Question 1

Ovarian cysts are reported with codes from category N83, Noninflammatory disorders of ovary, fallopian tube and broad ligament. The codes for ovarian cysts are further defined by:

Accepted Answer

Ovarian cysts are coded based on their type (e.g., follicular, corpus luteum, dermoid) and laterality (right, left, bilateral), as reflected in the ICD-10 coding structure under category N83.

Question 2

The Bartholin's glands:

Accepted Answer

The Bartholin's glands are responsible for producing mucous secretions that lubricate the vaginal opening.

Question 3

An incision on the perineum and posterior vaginal wall during labor is:

Accepted Answer

An episiotomy is a surgical incision made in the perineum and posterior vaginal wall to enlarge the vaginal opening during childbirth.

Question 4

When using the code O94, "sequelae of complications of pregnancy, childbirth, and puerperium," the coder should:

Accepted Answer

The correct answer is to look for documentation clearly stating the current condition is a direct result of a complication arising during pregnancy, childbirth, or the puerperium. This ensures accurate and specific coding, reflecting the patient's medical history and current condition accurately.

Question 5

An obstetric surgeon performs bilateral, open drainage of ovarian abscesses using a vaginal approach. Code 58820, Drainage of ovarian abscess; vaginal approach, open, should be reported in the following way to accurately report this service:

Accepted Answer

The answer of An obstetric surgeon performs bilateral, open drainage...

Question 6

Code Z39.0 is reported when

Accepted Answer

Code Z39.0 is used when the delivery occurs prior to admission and the mother is admitted for postpartum care without complication.

Question 7

Cephalic version is:

Accepted Answer

Cephalic version is a procedure used to turn a fetus from a breech position to a head-down position before delivery.

Question 8

A premature separation of the placenta from the uterus is:

Accepted Answer

Abruption placentae is the medical term for the premature separation of the placenta from the uterus.

Question 9

Which structure of the female genital system's primary function is it to nourish and protect a developing fetus?

Accepted Answer

The corpus uteri, or the body of the uterus, is the main part of the uterus where the fertilized egg implants and the fetus develops. It provides nourishment and protection to the developing fetus.

Question 10

The portion of the cervix uteri that projects into the vagina is called:

Accepted Answer

The portio vaginalis is the part of the cervix that extends into the vagina. This term specifically refers to the portion of the cervix that is visible through the vagina during a gynecological examination.

Question 11

Peritoneal adhesions and intrauterine infections are categorized as which of the following in ICD-10-CM?

Accepted Answer

Peritoneal adhesions and intrauterine infections fall under the category of "Inflammatory Disease of Female Pelvic Organs" in ICD-10-CM, as they are conditions that involve inflammation or infection of the female pelvic organs.

Question 12

The first trimester extends for weeks:

Accepted Answer

The answer of The first trimester extends for weeks:
...

Question 13

Which of the following is not a primary function of the female genital system?

Accepted Answer

The primary function of the female genital system is not to enable sperm to enter the body; rather, it is to produce egg cells, facilitate fertilization, and support pregnancy.

Question 14

Cilia are:

Accepted Answer

Cilia are hair-like projections found within the fallopian tubes that help in moving the egg through the tube by creating a wave-like motion.

Question 15

Patient presents for a scheduled initial resection of a primary peritoneal malignancy. The surgeon is prepared to also perform a bilateral salpingo-oophorectomy and omentectomy to ensure complete removal of the malignant growth. During the procedure, the surgeon determines that only the left fallopian tube and ovary needs to be removed. CPT code 58950, Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy, should be reported:

Accepted Answer

The correct answer is B) 58950-52 because the modifier -52 is used for reduced services. In this case, since only the left fallopian tube and ovary were removed instead of performing a bilateral salpingo-oophorectomy as initially planned, the service was reduced. Therefore, appending modifier -52 to CPT code 58950 accurately reflects the performed procedure.

Question 16

When a diagnostic scope procedure leads to an open surgical procedure, list the codes for both the surgical and the diagnostic procedures and append which modifier to the diagnostic scope code?

Accepted Answer

The answer of When a diagnostic scope procedure leads to...

Question 17

All of the following are subheadings in the "Vulva, Perineum, and Introitus" subheading of CPT except:

Accepted Answer

"Revision" is not a subheading under "Vulva, Perineum, and Introitus" in the CPT (Current Procedural Terminology) coding system. The subheadings typically include procedures like excision, destruction, and incision, among others, but not revision for this specific anatomical area.

Question 18

A small oval-shaped gland(s) that produces the oocyte, ovum, and female hormones is/are:

Accepted Answer

The ovaries are the small oval-shaped glands responsible for producing oocytes (eggs), ovum (mature egg), and female hormones such as estrogen and progesterone.

Question 19

The fallopian tubes are also referred to as the:

Accepted Answer

The fallopian tubes are also known as oviducts, which are the tubes through which an ovum or egg passes from an ovary to the uterus.

Question 20

The Maternity Care and Delivery subsection of CPT is formatted based on:

Accepted Answer

The Maternity Care and Delivery subsection of CPT is formatted based on episode and type of care or delivery, which allows for the categorization of services based on the specific needs and stages of pregnancy and delivery.

Quiz 14: Surgery Section: Female Reproductive System and Maternity Care and Delivery