Question 1

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

Accepted Answer

Category O10 in ICD-10 includes codes for preexisting hypertension complicating pregnancy, childbirth, and the puerperium, and it also includes codes for hypertensive heart and hypertensive chronic kidney disease.

Question 2

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

Accepted Answer

A

Question 3

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

Accepted Answer

Perineal lacerations during delivery are coded with a code from category O70, which specifically addresses perineal lacerations occurring as a result of childbirth.

Question 4

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) ____________________.

Accepted Answer

The answer of Office note: "Polly reports to the office...

Question 5

Which of the following is false?

Accepted Answer

Category O12 reports gestational hypertension without significant proteinuria.

Question 6

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

Accepted Answer

Mild pre-eclampsia in the 38th week of pregnancy is coded to O14.03 (mild to moderate pre-eclampsia, third trimester) and Z3A.38 (38th week of gestation).

Question 7

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

Accepted Answer

The postpartum period begins after the delivery of the fetus and includes the first 6 weeks after birth.

Question 8

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) ____________________.

Accepted Answer

The answer of Pam was admitted to the hospital today...

Question 9

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

Accepted Answer

ICD-10-CM Chapter 15 codes include codes for conditions that can affect both live births and stillbirths.

Question 10

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.

Accepted Answer

If a trimester is not indicated, it means that the condition always occurs in a specific trimester or the concept of trimester or pregnancy is not applicable.

Question 11

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

Accepted Answer

Chapter 15 codes are for pregnancy, childbirth, and the puerperium, and they have sequencing priority over codes from other chapters when treating a patient who is pregnant or has recently given birth.

Question 12

A postpartum complication is any complication occurring during delivery.

Accepted Answer

Postpartum complications refer to any complications that occur after delivery, not during delivery.

Question 13

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

Accepted Answer

O90.0 is the correct code for dehiscence of a cesarean delivery wound, as it specifically addresses complications related to the incision site following a cesarean section.

Question 14

Postpartum inversion of the uterus is reported with code _____.

Accepted Answer

Postpartum inversion of the uterus is reported with code O71.2, which describes a complication of the third stage of labor where the uterus turns inside out after the delivery of the baby. Option A (O72.9) is for other obstetric conditions not elsewhere classified, which is too broad to capture the specific diagnosis. Option C (O71.9) is for unspecified complications of the third stage of labor, which is too general and does not specify the inversion of the uterus. Option D (O77.9) is for vascular complications of pregnancy and childbirth, which is not applicable for this scenario as it does not describe the uterus inversion.

Question 15

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

Accepted Answer

O43.101 is the code for abnormal placental formation, and Z3A.01 is for the 1st week of gestation, which aligns with the scenario described.

Question 16

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

Accepted Answer

The answer of The peripartum period is defined as the...

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) ____________________.

Accepted Answer

The answer of Office note: "Sally presents to the office...

Question 18

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

Accepted Answer

A history of infertility, ectopic pregnancy, and poor reproductive history are all factors that increase the risk of complications during pregnancy, and therefore are considered high risk.

Question 19

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

Accepted Answer

An ectopic pregnancy occurs when a fertilized egg implants outside of the uterus, typically in the fallopian tube.

Question 20

Category O03 reports induced abortions.

Accepted Answer

Category O03 in the ICD-10 coding system is used to report spontaneous abortions, not induced abortions.

Quiz 20: Pregnancy, Childbirth, and the Puerperium