Term
| Obstetric cases require codes from chapter _, codes in the range O00-O9A, ___, ___, and the ___. Chapter 15 codes have sequencing ___ over codes from other chapters. Additional codes from ___ chapters may be used in conjunction with chapter _ codes to further ___ conditions. Should the provider document that the pregnancy is ___ to the encounter, then code Z33.1, Pregnant state, incidental, should be used in place of any chapter _ codes. It is the provider's responsibility to state that the condition being ___ is not affecting the pregnancy. |
|
Definition
15
Pregnancy
Childbirth
Puerperium
priority
other
15
specify
incidental
15
treated |
|
|
Term
| Chapter 15 codes are to be used ___ on the ___ record, never on the record of the ___. |
|
Definition
|
|
Term
| The majority of codes in Chapter 15 have a final ___ indicating the ___ of pregnancy. The ___ for the trimesters are indicated at the ___ of the chapter. If trimester is not a ___ of the code, it is because the condition ___ occurs in a specific trimester, or the concept of trimester of pregnancy is ___ ___. Certain codes have chapters for only ___ trimesters because the condition does not occur in ___ trimesters, but it may occur in ___ than just one. |
|
Definition
character
trimester
timeframes
beginning
component
always
not applicable
certain
all
more |
|
|
Term
| Assignment of the final character for ___ should be based on the provider's documentation of the trimester (or ___ __ ___) for the current ___/encounter. This applies to the assignment of trimester for pre-___ conditions as well as those that ___ during or are ___ __ the pregnancy. The provider's documentation of the ___ of weeks may be used to assign the appropriate ___ identifying the trimester. |
|
Definition
trimester
number of weeks
admission
existing
develop
due to
number
code |
|
|
Term
| In instances when a patient is admitted to a hospital for ___ of pregnancy during one ___ and ___ in the hospital into a ___ trimester, the trimester character for the ___ complication code should be assigned on the basis of the ___ when the complication ___, not the trimester of the ___. If the condition developed ___ to the current ___/encounter or represents a pre-existing condition, the trimester ___ for the trimester at the time of the ___/encounter should be assigned. |
|
Definition
complications
trimester
remains
subsequent
antepartum
trimester
developed
discharged
prior
admission
character
admission |
|
|
Term
| When a ___ occurs, the principal diagnosis should correspond to the ___ circumstances or ___ of the delivery. In cases of ___ delivery, the selection of the principal diagnosis should be the condition established ___ ___ that was responsible for the patient's admission. If the patient was admitted with a condition that ___ __ the performance of a cesarean precedure, that ___ should be selected as the ___ diagnosis. If the ___ for the admission/encounter was ___ to the condition ___ in the cesarean delivery, the condition related to the reason for the ___/encounter should be selected as the principal diagnosis. |
|
Definition
| delivery main complication cesarean after study resulted in condition principal reason unrelated resulting admission |
|
|
Term
| A code from category Z37, Outcome of ___, should be included on every ___ record when a ___ has occurred. These codes are ___ to be used on ___ records or on the ___ record. |
|
Definition
| delivery maternal delivery not subsequent newborn |
|
|
Term
| Category O10, Pre-existing ___ complicating pregnancy, childbirth and the puerperium, includes codes for hypertensive ___ and hypertensive ___ ___ disease. When assigning one of the O10 codes that ___ hypertensive heart disease or hypertensive chronic kidney disease, it is necessary to add a ___ code from the appropriate ___ category to specify the type of ___ ___ or ___ ___ disease. |
|
Definition
hypertension
heart
chronic kidney
includes
secondary
hypertension
heart failure
chronic kidney |
|
|
Term
| Codes from categories O35, Maternal care for known or suspected ___ abnormality and ___, and O36, Maternal care for other ___ problems, are assigned ___ when the ___ condition is actually responsible for ___ the management of the ___, i.e., by requiring diagnostic studies, additional ___, special care, or ___ of pregnancy. The fact that the fetal condition ___ does not ___ assigning a code from this series to the ___ record. |
|
Definition
fetal
damage
fetal
only
fetal
modifying
mother
observation
termination
exists
justify
mother's |
|
|
Term
| During pregnancy, ___ or the puerperium, a patient ___ because of an ___-related illness should receive a ___ diagnosis from subcategory O98.7-, Human immunodeficiency [HIV] disease ___ pregnancy, childbirth and the puerperium, followed by the code(s) for the HIV-___ illness(es). |
|
Definition
| childbirth admitted HIV principal complicating related |
|
|
Term
| Gestational (___ ___) diabetes can occur during the ___ and ___ trimester of pregnancy in women who were ___ diabetic ___ to pregnancy. Gestational diabetes can cause ___ in the pregnancy similar to those of pre-___ diabetes mellitus. It also puts the woman at ___ ___ of developing ___ after the pregnancy. Codes for gestational diabetes are in subcategory O24.4, ___ diabetes mellitus. __ other code from category O24, Diabetes mellitus in pregnancy, childbirth, and the puerperium, ___ __ ___ with a code from O24.4. |
|
Definition
pregnancy induced
second
third
not
prior
complications
existing
greater risk
diabetes
Gestational
No
should be used |
|
|
Term
Codes under subcategory O99.31, ___ ___ complicating pregnancy, childbirth, and the ___, should be assigned for any pregnancy care when a mother ___ ___ during the pregnancy or postpartum. A secondary
code from category F10, Alcohol related ___, should also be assigned to identify ___ of the alcohol ___. |
|
Definition
Alcohol use
puerperium
uses alcohol
disorders
manifestations
use |
|
|
Term
| Codes under subcategory O99.33, ___ (tobacco) complicating pregnancy, ___, and the puerperium, should be assigned for ___ pregnancy case when a mother uses ___ ___ of tobacco ___ during the pregnancy or ___. A secondary code from category F17, Nicotine ___, should also be assigned to identify the ___ of nicotine ___. |
|
Definition
Smoking
childbirth
any
any type
product
postpartum
dependence
type
dependence |
|
|
Term
| The ___ period begins immediately after ___ and continues for ___ ___ following delivery. The ___ period is defined as the last ___ of pregnancy to ___ months postpartum. |
|
Definition
postpartum
delivery
six weeks
peripartum
month
five |
|
|
Term
| A ___ complication is any complication occurring ___ the ___-week period. |
|
Definition
|
|
Term
| Chapter _ codes may also be used to describe ___-related complications ___ the peripartum or ___ period if the provider documents that a condition is ___ related. |
|
Definition
15
pregnancy
after
postpartum
pregnancy |
|
|
Term
| When the mother delivers ___ the hospital ___ to admission and is admitted for routine ___ care and no ___ are noted, code Z39.0, Encounter for care and ___ of mother immediately ___ delivery, should be assigned as the ____ diagnosis. |
|
Definition
outside
prior
postpartum
complications
examination
after
principal |
|
|
Term
| Pregnancy associated ___, code O90.3, is ___ in that it may be diagnosed in the ___ trimester of pregnancy but may continue to ___ months after ___. For this reason, it is referred to as ___ cardiomyopathy. Code O90.3 is ___ for use when the cardiomyopathy develops as a ___ of pregnancy in a woman who ___ ___ have pre-existing ___ disease. |
|
Definition
cardiomyopathy
unique
third
progress
delivery
peripartum
only
result
did not
heart |
|
|
Term
| When an ___ termination of pregnancy results in a ___ fetus, assign code Z33.2, Encounter for ___ termination of pregnancy and a code from category Z37, Outcome of ___. |
|
Definition
attempted
liveborn
elective
Delivery |
|
|
Term
| ___ encounters for ___ products of ___ following a ___ abortion or ___ termination of pregnancy are assigned the appropriate code from category O03, Spontaneous abortion, or codes O07.4, Failed attempted termination of pregnancy without complication and Z33.2, Encounter for elective termination of pregnancy. This advice is appropriate even when the patient was ___ previously with a discharge diagnosis of ___ abortion. |
|
Definition
Subsequent
retained
conception
spontaneous
elective
discharged
complete |
|
|
