Pregnancy and Childbirth Coding Quiz (Pg.62-64)

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Questions and Answers

What term best describes conditions and symptoms that lack a definitive diagnosis even after investigation?

Known etiology

Transient symptoms

Not otherwise specified (correct)

Provisional diagnosis

Which of the following is included in the categories R00-R94?

Abnormal findings on antenatal screening

Symptoms classified in body system chapters

Cases with undetermined causes (correct)

Conditions originating in the perinatal period

What is one reason for classifying a case as 'transient'?

Significant findings were present during the examination

The patient did not return for follow-up

Precise diagnosis was available but not utilized

Symptoms clear up on their own (correct)

What is indicated by a provisional diagnosis?

The patient did not return for further care Signup and view all the answers

Which subcategory is generally provided for symptoms that cannot be classified elsewhere?

R00-R94 Signup and view all the answers

What does 'unknown etiology' refer to in medical classification?

A condition without a known cause after investigation Signup and view all the answers

Which statement correctly identifies a characteristic of cases referred elsewhere for investigation?

They are often classified as provisional. Signup and view all the answers

Signs and symptoms considered important problems in medical care may be characterized by which feature?

They often require supplementary information. Signup and view all the answers

Which of the following options represents a category that would not typically be included in the classification R00-R94?

Certain perinatal conditions Signup and view all the answers

What is the duration of the first trimester in pregnancy?

Less than 14 weeks 0 days Signup and view all the answers

Which codes from Chapter 15 are applicable for maternal records?

Codes for conditions related to pregnancy or childbirth Signup and view all the answers

What additional code should be used to identify the specific week of pregnancy?

Z3A Signup and view all the answers

Which of the following is NOT included in Chapter 16 Perinatal Period?

Congenital malformations Signup and view all the answers

What does Chapter 18 encompass?

Abnormal clinical findings and ill-defined conditions Signup and view all the answers

What characterizes the 3rd trimester of pregnancy?

Beginning at 28 weeks until delivery Signup and view all the answers

Codes from Chapter 16 can be used for which of the following conditions?

Fetal conditions originating before birth Signup and view all the answers

Which of the following codes from Chapter 15 is excluded?

Supervision of normal pregnancy Signup and view all the answers

What is the classification for conditions resulting from external causes during the perinatal period?

Injury and poisoning Signup and view all the answers

Which of the following is an example of a condition classified under Chapter 18?

Unspecified abdominal pain Signup and view all the answers

Study Notes

Pregnancy, Childbirth, and the Puerperium

Chapter O00-O9A codes are designated for maternal records only, never for newborns.
Codes address conditions related to or aggravated by pregnancy, childbirth, and puerperium.
Trimesters are defined as follows:
- 1st trimester: less than 14 weeks
- 2nd trimester: 14 weeks to less than 28 weeks
- 3rd trimester: from 28 weeks until delivery
Additional coding from category Z3A for weeks of gestation is required when known.
Exclusions include:
- Supervision of normal pregnancy (Z34.-)
- Mental and behavioral disorders postpartum (F53.-)
- Obstetrical tetanus (A34)
- Postpartum necrosis of the pituitary gland (E23.0)
- Puerperal osteomalacia (M83.0)

Congenital Malformations, Deformations, and Chromosomal Abnormalities

Codes from this chapter are not applicable to maternal records.
Exclusions for Type 2 include inborn errors of metabolism (E70-E88).

Conditions Originating in the Perinatal Period

Chapter P00-P96 codes are exclusively for newborn records.
Exclusions under Type 2 include:
- Congenital malformations (Q00-Q99)
- Endocrine, nutritional, and metabolic diseases (E00-E88)
- Injuries and poisonings (S00-T88)
- Neoplasms (C00-D49)
- Tetanus neonatorum (A33)
This chapter covers conditions arising before birth through the first 28 days after birth, regardless of when morbidity occurs.

Signs, Symptoms, and Ill-Defined Conditions

Chapter R00-R99 encompasses a broad range of symptoms, signs, and abnormal clinical findings not classified elsewhere.
Includes cases without a specific diagnosis despite comprehensive investigation.
Common conditions include:
- Transient signs or symptoms with undetermined causes during initial encounters.
- Provisional diagnoses for patients who do not return for follow-up.
- Cases referred for further investigation before a diagnosis was made.
- Situations lacking a more precise diagnosis for various reasons.
- Symptoms requiring additional information that are critical to medical care.
Exclusions under Type 2 include:
- Abnormal antenatal screening findings (O28.-)
- Certain perinatal conditions (P04-P96)
- Symptoms classified in specific body system chapters.
- Symptoms related to the breast (N63, N64.5).

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Description

Test your knowledge on the ICD coding for pregnancy, childbirth, and the puerperium with this quiz. Dive into Chapter 15 to understand maternal records and the classification of various conditions related to pregnancy. Perfect for healthcare professionals looking to sharpen their coding skills.