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Exam 21: Certain Conditions Originating in the Perinatal Period

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Question 1

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Code P95 reports a stillbirth and is reported on the mother's record.

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Question 2

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Diagnostic tests for 26-hour-old Megan have confirmed that there is an abnormally high electrolyte level of potassium. This would be reported with code _____.

A) P71.9
B) P72.8
C) P74.3
D) P74.9

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Question 3

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Tom Jones, an 8-hour-old neonate, was examined by Dr. Smith and found to have neonatal bradycardia. The code that would be reported for this encounter is ____________________.

Which of the following conditions would not be reported with P84?

A code from Z38 is assigned only once, to the newborn at the time of birth.

The discharge summary records on a newborn state that the newborn was affected by maternal renal disease. This would be reported on the newborn's record with code ____________________.

Which of the following categories reports disorders of a newborn related to slow fetal growth and fetal malnutrition?

Obstructive apnea of newborn is reported with code _____.

Partial atelectasis of newborn is reported with code _____.

A code for prematurity should not be assigned by the coder unless there is documentation of the prematurity by the provider.

If a perinate is documented as having sepsis without documentation of congenital or acquired, the default is congenital, and a code from category P36 should be assigned.

Inpatient progress note: "Sally is a 10-hour-old neonate who is having convulsions. Neurological scans are ordered STAT. There are no other significant findings on examination at this time." The diagnostic code(s) for this encounter is (are) ____________________.

Categories P00-P04 report those instances when a healthy newborn is evaluated for a suspected condition that is determined after study not to be present.

Tom Jones, a 3-year-old, has been diagnosed with a condition that originated in the perinatal period. This condition would only be reported until Tom is 16 years old.

If a newborn has a condition that may be due either to the birth process or community acquired, and the documentation does not indicate which it is, the default is community, and a code from Chapter 16 is not used.

Inpatient neonatal examination note: "This 2-hour-old infant was born at 2:35 pm. HEENT: no findings. Chest: clear. Abdominal: soft. Extremities: no abnormalities noted. Heart: within normal limits. Skin: on the left breast there is engorgement. This will be monitored." This encounter would be reported with diagnostic code(s) ____________________.

Prolonged neonatal physiological jaundice is reported with code _____.

ABO isoimmunization of newborn is reported with code _____.

Omphalitis with a mild hemorrhage is reported with code(s) _____.

Secondary codes should be assigned on perinatal records when a condition prolongs the length of stay or requires resource utilization.