45 Questions
What is the primary purpose of using codes from Chapter 15 in obstetric cases?
To further specify conditions related to the pregnancy
When should the code Z33.1, Pregnant state, incidental, be used instead of Chapter 15 codes?
When the provider documents that the pregnancy is incidental to the encounter
Where should Chapter 15 codes be used?
On the maternal record only
What is the purpose of the final character in most Chapter 15 codes?
To indicate the trimester of pregnancy
What is the reason that certain Chapter 15 codes have characters for only certain trimesters?
The condition always occurs in a specific trimester
What is the primary responsibility of the provider when documenting obstetric cases?
To state that the condition being treated is not affecting the pregnancy
Which of the following is true about the use of additional codes from other chapters in obstetric cases?
They are used to further specify conditions related to the pregnancy
When should the 'in childbirth' code be assigned for obstetric complications?
Whenever delivery occurs during the current admission
In what situation is it appropriate to assign a code describing the current trimester?
When an obstetric complication does not have an 'in childbirth' option
When should the 'unspecified trimester' code be rarely used?
When it's not possible to obtain clarification on the trimester
What does assigning a 7th character '0' signify in gestational complications?
The fetus affected is unspecified
What should be assigned as the first-listed diagnosis for routine outpatient prenatal visits with no complications?
Codes from category Z34, Encounter for supervision of normal pregnancy
When should codes from category O09, Supervision of high-risk pregnancy, be used as the first-listed diagnosis?
For routine prenatal outpatient visits for patients with high-risk pregnancies
What should the principal diagnosis correspond to in episodes when no delivery occurs?
The principal complication of the pregnancy necessitating the encounter
What should be sequenced as the principal diagnosis when an obstetric patient is admitted and delivers during that admission?
The condition that prompted the admission
When assigning codes from Chapter 15, why is it important to assess if a condition was pre-existing or developed during pregnancy?
To identify if the condition affects the management of the mother
In cases of cesarean delivery, what should be selected as the principal diagnosis if the patient's reason for admission was unrelated to the delivery?
The condition related to the reason for admission
When should a code from category Z37, Outcome of delivery, be included on a maternal record?
On every maternal record when a delivery has occurred
Why are codes from categories O35 and O36 assigned in maternal care?
When fetal conditions modify the mother's management
In which category should a patient admitted due to an HIV-related illness during pregnancy receive a principal diagnosis?
[HIV] disease complicating pregnancy, childbirth, and puerperium
What differentiates codes from categories O35 and O36 in maternal care?
They are assigned when fetal conditions modify maternal management
What code should be assigned for gestational diabetes treated with both diet and insulin?
O24.4
In what category should a code be assigned for severe sepsis complicating pregnancy, childbirth, and the puerperium?
R65.2
Which code should not be assigned for puerperal sepsis?
A41
What is the appropriate code for alcohol use complicating pregnancy, childbirth, and the puerperium?
O99.31
Which code should be assigned for abnormal glucose complicating pregnancy, childbirth, and the puerperium?
O99.81
What secondary code should be assigned for alcohol use during pregnancy or postpartum?
F10
Which code is used for long-term current use of oral hypoglycemic drugs?
Z79.85
What codes should be assigned to identify manifestations of drug use during pregnancy, childbirth, and the puerperium?
Codes from categories F11-F16 and F18-F19
When should code O80 (full term uncomplicated delivery) be assigned as the principal diagnosis?
When a patient is admitted for a full-term normal delivery and delivers a single, healthy infant without any complications
What is the appropriate outcome of delivery code to use with code O80 (full term uncomplicated delivery)?
Z37.0, Single live birth
When does the postpartum period begin and end?
It begins immediately after delivery and continues for 6 weeks following delivery
What code should be assigned as the principal diagnosis when a mother delivers outside the hospital prior to admission and is admitted for routine postpartum care with no complications?
Z39.0, Encounter for care and examination of mother immediately after delivery
What is unique about pregnancy associated cardiomyopathy (code O90.3)?
It may be diagnosed in the third trimester of pregnancy but may continue to progress months after delivery
When can Chapter 15 codes be used to describe pregnancy-related complications?
After the peripartum or postpartum period if the provider documents that a condition is pregnancy related
When should code O94 be used according to the text?
After the initial postpartum period for sequelae of a complication of pregnancy
Which code is assigned for retained products of conception following a spontaneous abortion without complications?
O03.4
In cases of suspected or confirmed abuse in a pregnant patient, which codes should be sequenced first?
O9A.3, O9A.4, O9A.5
What should be assigned as the principal diagnosis in cases of COVID-19 infection during pregnancy or puerperium?
U07.1, COVID-19
Which code should be assigned for delayed or excessive hemorrhage following an induced termination of pregnancy?
O04.6
When should code Z33.2 be used in obstetric cases according to the text?
For elective termination of pregnancy resulting in a liveborn fetus
Which chapter's codes take sequencing priority according to the provided text?
Chapter 15 codes
Which code should not be assigned for post-abortion conditions involving hemorrhage?
O72.1
What should be sequenced first for documented complications of pregnancy in conjunction with codes from categories O04, O07, and O08?
'Chapter 15' codes
What is the code assignment for suspected or confirmed abuse in pregnant patients?
O9A.3, O9A.4, O9A.5
Test your knowledge of the general rules for obstetric cases according to Chapter 15 of ICD-10, focusing on codes in the range O00-O9A. Understand the sequencing priority for obstetric cases, additional codes usage, and documentation requirements for pregnancy, childbirth, and the puerperium.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
