Chapter 15: Pregnancy, Childbirth, and the Puerperium (O00–O9A)

Question 1

When do you use Z33.1 (Pregnant state, incidental)?

Answer 1

When pregnancy is incidental to the reason for the visit.

Question 2

How do you choose the trimester character?

Answer 2

Based on provider documentation or weeks of gestation.

Question 2

Should Chapter 15 codes be used on newborn records?

Answer 2

No, only on maternal records.

Question 3

What 7th character is used for a singleton or unknown fetus?

Answer 3

0

Question 4

What code is used for a routine prenatal visit with no complications?

Answer 4

Z34.-

Question 5

What code should be used for high-risk prenatal supervision?

Answer 5

O09.-

Question 5

Which codes do you use for diabetes complicating pregnancy?

Answer 5

O24.- + E08–E13 (for diabetes type)

Question 6

What code is used for sepsis during pregnancy?

Answer 6

Chapter 15 code for sepsis first, then the infection code, R65.2- (if severe), and organ dysfunction codes if present.

Question 7

What is the correct code for a normal delivery with no complications?

Answer 7

O80 + Z37.0

Question 7

When do you use code O94?

Answer 7

For sequelae (long-term effects) of a pregnancy complication, used after postpartum period.

Question 8

What codes are used for COVID-19 complicating pregnancy?

Answer 8

O98.5- (first) + U07.1 + any symptoms or complications