Title: Module 6: Chapters 20, 21, and 23
Course: Introduction to Coding and Classification Systems > Section: Module 6: Coding for Pregnancies and Childbirth Complications

Q: Any condition that occurs during pregnancy, childbirth, or the puerperium is considered to be a complication unless documented otherwise by the physician.
- True
- False
A: True

Q: When coding pregnancies, the _______________digit will designate more information regarding the type of complication.
- Third
- Fourth
- Fifth
A: Fourth

Q: When coding pregnancies, the _______________digit will designate information regarding the current episode of care.
- Third
- Fourth
- Fifth
A: Fifth

Q: Because certain complications occur only at a given time within the obstetrical experience, only certain fifth digits are appropriate for that timeframe.
- True
- False
A: True

Q: The pregnancy/delivery codes provided in Chapter 11 of the coding manual provide the Outcome of Delivery Codes V27.X also.
- True
- False
A: False

Q: A 650 Normal delivery code would be assigned in which of the following situations:
- Liveborn, full-term, breech presentation
- Liveborn, full-term- cephalic presentation, episiotomy with repair
- Liveborn, full-term, vertex presentation, elective low forceps
A: Liveborn, full-term- cephalic presentation, episiotomy with repair

Q: Chapter 11 pregnancy/delivery codes take precedence over codes from other chapters, but codes from other chapters in ICD-9-CM can be assigned as additional codes to fully describe the admission.
- True
- False
A: True

Q: The code V22.2 can be assigned as a principal diagnosis and with any of the pregnancy/delivery codes in Chapter 11 of ICD-9-CM.
- True
- False
A: False

Q: For routine prenatal visits when no complication is present and the first pregnancy, the code _______________should be assigned.
- V22.0
- V22.1
- V23.41
A: V22.0

Q: A condition called _______________ can occur in patients who do not have preexisting hypertension and only develops in/ during the pregnancy.
- Albuminuria
- Gestational hypertension
- Benign hypertension
A: Gestational hypertension

Q: Vaginal delivery of a full-time liveborn infant. Patient has elective tubal ligation.
- 650, V25.2, V27.0
- 648.91, V27.0
- 650, V27.0
A: 650, V25.2, V27.0

Q: Incomplete spontaneous abortion complicated by excessive hemorrhage
- 634.12
- 634.12, 285.1
- 634.11
A: 634.11

Q: Obstructed labor due to breech presentation; single liveborn male delivered via Cesarean section
- 660.81
- 660.01, 652.21, V27.0
- 660.81, 652.21
A: 660.01, 652.21, V27.0

Q: Delivery of a single newborn at 43 weeksâ€™ gestation, manually assisted delivery
- 650, V27.0
- 645.20, V27.0
- 645.21, V27.0
A: 645.21, V27.0

Q: Female, 26 weeksâ€™ pregnancy is treated for a fractured distal radius and ulna.
- 813.44
- 648.93, 813.44
- V22.2, 813.44
A: 648.93, 813.44

Q: Patient diagnosed with tubal pregnancy
- 633.20
- 633.11
- 633.10
A: 633.10

Q: This pregnant female with hypertension was admitted for pre-eclampsia at 34 weeks when she was found to have elevated blood pressure and elevated protein in her urine in the physicianâ€™s office. Patient denied headaches, blurred vision, abdominal pain, and cramping. She was admitted for evaluation and conservative treatment. Patient had spontaneous rupture of membranes at 36 1/7 weeks during the admission. Primary low cervical cesarean section performed for failure to descend caused by arrest of labor. Female infant delivered with weight of 5 pounds, 1 ounce. Final diagnoses: (1) Pre-eclampsia, (2) arrest of active labor due to failure of the babyâ€™s head to descend to brim position, (3) low cervical cesarean section, (4) delivery of female infant without complication.
- 642.71, 652.51, 661.11, V27.0
- 652.51, 661.11, V27.0
- 642.71, 661.11, V27.0
A: 642.71, 652.51, 661.11, V27.0

Q: Failed attempted abortion complicated by hemorrhage
- 638.1
- 634.12
- 638.2
A: 638.1

Q: Live born infant, born in hospital, cleft palate and lip. Newborn record
- 749.00
- V30.00, 749.20
- V30.00, 749.10
A: V30.00, 749.20

Q: Cervical spina bifida with hydrocephalus. Not born this admission.
- 741.02
- 741.93
- 741.01
A: 741.01

Q: Full term newborn, born in the hospital. Mother is addicted to cocaine; however infant tested negative.
- V30.00, 760.75
- 779.5, V29.8
- V30.00, V29.8
A: V30.00, V29.8

Q: Preterm infant born via Cesarean section admitted to Childrenâ€™s Hospital for severe birth asphyxia. Not born on this admission.
- V30.01, 765.10, 768.5
- 768.5, 765.10
- 768.5, 765.10, V30.01
A: 768.5, 765.10

Q: Neonatal jaundice in preterm infant, born in the hospital.
- V30.00, 774.2
- 774.2
- V30.00
A: V30.00, 774.2

Q: One week old infant admitted to the hospital with a diagnosis of urinary tract infection contracted prior to birth. Urine culture positive for E. Coli.
- V30.00, 599.0
- 599.0, 041.4
- 771.82, 041.4
A: 771.82, 041.4

Q: Full-term newborn, one day old, had a seizure which was determined to be secondary to intrauterine hypoxia and birth asphyxia. Baby expires two days after delivery. Born this admission. Final diagnoses: (1) Seizures, (2) anoxic brain damage due to severe birth asphyxia.
- V30.00, 779.0, 768.5
- V30.00, 779.0
- 779.0, 768.
A: V30.00, 779.0, 768.5