Chapter 15 Guidelines
Chapter 16 Guidelines
Obstetrics Section
Cengage Content
Coding
100

Codes from this chapter are for use only on maternal records, never on newborn records.

True

See Note at the beginning of Chapter 15

100

Codes from this chapter are used for the mother and newborn records.

False

See note at the beginning of Chapter 16

100

What is the first character position for Obstetrics procedures?

1

See page 1321 in PCS codebook.

100

Use additional code from category ???, weeks of gestation, to identify the specific week of the pregnancy if known.

Z3A

100

What does DiDi stand for?

Dichorionic-diamniotic

200

For routine outpatient prenatal visits when no complications are present, what code should be used?

Z34

Encounter for supervision of normal pregnancy

See guideline B.1

200
What is category code the birth episode in a newborn record?

Z38

See guideline A.2

200

What is the value for Character 2 used in Obstetrics section?

0

See page 1321 in PCS codebook 

200

What is one that occurs outside the uterus. Abdominal, tubal, and ovarian pregnancies are all included in this section.

Ectopic pregnancy

200

A patient cannot have both preexisting diabetes and gestational diabetes

True

You have to identify the condition as one or the other. If the documentation is not clear you must query the physician.

300

What is the correct code that should be assigned when a women is admitted for a full term normal delivery and delivers a single, healthy infant without any complications antepartum, during the delivery, or postpartum during the delivery episode?

O80

See guideline N.1

300

Codes with this chapter can be combined with codes from what chapter is the codes from the other chapters provide more specific detail?

Chapter 16

See guideline A.3

300

How many differnt values can be used for Character 3 in the Obstetrics section?

12

See page 1321 in PCS Codebook

300

If a blighted ovum in the uterus develops into a mole or benign tumor, this is considered to be?

Molar pregnancy

300

What does the term Grand mutipara mean?

It describes a woman who has had five or more previous pregnancies resulting in viable fetus.
400

What are the codes that would be used for Tobacco use during pregnancy, childbirth, and the puerperium?

O99.33 and a code code from category F17

See guideline L.2

400

What is the code for Stillborn?

P95

See guideline G

400

Character 4 is for Body Part, what is an example that could be used?

Products of Conception

See page 1321 in PCS Codebook

400

What does products of conception mean?

all of the physical components of a pregnancy, including the fetus, amnion, umbilical cord, and the placenta.

400

What does EDD stand for?

Estimated delivery date

500

When a patient that is pregnant is admitted for a HIV-related illness during pregnancy, childbirth, or the puerperioum period what would the principal diagnosis code be?

O98.7-

See guideline F

500

If a newborn has a condition that may be either due to the birth process or community acquired and the documentation does not indicate which it is, what would the default be?

Due to the birth process and the code from Chapter 16 should be used

See guideline A.5

500

Procedures performed on the pregnant female other than the products of conception are coded to the appropriate root operation in what section?

Medical/Surgical

See Obstetric Section Guidelines (section 1)

C1

500

In PCS coding what does the term change mean?

taking out or taking off a device from a body part and putting back an identical or similar device in or on the same body part without cutting or puncturing the skin or a mucous membrane.

500

What does EGA stand for?

Estimated gestational age