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22 Cards in this Set

  • Front
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if it is explicitly stated by the provider that the pregnancy is incidental to the encounter
then a V code (V22.2) would be assigned instead of a code from Chapter 11.
Intrauterine pregnancy at 12 weeks complicated by hypothyroidism
Index to Diseases:
Pregnancy
complicated
thyroid dysfunction 648.1
Index to Diseases”:
Hypothyroidism 244.9
Finally, Diagnoses 648.1, 244.9
Sinus infection not complicating the pregnancy
Index to Diseases
Infection, infected, infective
sinus 473.9
Tabular List
473.9 Unspecified sinusitis (chronic
Index to Diseases
Pregnancy V22.2
DIAGNOSIS: Sinus infection not complicating the pregnancy. 473.9, V22.2
DIAGNOSIS: Morbid obesity complicating intrauterine pregnancy at 33 weeks gestation, undelivered
Index to Diseases
Pregnancy
complicated
obesity 649.1
Tabular List
649.1 Obesity complicating pregnancy childbirth, or the puerperium
Use additional code to identify the obesity (278.00-278.03)
Index to Diseases
Obesity
morbid 278.01
Tabular List
278.01 Morbid obesity
DIAGNOSIS: Morbid obesity complicating intrauterine pregnancy at 33 weeks gestation, undelivered. 649.13, 278.01
Antepartum hemorrhage at 30 weeks gestation, undelivered
Index to Diseases
Pregnancy
Complicated
Hemorrhage 641.9
Tabular List
641.93 (antepartum)
Antepartum hemorrhage at 30 weeks gestation, undelivered. 641.93
Routine outpatient prenatal visits

High-risk patient outpatient prenatal visits
V22

V23
Supervision of normal first pregnancy

Pregnancy with history of pre-term labor
V22.0

V23.41
Insufficient prenatal care
V23.7
Office visit for routine prenatal care, for primigravida patient with no complications.
Index to Diseases
Examination
prenatal
first pregnancy V22.0
Tabular List
V22.0 Supervision of normal first pregnancy
Office visit for routine prenatal care, for primigravida patient with no complications. V22.0
Office visit for care of elderly patient who is in the fourth month of her third pregnancy.
Index to Diseases
Pregnancy
supervision
elderly
Tabular List
V23.8 Other high-risk pregnancy
Office visit for care of elderly patient who is in the fourth month of her third pregnancy. V23.82
V23.82 Elderly multigravida
multigravida V23.82
30-year-old female, gravida 2, para 1, with history of previous pre-term delivery presents for routine prenatal visit
Index to Diseases
Pregnancy
supervision
poor
obstetric history
pre-term labor
Tabular List
V23.4 Pregnancy with poor obstetric history

V23.41 Pregnancy with history of pre-term labor
30-year-old female, gravida 2, para 1, with history of previous pre-term delivery presents for routine prenatal visit. V23.41
False labor of 38-week pregnancy, undelivered
Index to Diseases
Pregnancy
complicated
false labor 644.1
Tabular List
644.1 Other threatened labor
Tabular List
644.13 antepartum condition or complication
False labor of 38-week pregnancy, undelivered. 644.13
When the patient stays more than 23 hours and delivery occurs, an outcome of delivery code
V27-0–V27.9
Normal delivery of single liveborn infant complicated by first degree perineal laceration.
Index to Diseases
Delivery
complicated by
Laceration
Perineum, perineal
First degree 664.0
Tabular List
664 Trauma to the perineum and vulva during deliver

664.0 First-degree perineal laceration

664.01 Delivered with or without mention of antepartum condition
Index to Diseases
Outcome of delivery
single
liveborn V27.0
Normal delivery of single liveborn infant complicated by first degree perineal laceration. 664.01, V27.0
When fetal condition (abnormalities, problems) modify the mother’s care, then codes from the 656 classification should be assigned.
classification 656
Cesarean delivery of stillborn at 38 weeks gestation due to placental infarction
Index to Diseases
Pregnancy
complicated
placenta
placental and infarct 656.7
Tabular List
656 Other known or suspected fetal and placental problems affecting management of mother

656.7 Other placental conditions
Tabular List
656.71 delivered, with or without mention of antepartum condition
Index to Diseases
Outcome of delivery
single
stillborn V27.1
Outcome of delivery
single
Tabular List
stillborn V27.1
Cesarean delivery of stillborn at 38 weeks gestation due to placental infarction. 656.71, V27.1
most cases, fetal surgery would be done as an inpatient procedure. However, there may be instances where surgery on a fetus is performed as an outpatient. Surgery performed on a fetus would fall under the umbrella of obstetric care and not newborn care.
655 – known or suspected fetal abnormalities affecting mother. Chapter 15 codes (Newborn [Perinatal] Guidelines) would not apply to in utero surgery.
DIAGNOSIS: Spina bifida corrective procedure at twenty-one weeks in utero
Index to Diseases
Pregnancy
management affected by
fetal
spina bifida 655.0
Tabular List
655.0 Central nervous system malformation in fetus

655.03 antepartum condition or complication
Spina bifida corrective procedure at twenty-one weeks in utero. 655.03
Postpartum period
Peripartum period
Postpartum complication
Immediately after delivery to 6 weeks following delivery

Last month of pregnancy to five months after delivery

Any complication occurring within the postpartum period
Postpartum pulmonary embolism in a patient who delivered a baby 8 weeks ago
Index to Diseases
Pregnancy
complicated
embolism
pulmonary NEC 673.2
Tabular List
673.2 Obstetrical blood-clot embolism
Puerperal pulmonary embolism NOS

673.24 Postpartum condition or complication
Postpartum pulmonary embolism in a patient who delivered a baby 8 weeks ago. 673.24
Admission of patient in good condition after delivering a single liveborn infant in a taxi on the way to the hospital
Primary diagnosis V24.0
33-week gestation pregnancy complicated by AIDS and Pneumocystis carini pneumonia.
Index to Diseases
Pregnancy
complicated
viral disease NEC 647.6
Tabular List
647 Infectious and parasitic conditions in the mother classifiable elsewhere, but complicating the pregnancy, childbirth, or the puerperium.

647.6 Other viral diseases

647.63 antepartum condition or complication.
Index to Diseases
Human immunodeficiency virus (disease) (illness) 042
Tabular List
042 Human immunodeficiency virus [HIV] disease
Index to Diseases
Pneumonia
pneumocystis 136.3
Tabular List
136.3 Pneumocystosis
Pneumonia due to Pneumocystis carini
33-week gestation pregnancy complicated by AIDS and Pneumocystis carini pneumonia. 647.63, 042, 136.3