolapse of the urinary bladder into the vagina.

Question 29

List three methods of birth control. One must be a surgical method.

Question 30

Number of live births

A) Menopause
B) Gestation
C) Menarche
D) Puerperium
E) Gravity
F) STD
G) Parity

Question 31

Genital warts

A) Menopause
B) Gestation
C) Menarche
D) Puerperium
E) Gravity
F) STD
G) Parity

Question 32

Delivery services for physicians include hospital admission with H&P, management of uncomplicated labor, c-section or vaginal delivery with use of forceps and ____________________.

Question 33

Number of pregnancies

A) Menopause
B) Gestation
C) Menarche
D) Puerperium
E) Gravity
F) STD
G) Parity

Question 34

Onset of menstruation

A) Menopause
B) Gestation
C) Menarche
D) Puerperium
E) Gravity
F) STD
G) Parity

Question 35

Sexually transmitted diseases are also called ____________________ diseases.

Question 36

List three criteria that would qualify a woman to be at high risk for developing cervical cancer to justify screening PAP smears.

Question 37

Laparoscopic bilateral salpingo-oophorectomy. Patient has pelvic endometriosis and tuboovarian cysts. Assign both the ICD-9 and CPT-4 codes.