Exam 22: Pregnancy, Childbirth, and the Puerperium

Coding a normal pregnancy requires only three diagnostic codes and one or more procedure codes.

A 38-week primigravida spontaneously delivers a small for gestational age (SGA) baby. After delivery, the obstetrician manually removes fragments of the retained placenta. On the second day after delivery, the patient develops a fever. Antibiotics are initiated and puerperal sepsis is documented.

A gravid patient at 11 weeks'gestation presents for a routine prenatal visit. This patient had preeclampsia in her previous pregnancy, and the physician documents high-risk pregnancy. She has blood work done on this visit and is found to be anemic. The physician prescribes an iron supplement.

What is the Index term if the condition is affecting the labor?

A 40-week primigravida patient comes to the hospital in labor. Labor progresses, and she delivers a normal 7.6-lb infant. An episiotomy is performed and repaired. The patient had a UTI during the fourth month of pregnancy that was treated with antibiotics. She developed hyperemesis gravidarum early in the pregnancy. She is discharged on day 2 with no complaints. What codes are applicable? __________

The patient presents to the hospital in labor at 40 weeks'gestation. She labors for 5 hours and goes on to deliver a healthy baby girl.

When a vaginal delivery occurs, the principal diagnosis should correspond to the main circumstance or complication of the delivery.

When a cesarean delivery is performed, the principal diagnosis should correspond to the reason the cesarean delivery was performed unless the reason for admission was unrelated to the condition resulting in the cesarean delivery.

Acute gonococcal cervicitis in the second trimester of pregnancy (26 weeks' gestation): __________

A pregnant woman at 39 weeks'gestation presents to the hospital for delivery of known quadruplets. She is taken to the OR for a low transverse cesarean section (LTCS). As the babies are delivered, it is discovered that fetus number 1 has died in utero.

What drug could be given to induce labor?

Severe antepartum deep thrombophlebitis of the right calf at 25 weeks'gestation: __________

Gestational edema, second trimester antepartum (25 weeks'gestation): __________

Suppressed lactation postpartum: __________

Ectopic pregnancies occur in 1 in ____ pregnancies.

Match each definition to one of the following items. -Before delivery

Complications of pregnancy, childbirth, and the puerperium are coded ____.

Molar pregnancies occur in 1 in ____ pregnancies.

Lupus nephritis in second trimester of pregnancy (20 weeks'gestation): __________

What does postpartum mean?