Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #6)

May 31, 2013

The coding exercises and scenarios in this section are designed to help you put the new ICD-10 guidelines and conventions into practice. An answer key is provided below so you can verify if your answers are correct. In addition, code narratives are included on the next page to describe each ICD-10 code used in the exercises and scenario. If needed, use the []ICD-10 Spotlight: Know the codes[] booklet for assistance with these exercises. [

]Specialty focus: OB/GYN[

] [

]Coding exercises[

] Code the following conditions according to ICD-10 coding conventions and guidelines: Rupture of fallopian tube due to pregnancy Positive culture findings in specimens from female genital organs Newborn affected by breech presentation before labor Pregnancy of 43-year-old complicated by hypertension (2nd trimester) Urinary tract infection and urinary tract infection, neonatal Endometriosis of ovary Chronic vulvovaginitis Uterine prolapse, 1st degree and 3rd degree Female infertility due to tubal block Venereal warts due to HPV [

]Coding scenario[

] Code the following scenario according to ICD-10 coding conventions and guidelines: During a night out drinking with friends, 26-year-old Jane gave birth at 30 weeks to a female infant in a taxi cab. Jane drank alcohol throughout her pregnancy despite her family and physician?s counsel. Although not confirmed, Jane?s family suspected she was abusing drugs as well. The infant was born with fetal alcohol syndrome and showed signs of drug withdrawal. The infant?s weight at birth was 3.5 pounds. [

]Narratives[

] The following are the corresponding code narratives for each of the codes in the answer key: ICD-10 code Code narrative Exercises O00.1 Tubal pregnancy R87.5 Abnormal microbiological findings in specimens from female genital organs P01.7 Newborn (suspected to be) affected by malpresentation before labor O13.2 Gestational (pregnancy-induced) hypertension without significant proteinuria, 2nd trimester O09.522 Supervision of elderly multigravida, 2nd trimester N39.0 Urinary tract infection, site not specified P39.3 Neonatal urinary tract infection N80.1 Endometriosis of ovary N76.1 Subacute and chronic vaginitis N81.2 Incomplete uterovaginal prolapse N81.3 Complete uterovaginal prolapse N97.1 Female infertility of tubal origin A63.0 Anogenital (venereal) warts Scenario Z38.1 Single liveborn infant, born outside hospital P04.3 Newborn (suspected to be) affected by maternal use of alcohol Q86.0 Fetal alcohol syndrome (dysmorphic) P07.16 Other low birth weight newborn, 1500-1749 grams P07.33 Preterm newborn, gestational age 30 completed weeks P96.1 Neonatal withdrawal symptoms from maternal use of drugs of addiction Please visit the []ICD-10 section[] of our website. On this site you will find additional information related to the transition to ICD-10, including frequently asked questions, examples of how ICD-9 codes will translate to ICD-10 codes in the []ICD-10 Spotlight: Know the codes[] booklet, and examples of ICD-10 coding exercises and scenarios in the []Putting ICD-10 into Practice: Coding exercises and scenarios[] booklet.

Answers to coding exercises:
1) O00.1 2) R87.5 3) P01.7 4) O13.2, O09.522 5) N39.0, P39.3 6) N80.1 7) N76.1 8) N81.2, N81.3 9) N97.1 10) A63.0

Answer to coding scenario:
Z38.1, P04.3, Q86.0, P07.16*, P07.33, P96.1

*When both birth weight and gestational age of the newborn are available, both should be coded with birth weight sequenced before gestational age.