The outcome of delivery is indicated only on the mother's medical record. For example, the mother gives birth to a single live born, reported with Z37.0. The outcome of delivery is only reported once on the mother's record and is not reported on subsequent encounters. - ANSWER true
The majority...
Chapter 15 - OB/GYN Exam 2024
Questions & Answers 100% Correct!!
Routine outpatient prenatal visits are reported with codes from category Z34, Encounter for
supervision of normal pregnancy, as the first-listed diagnosis. If there is any type of complication,
such as those reported with O00-O9A, Z34 codes cannot be reported. - ANSWER true
Any condition that occurs during pregnancy, childbirth, or the puerperium is considered to be a
complication unless the attending physician specifically documents that it neither affects the
pregnancy nor is affected by the pregnan - ANSWER true
Obstetric cases require codes from chapter 15, codes in the range O00-O9A, Pregnancy, Childbirth,
and the Puerperium. Chapter 15 codes have sequencing priority over codes from other chapters.
Additional codes from other chapters may be used in conjunction with chapter 15 codes to further
specify conditions. - ANSWER true
Should the provider document that the pregnancy is incidental to the encounter, then code Z33.1,
Pregnant state, incidental, should be used in place of any chapter 15 codes. It is the provider's
responsibility to state that the condition being treated is not affecting the pregnancy. - ANSWER true
Certain categories in Chapter 15 distinguish between conditions of the mother that existed prior to
pregnancy (pre-existing) and those that are a direct result of pregnancy. - ANSWER true
When encounters are for high-risk patients, report a code from category O09, Supervision of high-
risk pregnancy. - ANSWER true
The outcome of delivery is indicated only on the mother's medical record. For example, the mother
gives birth to a single live born, reported with Z37.0. The outcome of delivery is only reported once
on the mother's record and is not reported on subsequent encounters. - ANSWER true
The majority of codes in Chapter 15 have a final character indicating the trimester of pregnancy. The
timeframes for the trimesters are indicated at the beginning of the chapter. If trimester is not a
component of a code it is because the condition always occurs in a specific trimester, or the concept
of trimester of pregnancy is not applicable. Certain codes have characters for only certain trimesters
because the condition does not occur in all trimesters, but it may occur in more than just one. -
ANSWER true
, When assigning codes from Chapter 15, it is important to assess if a condition was pre-existing prior
to pregnancy or developed during or due to the pregnancy in order to assign the correct code. -
ANSWER true
Categories that do not distinguish between pre-existing and pregnancy-related conditions may be
used for either. - ANSWER true
It is acceptable to use codes specifically for the puerperium with codes complicating pregnancy and
childbirth if a condition arises postpartum during the delivery encounter. - ANSWER true
Chapter 15 codes are to be used only on the maternal record, never on the record of the newborn. -
ANSWER true
Assignment of the final character for trimester should be based on the provider's documentation of
the trimester (or number of weeks) for the current admission/encounter. This applies to the
assignment of trimester for pre-existing conditions as well as those that develop during or are due to
the pregnancy. The provider's documentation of the number of weeks may be used to assign the
appropriate code identifying the trimester - ANSWER true
Whenever delivery occurs during the current admission, and there is an "in childbirth" option for the
obstetric complication being coded, the "in childbirth" code should be assigned. - ANSWER true
first trimester - ANSWER 1-13 weeks
second trimester - ANSWER 14-26 weeks
third trimester - ANSWER 27-40 weeks
Specific gestation weeks are assigned category Z3A codes in order to provide additional information
about the pregnancy. - ANSWER true
Codes from Chapter 15 have priority over codes from other chapters. Although additional codes may
be reported for further detail, the Chapter 15 code is first-listed. It is the physician's responsibility to
document that the condition or conditions being treated are not affecting the pregnancy. In the
absence of this documentation, assume the condition is affecting the pregnancy. - ANSWER true
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