Show:
Ch 14 - CKD
Ch 15 - Pregnancy
Mom or Baby?
Ch 16 - Perinatal
Ch 17 - Congenital
100
The code for Moderate CKD is:
N18.3 (Stage 3 = Moderate)
100
Chapter 15 codes are for mom or baby?
Mom - these are "Maternal record" codes
100
Code O35 - surgery on the fetus is coded on the mom's record, the baby's record, or both?
Maternal (mom's) record only. Remember this is an "O" code - "O" codes are for Mom; "P" codes are for baby.
100
True/False: Chapter 16 codes have sequencing priority over other chapters?
FALSE. Chapter 15 codes have sequencing priority over other chapters. (Pregnancy "O" codes)
100
TRUE/FALSE: Codes from Chapter 17 may be used throughout the life of the patient
TRUE (e.g. down syndrome, spina bifida, hypospadias)
200
If both Stage 3 and ESRD CKD are documented, which do you code? (or do you code both)
Code only ESRD, N18.6
200
All "O" codes require what?
A "Z" code (specifically Z3A.- which indicate the # weeks pregnant)
200
TRUE/FALSE: Z38 is a code that is used on the maternal record?
False. Z38 is liveborn code and is coded on the baby's record
200
You can use more than 1 code on the baby's record from category P07?
TRUE. For example, low birth weight and gestational age.
200
TRUE/FALSE: A code from chapter 17 can only be a secondary diagnosis.
FALSE. A code from Chapter 17 may be a first or secondary Dx
300
True/False: There is an assumed causal relationship between CKD and hypertension?
True
300
A pregnant woman is 14 weeks 0 days pregnant. She is in her ___________ trimester?
SECOND
300
Z3A codes are used on the __________ record (maternal or newborn record)
Z3A codes are used on the MATERNAL record
300
TRUE/FALSE: Perinatal codes may be used throughout the life of the patient
TRUE - as long as the condition is still present
300
TRUE/FALSE: Codes for Congenital malformations, deformations, and chromosomal abnormalities use code range Q00-Q9A
FALSE. The code range is Q00-Q99
400
True/False: There is an assumed causal relationship between CKD and heart disease?
FALSE (Assumed relationship is between CKD and HYPERTENSION)
400
What is the code for a full-term normal delivery?
O80
400
TRUE/FALSE: P95 is the code used on the maternal record when the baby is stillborn?
FALSE. P95 is used only on the infant record
400
A baby is born in hospital A, then transferred to hospital B. Code Z38 can be coded at which hospital?
Only hospital A where the baby was born. Z38 (Liveborn code) is used ONLY ONCE at the time of delivery
400
TRUE/FALSE: Upon delivery sequence the congenital defect, then Z38
FALSE. Upon delivery sequence the live born code first (Z38), then the congenital defect Q00-Q99
500
True/False - If a person has a kidney transplant, it is impossible to have CKD
False. Sometimes the transplant may not fully restore kidney function.
500
What should also be coded whenever there is a delivery code (i.e. O80)?
Z37 - outcome of delivery
500
TRUE/FALSE: Z37 is a code that is used on the maternal record?
TRUE. This is the outcome of delivery code and should be coded when a delivery has occurred.
500
When documentation doesn't specify if a condition was acquired during birth or community acquired, the default is ______________
Due to the birth process.
500
TRUE/FALSE A congenital anomaly is a condition that existed at or before birth, regardless of cause.
TRUE