Deck 21: Certain Conditions Originating in the Perinatal Period

Question 1

The following is recorded at the time of discharge for a newborn: low birth weight of 625 grams. This would be reported with code _____.

A) P07.00
B) P07.10
C) P07.02
D) P07.14

Answer 1

C

Question 2

ICD-10-CM Chapter 16 codes are reported for the maternal and infant records.

Answer 2

False

Question 3

Omphalitis with a mild hemorrhage is reported with code(s) _____.

A) P50.9, L08.82
B) P51.9
C) P38.1
D) P38.9

Answer 3

C

Question 4

Which of the following code blocks are used to report that a newborn is affected by maternal factors and by complications of pregnancy, labor, and delivery?

A) P00-P04
B) P10-P15
C) P50-P61
D) P90-P96

Question 5

A code from Z38 is assigned only once, to the newborn at the time of birth.

Question 6

Diagnostic tests for 26-hour-old Megan have confirmed that there is an abnormally high electrolyte level of potassium. This would be reported with code _____.

A) P71.9
B) P72.8
C) P74.3
D) P74.9

Question 7

If a perinate is documented as having sepsis without documentation of congenital or acquired, the default is congenital, and a code from category P36 should be assigned.

Question 8

Code P95 reports a stillbirth and is reported on the mother's record.

Question 9

Code P95 reports all of the following except _____.

A) fetal death of unspecified cause
B) deadborn fetus
C) stillbirth
D) missed abortion

Question 10

Neonatal aspiration of amniotic fluid and mucus with pneumonia is reported with code(s) ____________________.

Question 11

Tom Jones, an 8-hour-old neonate, was examined by Dr. Smith and found to have neonatal bradycardia. The code that would be reported for this encounter is ____________________.

Question 12

Which of the following conditions would not be reported with P84?

A) asphyxia of newborn
B) mixed metabolic and respiratory acidosis of newborn
C) anoxia of newborn
D) cerebral ischemia of newborn

Question 13

Tom Jones, a 3-year-old, has been diagnosed with a condition that originated in the perinatal period. This condition would only be reported until Tom is 16 years old.

Question 14

If a newborn has a condition that may be due either to the birth process or community acquired, and the documentation does not indicate which it is, the default is community, and a code from Chapter 16 is not used.

Question 15

Categories P00-P04 report those instances when a healthy newborn is evaluated for a suspected condition that is determined after study not to be present.

Question 16

Which of the following categories reports disorders of a newborn related to slow fetal growth and fetal malnutrition?

A) P04
B) P05
C) P07
D) P08

Question 17

A condition identified during a routine newborn examination is coded if the condition has implications for future health care needs.

Question 18

Secondary codes should be assigned on perinatal records when a condition prolongs the length of stay or requires resource utilization.

Question 19

A code for prematurity should not be assigned by the coder unless there is documentation of the prematurity by the provider.

Question 20

The discharge summary records on a newborn state that the newborn was affected by maternal renal disease. This would be reported on the newborn's record with code ____________________.

Question 21

A grade 2 subependymal hemorrhage with intraventricular extension is reported with code(s) ____________________.

Question 22

Inpatient neonatal examination note: "This 2-hour-old infant was born at 2:35 pm. HEENT: no findings. Chest: clear. Abdominal: soft. Extremities: no abnormalities noted. Heart: within normal limits. Skin: on the left breast there is engorgement. This will be monitored." This encounter would be reported with diagnostic code(s) ____________________.

Question 23

A newborn small for gestational age of 1,550 grams would be reported with code _____.

Question 24

Partial atelectasis of newborn is reported with code _____.

Question 25

Cerebral hemorrhage of newborn due to birth injury is reported with code _____.

Question 26

Inpatient progress note: "Sally is a 10-hour-old neonate who is having convulsions. Neurological scans are ordered STAT. There are no other significant findings on examination at this time." The diagnostic code(s) for this encounter is (are) ____________________.

Question 27

Prolonged neonatal physiological jaundice is reported with code _____.

Question 28

ABO isoimmunization of newborn is reported with code _____.

Question 29

Obstructive apnea of newborn is reported with code _____.

Question 30

The discharge summary on a newborn's record states that the newborn was affected by maternal hypertensive disorders. This would be reported with code _____.

Question 31

On the discharge summary the following was stated: "Newborn small for gestational age, 625 grams." This would be reported with code(s) ____________________.

Question 32

Cardiac arrest of newborn is reported with code _____.

Question 33

Cyanotic attacks of newborn is reported with code _____.

Question 34

Congenital pneumonia due to group B streptococcus is reported with code(s) ____________________.

Question 35

Congenital rubella pneumonitis of newborn is reported with code _____.