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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

PP care after delivery and immunizations and flu during pregnancy

Patient is seen for PP care after deliver. We perform a 87210 and our coding department entered N89.8 and ties this to 87210 but then enters Z48.816 as another DX on the claim. Should the Z48.816 also be linked to 87210 or not? Or should it just be listed on the claim or not listed at all?

Patient is 28 weeks pregnancy and a flu shot is given to patient. Does the weeks of gestation need to be added to claimZ3A.28? 90686 and 90471 with Z23.
Or would this be a third party of Medicaid carrier discretion?

Medical Billing and Coding Forum

ICD.10 for global c section high risk pregnancy

Hi eveyrone:

Long time coder but first time coding OBGyn. Not sure what dx to use for global c section for high risk pregnancy. Pt had severe pre-clampsia. Should I use as the primary
dx O09.893 with Z37.0 as second dx or should I use O34.211 as primary dx?

Thank you

Diane

Medical Billing and Coding Forum

Signs Of Pregnancy And Medical Diagnosis

Pregnancy is very important for a women health, thus it should be detected as early as possible. There are some common and early signs of pregnancy are those health conditions, which are very similar to some other kind of sicknesses. The early signs of pregnancy can be different in different people. The first and most important sigh is a missed periods. The women who are pregnant will have an irregular cycle of menstruation. She can also have a late arrival of the cycle. It can also result in a sudden weight loss or gain. The woman may also have a light or heavy bleeding from the vagina. She may also feel a change in the breasts, they can suddenly become sensitive and a swelling may occur. She will also have a frequent occurrence of urination. According to the medical experts this happen due to the expansion of the uterus and thus a pressure on the urinary bladder. The pregnant woman will also face constipation. It is another well-known symptom of pregnancy. This happens when the food passes very slowly inside the intestines. The woman will also face headaches, mood swings and fatigue.

The woman who is pregnant will have a feeling that she is pregnancy. Signs of pregnancy will also result in a change in the libido. She will have stretch marks and some changes in the skin surface. The breasts gradually will be swollen. She will also have an enlargement in the abdominal area. A pregnant woman will always have frequent changes in her mood, nature and food habits. She will also have food cravings. The medical experts say that the woman who has successfully conceived will have dark skin around the nipple. The increased level of hormone progesterone will lead to a feeling of exhausted and tired. As the ovulation passes through eight days, the woman may have an implant blemishes, it can also be a slight stain of brown and pink color. The condition occurs as the egg hole in side the endometrial lining. The woman can also see spotting in the time of periods. In a condition when the embryo inserts and starts the production of the hormone named as HCH or chorionic gonadotropin. This can lead to a feeling of a frequent urination. A pregnant woman will also suffer with a morning sickness. She can also have nausea in the time of morning, noon and at night. The condition of heartburn and constipation as the uterus starts swelling and thus, it pushes the stomach and other organs. The hormone level also starts increasing and thus it affects the digestion system and the functions of the bowl system. It can lead to a constipation and other results of unmanaged bowl system.

The website thehealthprotector has the collection of those important moments of care, which a woman many need in an early signs of pregnancy. It has maintained all those necessary facts that is required to treat the signs of pregnancy.

Question regarding trichorionic/diamniotic triplet pregnancy

Patient presents with complaints of bleeding x2 hours yesterday with brownish bleeding today. Upon ob u/s it was determined patient is TC/DA triplet pregnancy. No evidence of bleeding today.

How would I appropriately code this scenario? 76817 (there is no option for additional fetus scan), should there be a modifier? and how about o30.111 and o30.121?

Thank you for your assistance!

Medical Billing and Coding Forum

Pregnancy condition ruled out diagnosis

Hi.

Can anyone please help me with the principal diagnosis for my inpatient OB case? I am not familiar with coding OB charts.

A 34 wk preggie came in due to N&V and contractions, intact membranes, and admitted d/t N&V and to r/o decreased fetal movement and preterm labor. She was given betamethasone and on fetal monitoring. She was discharged and was advised on what to watch out for for preterm labor. Discharge summary noted that work up for preterm labor was negative.

What diagnosis should I use? Can I use a Z code for it? Or is there an O code I could use?

Thank you for your input. Have a good one!

Medical Billing and Coding Forum

Supervision of high risk pregnancy codes and sequencing with multiple gestation codes

Hi, my practice uses O09.89_ on 90% of their encounters (Supervision of other high risk pregnancy). I think this is a history code as opposed to a current pregnancy code. Is this the case?

Also, does a multiple gestation code need a O09 (Supervision of high risk pregnancy) code before it or can the O09 be excluded since multiple gestation is considered high risk on its own?

Thanks in advance,
Joyce

Medical Billing and Coding Forum