Chapter 5- Aapc Cpc Class

Front 1

puerperium

Back 1

period from the termination of labor until the complete involution of the uterus. Usually 42 days

Front 2

Codes from Chapter 11 (complications of child birth, pregnancy, child birth, and puerperium)

Back 2

have sequencing priority over all other codes

Front 3

leiomyoma

Back 3

uterine fibroids

coded according to where they are located. Submucosa leimyoma are beneath the endometrium. subserous leimyoma are located beneath the surface of the uterus

Front 4

preeclampsia

Back 4

Preeclampsia is when a pregnant woman develops high blood pressure and protein in the urine after the 20th week (late 2nd or 3rd trimester) of pregnancy.

Front 5

hyperemesis gravidarum

Back 5

Hyperemesis gravidarum is extreme, persistent nausea and vomiting during pregnancy that can lead to dehydration.

Front 6

V23

Back 6

Supervision of high risk pregnancy

Front 7

elderly primigravida

Back 7

patient's first pregnancy if they are over the age of 35

Front 8

younger than 16 at expected date of delivery and has complications code- young primigravida/multigravida

Back 8

659.8X- other specified indications for care or intervention related to labor and delivery.

V codes are reported when there are no pregnancy complications, but still indicate the patient is at high risk due to her age.

Front 9

normal delivery

Back 9

650

Front 10

whether the delivery is normal or complicated, a code for delivery is required

Back 10

V27.0-V27.9

Front 11

ARF

Back 11

Acute renal failure-rapid onset. The 4th digit identifies the lesion of the necrosis.

Front 12

Urge incontinence

Back 12

sudden need to urinate followed by the sudden release of urine.

Front 13

UTI

Back 13

urinary tract infection- if the provider documents a specific organ, select a code for the specific organ instead of the code for UTI

Front 14

CIN

Back 14

Cervical Intraepithelial Neoplasia- an abnormal growth or premalignant cells of the cervix.

Front 15

BV

Back 15

bacterial vaginosis

Front 16

CPP

Back 16

Chronic Pelvic Pain

Front 17

CKD

Back 17

Chronic Kidney Disease

Front 18

DUB

Back 18

dysfunctional uterine bleeding- abnormal bleeding from the vagina that is due to changes in hormone levels.

Front 19

ESRD

Back 19

End Stage Renal Disease

Front 20

LMP

Back 20

Last Menstrual Period

Front 21

PSA

Back 21

Prostate Specific Antigen

Front 22

SUI

Back 22

- stress incontinence occurs with an activity such as coughing, sneezing, or exercise.

Front 23

If the patient is seen for an unrelated condition (such as a fracture) while being pregnant how do you code it?

Back 23

Code the unrelated condition first then put "incidental to pregnancy" V22.2

Front 24

If the patient is pregnant and they are being treated for a HIV related illness

Back 24

the first listed code is 647.6x followed by 042 and the codes for the HIV related illnesss

Front 25

If the pregnant patient is HIV positive and their are no symptoms

Back 25

Code 647.6x then V08

Front 26

Pregnancy and Diabetes coding

Back 26

2 codes are required: 648.0 (Diabetes mellitus complicating pregnancy followed by the code for diabetes mellitus. If they use insulin there is a third code: long-term use of insulin V58.67

DO NOT USE 250 or 249!!!!!!!!!!!!!!!!!!!!

Front 27

The postpartum period is

Back 27

6 weeks

Front 28

If the patient delivers outside of the hospital (on the way or at home)

Back 28

Do not report a delivery code use V24.0 postpatum care immediately after delivery

Front 29

puerperal sepsis

Back 29

An infection in the genital tract that develops during the postpartum period code it 670.2x. Put this code before the infecting organism.

if sepsis is documented code 995.92 with an additional code for the acute organ dysfunction

so the order would be 670.2x, infecting organism, 995.92, organ failure

Front 30

abortions as a result of a complication in pregnancy

Back 30

require an additional code from 640-648 or 651-659. when selecting the code to report the complication the fifth digit 3 is reported to indicate the antepartum condition or complication.

Front 31

AGA

Back 31

appropriate for gestational age

Front 32

ARM

Back 32

artificial rupture of membrane

Front 33

CP

Back 33

cephalopelvic disproportion

Front 34

CS

Back 34

cesarean section

Front 35

EDD

Back 35

Estimated date of delivery

Front 36

EFW

Back 36

estimated fetal weight

Front 37

FAS

Back 37

fetal alcohol syndrome

Front 38

G

Back 38

Gravid (pregnant)

Front 39

HSV

Back 39

herpes simplex virus

Front 40

LGA

Back 40

large for gestational age

Front 41

PROM

Back 41

Premature Rupture of Membranes

Front 42

arche/o

Back 42

first

Front 43

crypt/o

Back 43

hidden

Front 44

bilateral ulcers

Back 44

with the same stage are coded with one code for location and one for severity.

with different severity are coded with one code for the site and 2 codes to identify each stage

sequence the most severe ulcer first

Front 45

PPD

Back 45

Purified protein derivative- skin test for TB

Front 46

SLE

Back 46

systemic lupus erythematosus

Front 47

generalized OA

Back 47

involves more than one joint

Front 48

primary OA

Back 48

has no known cause

Front 49

Secondary OA

Back 49

develops as a result of injury or disease.

Front 50

pathologic fractures

Back 50

occurs in an area of weaken boned. After active treatment report the appropriate after care V code. These can be found by looking up "Aftercare"

Front 51

injury coding

Back 51

code the most serious injury first, superficial injuries are not coded when there is a more serious injury at the same site.

Front 52

when coding a dislocation and a fracture to the same bone

Back 52

code the fracture site only

Front 53

fractures are coded

Back 53

as long as active treatment is sought

afterwards code V54

Front 54

a fracture that is infected, compound, or with a foreign body is considered

Back 54

an open fracture

Front 55

blistering

Back 55

aka vesiculation

Front 56

non-healing burns

Back 56

categorized as acute burns; necrosis of burned skin is coded as this.

Front 57

examples of co-morbid conditions for a burn are

Back 57

diabetes mellitus, cardiovascular disorders, alcoholism, peptic ulcers, and asthma

should always be coded in addition to the burn code.

Front 58

burns of multiple specified sites

Back 58

used when multiple burns have been identified across multiple three digit categories (940-945) and there is not enough space on the claim form to report multiple codes

Front 59

if all the burns are classified with the same 3 digit category code

Back 59

then the fifth digit code "9" should be used

Front 60

category 948

Back 60

used to categorize burns according to the extent of the body surface covered.

4th digit categorizes the % of body surface burnt
5th digit categorizes the % of body surface with 3rd degree burns

Front 61

poisoning

Back 61

use the Table of drugs for code

Front 62

adverse effect of a drug or chemical

Back 62

use more than one code- one code reports the circumstance of the adverse effect sand the second code identifies whether the substance was in therapeutic use or suicide attempt, assault, or accident.

Front 63

when coding adverse reactions to a correct substance properly administered

Back 63

you will use 2 or more codes:
first use the code to identify the manifestations
the second code identifies the drug causing the reaction

Front 64

when there is no documentation of symptoms with the adverse reaction

Back 64

code 995.2 other and unspecified adverse effect (found under diseases anesthesia) or complication anesthesia

Front 65

poisoning

Back 65

the first code from the poisoning column identifies the drug
then the second code identifies the manifestation
finally an E code indicates the circumstances

Front 66

complications

Back 66

when the complication is the reason for the visit then a complication code is reported as the primary diagnosis

if there is an infection also code the infecting organism

Front 67

A V code is always listed firs when

Back 67

reporting a newborn's birth status

Front 68

when the reason for the visit is the screening and the dr finds a abnormality

Back 68

put the v code first

Front 69

follow-up care vs aftercare

Back 69

follow-up is when the fully healed

aftercare is while the patient is still healing i.e removal of stitches