ICD GUidelines Ch. 15 Pregnancy, Childbirth, & Puerperium Flashcards

1
Q

newborn codes never go on

A

maternal records

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2
Q

1st trimester

A

0-14 weeks

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3
Q

2nd trimester

A

14-27 weeks

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4
Q

3rd trimester

A

28 weeks to delivery

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5
Q

normal pregnancy codes will never be used w/

A

high risk codes at the same time

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6
Q

any condition w/ pregnancy should be coded in the

A

pregnancy area

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7
Q

The last month of pregnancy to 5 months postpartum

A

peripartum

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8
Q

6 weeks after delivery

A

postpartum

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9
Q

standard prenatal visit

A

1st- Z34

not from ch. 15

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10
Q

pregnancy incident to encounter

A

1st-non pregnancy related condition

2nd- Z33.1 pregnant state no ch. 15 code

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11
Q

delivery via c- section

A

code circumstances causing the c-section

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12
Q

outcome of delivery

A

Z37

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13
Q

fetal condition hurting the mother code

A

1st- O35 or O36

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14
Q

in utero surgery

A

1st- O35 maternal care for known fetal abnormality

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15
Q

Admitted b/c of HIV in pregnancy w/ symptoms relating to the condition then code

A

1st- O98.7 (If HIV related)
2nd- B20 HIV
3rd- HIV related illness

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16
Q

HIV in pregnancy (asymptomatic) w/ unrelated condition then code

A

1st- O98.7 HIV complicated

2nd-Z21 Asymptomatic HIV

17
Q

DM in pregnancy

A

1st-O24
2nd- E08- E13 appropriate DM code
3rd- Z79.4 insulin if applicable

18
Q

Gestational diabetes

A

1st- O24.4 gestational dm

2nd- Z3A- weeks

19
Q

Sepsis & Septic Shock in pregnancy

A

1st-appropriate code
2nd- Specify type infection
3rd- R65.2 ( if applicable)
4th- organ dysfunction ( if applicable)

20
Q

Puerperal Sepsis

DONT use A40, A41 w/ puerperal sepsis

A

1st-O85/ puerperal sepsis
2nd- R65.2 (if severe sepsis), bacterial infection, severe
sepsis, or organ failure
3rd- organ dysfunction if applicable

21
Q

Alcohol use in pregnancy

A

1st- alcohol use complicating

2nd- F10/ alcohol related disorders

22
Q

tobacco in pregnancy

A

1st- O99.33 smoking complicating

2nd- nicotine dependence

23
Q

Poisoning, toxic effects, adverse affects, & under dosing in pregnancy

A

1st- O99A injury/ poisoning
2nd- external causes (vomiting)
3rd- specify the condition caused by injury