Review the PPT, and the baby chart provided in Module 6. Code the following scenarios dividing the codes appropriately into the mom and baby charts. The first one is completed for you. Using the chart is optional, but is shown for the example.

1. 29-year-old female presents for delivery. This is her third pregnancy. She is at 39 weeks of gestation. This is a normal pregnancy. After a normal delivery, she gives birth to a single liveborn. The little boy is circumcised on the second day without incident. Both mom and baby are discharged in good health.

Pregnancy Template and Baby's Chart: Pregnancy Template:

Admitting Diagnosis

O80

Main Term Pregnancy

Subterms Supervision

Further Subterms

Elderly Mother

Young Mother

Normal

High Risk

Further/Further

Subterms

Multi or primigravida

AND trimester

Third trimester

Principle Diagnosis (CM)

O80

Main Term

Delivery or Pregnancy

Subterms

Normal or

Complicated by

Secondaries (CM)

Z3A.39

1.

Pregnancy

Main Term

Weeks of

Gestation

Subterms

1.

(required)

39 weeks

Outcome of Delivery

Z37.0

2. Outcome of

2.

3.

4.

Single

e or Twin,

or Triplet or

)

Not required depends on

Not required depends on

Liveborn or stillborn or combination for multiples

Depends on patient

Depends on patient

3. 4.

Delivery

Multiples (Required

patient

patient

Complications

Pregnancy

Comorbidity

Procedure (PCS)

10E0XZZ

Main Term

Delivery

Extraction

Repair (if we are coding for a procedure caused

by a delivery complication)

Abortion

Subterm

Products of Conception Or manual assisted

Products of Conception

Retained

External approach, no

device, no qualifier

Products of Conception Used for vaginal deliveries with instrumentation or C-

Sections

Baby's Chart/Birth Record:

Newborn, born in hospital: Z38.00

Resection, prepuce, external, no device, no qualifier: 0VTTXZZ

Now code these delivery scenarios.

2. 36-year-old female presents for delivery. This is her first pregnancy. She has had a normal pregnancy without incident. She is 37 weeks gestation. This is a twin pregnancy. Baby A is delivered vaginally with low forceps and Baby B by C section. Both babies are fine.

3. 40-year-old multigravida presents for vaginal delivery in week 41. No problems during delivery. Single liveborn.

4. 40-year-old multigravida presents for vaginal delivery in week 41. No problems during delivery. Single liveborn.

5. Baby born via C-Section transferred to Children's Hospital for Myelomeningioma, (Spina Bifida) with hydrocephalus. Code for Children's hospital.