Title: Module 13: Chapters 24, 25, 26 and 27
Course: Introduction to Coding and Classification Systems > Section: Module 13: Coding Pregnancies, and Childbirth Complications

Q: Pregnancy codes take precedence over codes from other chapters, but codes from other chapters may be used as additional codes when needed to provide more specificity.
- True
- False
A: True

Q: The nurse's documentation of the number of weeks may be used to assign the appropriate final character identifying the trimester.
- True
- False
A: False

Q: If a condition complicating the pregnancy develops prior to the current admission/encounter or represents a pre-existing condition, which trimester character should be assigned?
- The trimester character for the trimester at the time of the admission/encounter.
- The trimester character for the trimester when the condition developed.
- The trimester character will depend on the circumstances of admission.
- The trimester character at the time of discharge.
A: The trimester character for the trimester at the time of the admission/encounter.

Q: When an inpatient hospitalization encompasses more than one trimester and remains in the hospital into a subsequent trimester, which trimester character should be assigned for the antepartum complication code?
- The trimester character for the trimester at the time of the admission/encounter.
- The trimester character for the trimester when the condition developed.
- The trimester character will depend on the circumstances of admission.
- The trimester character at the time of discharge.
A: The trimester character for the trimester when the condition developed.

Q: Code O80, Encounter for full-term uncomplicated delivery, is used only when the delivery is entirely normal with a single liveborn outcome. Which of the following situations would not prevent the use of code O80?
- Any postpartum complications.
- An antepartum complication experienced during pregnancy has resolved before the time of delivery.
- There is fetal manipulation with forceps.
- There are multiple births.
A: An antepartum complication experienced during pregnancy has resolved before the time of delivery.

Q: The postpartum period, clinically termed the "puerperium," begins immediately after delivery and includes how many of the subsequent weeks?
- Two
- Four
- Six
- Eight
A: Six

Q: Outcome of delivery is assigned using ______________codes.
- V27 codes
- O30 codes
- Z37 codes
A: Z37 codes

Q: Delivery of liveborn, female infant.
- Z37.0
- Z37.61
- Z37.1
A: Z37.0

Q: Delivery of twins, both stillborn.
- Z37.4
- Z37.61
- Z37.1
A: Z37.4

Q: In episodes when not delivery occurs, the principal diagnosis should correspond to the principal complication that necessitated the encounter.
- True
- False
A: True

Q: Intrauterine pregnancy, 39 weeks, delivered, left occipitoanterior, single liveborn. Primary uterine inertia.
- O62.0, Z37.0, Z3A.33
- O62.0, Z37.0, Z3A.39
- O62.1, Z37.1, Z3A.39
A: O62.0, Z37.0, Z3A.39

Q: Intrauterine pregnancy, 12 weeks, long standing essential hypertension being monitored closely.
- O10.011, Z3A.12
- O10.013, Z3A.10
- O10.013, Z3A.12
A: O10.011, Z3A.12

Q: Patient was admitted with retained products of conception after a spontaneous abortion at 12 weeks gestation. During suction curettage, an abnormal piece of tissue was brought down that was not in scale with the remaining tissue. Laparotomy showed uterine perforation. Final diagnoses: (1) Retained products of conception, (2) uterine perforation following spontaneous abortion. Assign the appropriate diagnosis codes.
- O03.39, Z3A.12
- O03.34, Z3A.12.
- O03.31, Z3A.12
A: O03.39, Z3A.12

Q: Codes for congenital anomalies may only be used on newborn records.
- True
- False
A: False

Q: When the type of congenital anomaly is specified, but no specific code is provided, what should the coder do?
- Assign the code for other specified anomaly of that type and site.
- Assign codes for manifestations of the anomaly.
- Query the physician for instructions.
- A and B
A: A and B

Q: When may congenital conditions be reported for newborns?
- Only if they meet the definition of principal diagnosis
- Only if they are treated or evaluated during the current episode of care
- If they have future health care implications
- If they were initially diagnosed during the current episode of care
A: If they have future health care implications

Q: Conditions due to birth injury are classified as:
- Congenital anomalies
- Perinatal conditions
- Accidents
A: Perinatal conditions

Q: Which of the following conditions refers to incomplete formation of the pulmonary valve, which obstructs the flow of blood through the leaflets and into the lungs?
- Pulmonary arteriovenous malformation
- Pulmonary artery atresia
- Pulmonary artery coarctation
- Pulmonary artery stenosis
A: Pulmonary artery atresia

Q: A three-week-old infant is admitted with projectile vomiting and dehydration. A pyloromyotomy is performed for pyloric stenosis. Final diagnoses: (1) Pyloric stenosis, (2) dehydration. Assign the appropriate diagnosis codes.
- Q40.1, P74.1
- Q40.0, P74.1
- Q40.0, P74.9
A: Q40.0, P74.1

Q: The patient is a 46-year-old with congenital rubella. He also has aortic stenosis and mitral regurgitation with tricuspid insufficiency. Final diagnoses: (1) Congenital rubella, (2) aortic stenosis, (3) mitral regurgitation, (4) tricuspid insufficiency. Assign the appropriate Diagnosis codes.
- P35.0, I08.3
- P35.3, I08.9
- P35.0, I08.9
A: P35.0, I08.3

Q: A 2-year-old child was admitted with a patent ductus arteriosus.
- Q25.0
- Q25.1
- Q25.2
A: Q25.0

Q: Therapeutic abortion, complete, with embolism.
- O04.4, Z3A.00
- O04.0, Z3A.01
- O04.7, Z3A.00
A: O04.7, Z3A.00

Q: Codes for perinatal conditions are located in the Alphabetic Index under the main term "Birth".
- True
- False
A: True

Q: The perinatal period is defined as:
- Birth through the first 28 days after birth
- The first month of life
- The first 3 months of life
- Birth through discharge from the hospital
A: Birth through the first 28 days after birth

Q: When a newborn has a condition and the documentation does not specify whether the condition is due to the birth process or acquired, what should the default code be?
- The code for the acquired condition.
- The code for the condition due to the birth process.
- The unspecified code.
- There is no default; the condition should not be coded.
A: The code for the condition due to the birth process.