Classified as congenital malformation of urinary system

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True or False:

1. The puerperium begins immediately after childbirth and ends 10 weeks following delivery.

2. In the case where a 20 day old baby has a condition that may be either due to the birth process or community-acquired and there is no documentation to support either one, the default should be community-acquired rather than birth process.

3. Code P95, Stillbirth, is only used for use for institutions that maintain separate records for stillborns and should be never be used on the mother's record.

4. When the term "incomplete" is used to describe a spontaneous abortion, it indicates that products of conception have been retained.

Multiple Choice:

1. All of the following must be met in order for code O80 to be used correctly except:

Outcome of delivery must be single livebirth

Any antepartum complication must have been resolved prior to postpartum

No abnormalities or either labor or delivery can have occurred

No postpartum complications can be present

2. Whose records should have chapter 15 codes assigned?

Only the newborns

Only the mothers

It depends on the circumstances of the admission

Both the newborn and the mothers

3. Which of the following would not be considered a clinically significant condition to meet the requirement of coding guidelines for determining if an additional code should be assigned?

infant fussy after feeding, requiring additional maternal comforting

chest congestion, requiring chest x-ray

elevated temperature, requiring an extra day of hospitalization

apnea episodes, requiring a monitor

4. In which of the following situations is it NOT appropriate to assign code Z33.1?

admission for treatment of gestational diabetes

routine office visit for management of pregnancy

treatment in ER for repair of a laceration of the finger

consultation for pre-term labor

5. Where is it appropriate to report a code from category Z38 on an infant record?

on the readmission record if the infant was readmitted within 28 days of the birth admission

all of the above

on the record at the institution where the birth occured for the admission of the birth

on the record at the receiving hospital if the newborn was transferred immediately after birth

6. Which of the following aspects of documentation is no longer necessary to impact the coding of cleft lip in ICD-10-CM?

median cleft lip

laterality

presence of cleft palate

complete vs. incomplete

7. Which of the following conditions is classified as a congenital malformation of the urinary system?

hypospadias

aplasia of penis

congenital chordee

epispadias

8. A patient six months pregnant was diagnosed as having an iron-deficiency anemia and was admitted for open RBC packed-cell central transfusion. How would this be coded?

30240N1, D50.9, O99.012

O99.012, D50.9, 30240N1

30240N1

D50.9, O99.012, 30240N1

9. Newborn twin girls, both living, were delivered vaginally in the hospital at 35 weeks, with extreme immaturity and weight of 850 grams for twin #1 and 900 grams for twin #2. Both were transferred to the neonatal intensive care nursery with a diagnosis of extreme immaturity. The codes for twin #1 would be?

Z38.30

P07.03, P07.38, Z38.30

Z38.30, P07.03,P07.38

Z38.5, P07.03,P07.38

Reference no: EM133418290

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