Female Genital And Maternity care And Delivery

95 Questions | Total Attempts: 68

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Maternity Quizzes & Trivia

MATCHING , TRUE/FALSE, FILL IN THE BLANKS AND ICD-9-CM CODING


Questions and Answers
  • 1. 
      One lesion excised from the vulva is reported using code 56606. Code 56610 is used to report a biopsy of each additional lesion of the vulva after the first one.
    • A. 

      True

    • B. 

      False

  • 2. 
    The hymen is a membrane that covers the external opening of the vagina.
    • A. 

      True

    • B. 

      False

  • 3. 
    Vulva repair is reported using codes 56800-56810.
    • A. 

      True

    • B. 

      False

  • 4. 
    If a destruction of a cyst, abscess, or a cautery destruction of a urethral caruncle is performed, the code set used to report this service is 56700-56740.
    • A. 

      True

    • B. 

      False

  • 5. 
    Procedures performed on the female genital system may be performed endoscopically, laparoscopically, or open.
    • A. 

      True

    • B. 

      False

  • 6. 
    A complete radical vulvectomy is reported using code 56633.
    • A. 

      True

    • B. 

      False

  • 7. 
    A partial procedure is the removal of greater than 80% of the vulvar area.
    • A. 

      True

    • B. 

      False

  • 8. 
    A simple procedure is the removal of the skin and superficial subcutaneous tissue.
    • A. 

      True

    • B. 

      False

  • 9. 
    A radical procedure, as it relates to the vulvectomy codes, is defined as the removal of less than 80% of the vulvar area.
    • A. 

      True

    • B. 

      False

  • 10. 
    A colposcopy of the vulva with biopsy is reported using CPT code 56821.
    • A. 

      True

    • B. 

      False

  • 11. 
    Repairs of the vagina are reported using the  ------------------------------------------------ code set.
  • 12. 
    A biopsy of the vaginal mucosa would be reported using the ------------------------------------------ code range.
  • 13. 
    Paravaginal defect repairs are reported using the --------------------------------       code range.
  • 14. 
    Insertion of IUD is reported with code ------------
  • 15. 
    The removal of uterine fibroid tumors from the wall of the uterus is reported using code range ----------------.
  • 16. 
    The code range used to report the cautery of the cervix is ------------------------------------.
  • 17. 
    If open occlusion of the fallopian tubes is performed, code 58627 should be used to report this service.
    • A. 

      True

    • B. 

      False

  • 18. 
    A colpocentesis is the aspiration of fluid through the vaginal wall into a syringe.
    • A. 

      True

    • B. 

      False

  • 19. 
    Code 56606 is an add-on code and should be used only in conjunction with 56605.
    • A. 

      True

    • B. 

      False

  • 20. 
    Endoscopic and open procedures of the vagina are reported using CPT codes 57420-57425.
    • A. 

      True

    • B. 

      False

  • 21. 
    When you are reporting vaginal approach procedures, dilation of the cervix (57800) should be reported separately, as it is a routine part of the surgical field encountered.
    • A. 

      True

    • B. 

      False

  • 22. 
    When reporting the service of the introduction of a diaphragm, the cost of the diaphragm is included in the introduction.
    • A. 

      True

    • B. 

      False

  • 23. 
    Hydatidiform mole, also known as a "molar pregnancy," results from genetic abnormalities.
    • A. 

      True

    • B. 

      False

  • 24. 
    Antepartum introduction and repair are reported using codes from the 59200-59350 code set. 
    • A. 

      True

    • B. 

      False

  • 25. 
    Normal maternity care includes monthly visits up to 36 weeks gestation.
    • A. 

      True

    • B. 

      False

  • 26. 
    Services unrelated to pregnancy should be reported using the Evaluation and Management codes.
    • A. 

      True

    • B. 

      False

  • 27. 
    Chorionic villus is another term for placenta.
    • A. 

      True

    • B. 

      False

  • 28. 
    Obstetrics is the specialty that deals with women during pregnancy, childbirth, and the period immediately following childbirth.
    • A. 

      True

    • B. 

      False

  • 29. 
    The embryo is referred to as the fetus from the first six weeks of pregnancy until birth.
    • A. 

      True

    • B. 

      False

  • 30. 
    Vesicocentesis is reported using 59012.
    • A. 

      True

    • B. 

      False

  • 31. 
    Code 59076 is used to report fetal shunt placement, including ultrasound guidance.
    • A. 

      True

    • B. 

      False

  • 32. 
    Code 59030 would be used to report fetal monitoring during labor.
    • A. 

      True

    • B. 

      False

  • 33. 
    Code 59409 is used to report a normal vaginal delivery without forceps.
    • A. 

      True

    • B. 

      False

  • 34. 
    A(n) -------------------- ----------------  is a delivery in which there is a surgical procedure (incision) performed through the abdominal wall to extract the fetus.
  • 35. 
    A hysterectomy performed after a cesarean delivery is reported using CPT  add-on code ---------------------.
  • 36. 
    Delivery of the placenta is reported using CPT code --------------------.
  • 37. 
    Routine obstetric care including antepartum care, vaginal delivery, and postpartum care is reported using code  ----------------------------
  • 38. 
    --------------------------------------- services include hospital care and office visits immediately following birth, up to six weeks.
  • 39. 
    Code range ---------------------------------------------- would be referenced when a patient who had a previous cesarean delivery now has a successful vaginal delivery.
  • 40. 
    ---------------------------- is a procedure in which an amniocentesis needle is inserted into the umbilical vessel to obtain blood from the fetus.
  • 41. 
    CPT code ------------ would be used to report fetal fluid drainage. This code includes the ultrasound guidance.
  • 42. 
    The condition in which there is less than sufficient amniotic fluid present is called --------------------------.
  • 43. 
    The abbreviation EDC means --------------------------------------------------------------------------.
  • 44. 
    Antepartum care is the care rendered during the time prior to childbirth.
    • A. 

      True

    • B. 

      False

  • 45. 
    A spontaneous abortion can be elective or therapeutic and is induced by medical personnel working within the law.
    • A. 

      True

    • B. 

      False

  • 46. 
    Services such as fetal monitoring during labor, delivery of the placenta, and episiotomy are not included in most delivery services and should be coded separately.
    • A. 

      True

    • B. 

      False

  • 47. 
    During the second week through the eighth week of pregnancy, the embryo grows and develops into a fetus.
    • A. 

      True

    • B. 

      False

  • 48. 
    Delivery services include any workup performed relative to the admission and management of labor as well as ultrasounds performed before the mother goes home from the hospital.
    • A. 

      True

    • B. 

      False

  • 49. 
    Rubella in a woman at 4 months' gestation.  ICD-9-CM code will be
  • 50. 
    Pregnancy, 8 months' gestation, complicated by preeclampsia. ICD-9-CM code will be
  • 51. 
    Blighted ovum. ICD-9-CM code will be
  • 52. 
    Vaginal delivery of liveborn single infant with third-degree perineal laceration. ICD-9-CM code(s) will be :
  • 53. 
    Delivery of liveborn twins by cesarean section; labor and delivery complicated by obstructed labor due to locked twins. ICD-9-CM code(s) will be :
  • 54. 
    Cesarean delivery due to multiple gestations. ICD-9-CM code(s) will be :
  • 55. 
    Intraligamentous pregnancy. ICD-9- CM code(s) will be :
  • 56. 
    A patient in her third month of pregnancy experienced persistent hyperemesis. ICD-9-CM code(s) will be :
  • 57. 
    A patient went into cardiac arrest after anesthesia was administered during delivery. ICD-9-CM code(s) will be :
  • 58. 
    Gestational diabetes developed during the second trimester of antepartum care. ICD-9-CM code(s) will be :
  • 59. 
    A patient with essential hypertension for the past seven years delivers a single liveborn infant in the hospital. ICD-9-CM code(s) will be :
  • 60. 
    A patient who delivered a healthy set of twins 2 weeks ago has postpartum uterine hypertrophy. ICD-9-CM code(s) will be :
  • 61. 
    A tearful new mother visited her gynecologist because of pain at the incision site from her cesarean section 3 weeks ago. After examination, the physician determined that the wound was infected. ICD-9-CM code(s) will be :
  • 62. 
    A 22-year-old primigravida presents to the emergency room at 40 weeks gestation in active labor. The physician has not seen this patient before. While monitoring her in labor, the physician notes acute fetal distress necessitating an emergency cesarean delivery which the physician performs. ICD-9-CM code(s) will be :
  • 63. 
    Postpartum deep phlebothrombosis. ICD-9-CM code will be :
  • 64. 
    A female patient in her first trimester of pregnancy visits her physician with a complaint persistent vomiting. The patient states she is nauseated mainly in the evenings before bedtime.
  • 65. 
    Iron-deficiency anemia complicating pregnancy, antepartum
  • 66. 
    Severe pre-eclampsia 2 days after delivery, patient is still in hospital after delivery
  • 67. 
    Vomiting complicating pregnancy, antepartum
  • 68. 
    Termination of pregnancy complicated by renal failure
  • 69. 
    Miscarriage at 10 weeks' gestation.
  • 70. 
    Twins, both delivered without complication.
  • 71. 
    Obstruction of delivery during labor caused by prolapsed arm of fetus, delivered
  • 72. 
    Full term normal delivery one male infant
  • 73. 
    Normal prenatal care.
  • 74. 
    Postpartum hemorrhage, 7 days after being discharged from the hospital.
  • 75. 
    Term pregnancy, delivered live born, with pre-eclampsia and fetal distress.
  • 76. 
    Endometriosis of the ovary and round ligament.
  • 77. 
    Tammy has an intrauterine pregnancy and delivers a set of twins at 33 weeks. She had premature rupture of membranes. The spontaneous delivery of the premature twins was via a vertex presentation, and both infants were born alive.
    • A. 

      644.21, 658.11, 651.01, V27.2, 73.59

    • B. 

      644.20, 659.11, V27.2

    • C. 

      644.20, 658.11, 651.02, 73.59

    • D. 

      658.11, 651.01, V27.2, 73.59

  • 78. 
    HOSPITAL COURSE:At the time of admission, patient received IV and was placed on a fetal monitor. Her water broke at 2 am. After 3 hours the patient delivered a baby boy with apgar scores of 8 at 1 minute and 10 at 5 minutes. Postpartum care was uneventful. The patient was discharged 2 days later.
  • 79. 
    Intrauterine pregnancy, twins, 33 weeks, premature rupture of membranes, spontaneous delivery of premature twins, vertex presentation, both liveborn, postpartum pulmonary embolism
  • 80. 
    Premature delivery, frank breech presentation, single female liveborn, first degree tear of vaginal wall. 
  • 81. 
    Term pregnancy, delivered,  single stillborn, left occipitoanterior, terminal abruptio placenta, cord tightly around neck with compression 
  • 82. 
    Intrauterine pregnancy, 12 weeks gestation, long-standing essential hypertension, being closely monitored 
  • 83. 
    Term pregnancy with breech delivery,  female infant, followed by sterilization 
  • 84. 
    Malignant hypertension, admitted for sterilization 
  • 85. 
    Endometriosis of uterus, admitted for sterilization 
  • 86. 
    Elderly primigravida, 37 years old, term delivery, spontaneous, of living female infant 
  • 87. 
    Term pregnancy, living twins, cesarean delivery, performed of fetal distress noted prior to labor 
  • 88. 
    Uterine pregnancy, term, delivered with obstructed labor due to transverse presentation, pre-existing hypertension with mild pre-eclampsia, single liveborn 
  • 89. 
    Antepartum supervision of pregnancy in patient with history of three previous stillbirths.
  • 90. 
    Office visit for routine prenatal care, for primigravida patient with no complications.
  • 91. 
    Office visit for care of elderly patient who is in the fourth month of her third pregnancy
  • 92. 
    Hospital admission of patient in good condition after delivering a single liveborn infant in taxi on the way to the hospital.
  • 93. 
    Admission for intravenous antibiotic therapy of patient who delivered a single liveborn at home three days ago; patient now suffering an abscess of the breast.