Exam 20: Pregnancy, Childbirth, and the Puerperium

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.

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

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) ____________________.

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

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

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

Discharge summary: "This 29-year-old delivered a 7-pound infant boy on 4/15/XX. Her pregnancy was uneventful. The delivery required no assistance except for an episiotomy. Vaginal cephalic delivery of a full term infant occurred at 1:23 a.m. The mother and child were discharged home on 4/17/XX at 9 a.m." The diagnostic code(s) for this case is (are) ____________________.

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) ____________________.

Office note: "Janice presents to the office today for her 16-week OB visit. She has a history of infertility. At this time the pregnancy is progressing normally." The code(s) for this encounter is (are) ____________________.

Eclampsia in the puerperium is reported with code _____.

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

Helen was admitted during her fifth week of pregnancy due to hyperemesis causing dehydration. She was discharged during her seventh week of pregnancy. The final diagnosis reported is hyperemesis with metabolic disturbance. The code(s) for the final diagnosis is (are) ____________________.

Postpartum inversion of the uterus is reported with code _____.

Category O03 reports induced abortions.

Rupture of fallopian tube due to pregnancy without intrauterine pregnancy is reported with code(s) _____.

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

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

Cervical shortening at 30 weeks gestation is reported with code(s) _____.

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

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) ____________________.