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51 Cards in this Set
- Front
- Back
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missed abortion
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before completion of 22 wks gestation (632)
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dead fetus syndrome
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after 6 wks in uterus (641.3x)
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5th digit for complications in addition to abortion
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antepartum (3)
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early onset delivery
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less than 500 g or 22 wks getstation (644.21)
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639 cannot be coded with
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634 to 638
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immediate complications following abortion, ectopic or molar pregnancies OR complication responsible for episode of care
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639
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abortion 5th digits
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incomplete = 1
complete = 2 unspecified = 0 |
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nonviable fetus
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less than 500 g or 22 wks
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abortion classifications
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spontaneous (634)
legal (635) illegal (636) unspecified (637) failed attempted (638) complications following (639) |
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fetal death
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greater than 500 g or 22 wks gestation
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habitual aborter
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646.3x
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three phases of pregnancy
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antepartum, labor & delivery, postpartum
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antepartum
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prenatal period
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postpartum (puerperium)
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end of stage 3 (infant & all other products expelled) through 6 wks
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malpresentation at time of delivery
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look under 'delivery, complicated by'
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pregnancy, complicated (by)
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find infections, placental abnormalities, etc
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pregnancy, management affected by
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find advanced maternal age, multiple births, etc
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normal delivery (650) requires
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1) fetal presentation=occipital, cephalic or vertex
2) no antepartum conditions or L&D abnormalities 3) Single liveborn (V27.0) 4) Only episy's - no forceps |
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single liveborn
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V27.0
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normal delivery
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only episy's, amniotomy, manual assistance, fetal monitoring, sterilization - no forceps
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preterm
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before 37 wks complete gestation
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term
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38 to 40 wks gestation
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postterm
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41 to 42 wks gestation
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prolonged
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43 wks or more gestation
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gravida
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pregnancy (e.g. G2, second pregnancy)
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para
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has delivered (e.g.P1, delivered one infant)
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G2P1
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gravida 2, para 1 =
two pregnancies, one delivery |
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early onset delivery
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delivery before 37 wks gestation (644.2x)
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late pregnancy
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delivery over 40 wks (645.1x or 645.2x)
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multiple gestation
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delivery, complicated by (651)
pregancy, complicated by (651) |
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malposition and malpresentation
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delivery, complicated by (652)
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5th digits for previous
c-section delivery (654.2x) |
limited to 0,1,3
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fetal distress
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only when documented as affecting mother's mgmt (656.3x)
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Pt is admitted due to HIV-related disease during pregnancy
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1) 647.6x (infection complicating pregnancy)
2) 042 (HIV) 3) xxx.xx (HIV-related condition |
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Pt is pregnant with asymptomatic HIV
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1) 647.6x (infection complicating pregnancy)
2) V08 (asymptomatic HIV) |
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5th digits in combination
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1 with 2, but not with 0,3,4
2 with 1, but not with 0,3,4 3 alone, but not with 0,1,2,4 4 alone, but not with 0,1,2,3 |
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liveborn, 35 wks gestation
650 or not? |
NO
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vaginal brith after cesarean, normal liveborn infant
650 or not? |
NO
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lveborn infant, full-term, transverse presentation switched to cephalic prior to delivery
650 or not? |
NO
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35 wks gestation
term or not? |
NO
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delivered at 36 wks
early onset or not? |
YES, early onset
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gestational diabetes
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glucose intolerance
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gestational diabetes with DM in pregnancy?
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never
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stage of dilation
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first stage, from onset of contractions until os is flush w/vagina and birth canal is complete
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delivery - stage of expulsion
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stage two, from end of stage one until expulsion of infant
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delivery - placental stage
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stage three, from end of stage two until placenta and membranes are expelled
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delivery - final stage
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stage four, hour or two after delivery until uterine tone is reestablished
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obstetrical procedures
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look under Delivery
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obstetrical procedures
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look in Chapter 13, Tabular, Vol 3
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find procedure for Cesarean Section
under Delivery? |
No, under Cesarean Section
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find procedure for Medical Induction of Labor
under Delivery? |
No, under Induction
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