Pregnancy and Complications
Terms
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- missed abortion
- before completion of 22 wks gestation (632)
- dead fetus syndrome
- after 6 wks in uterus (641.3x)
- 5th digit for complications in addition to abortion
- antepartum (3)
- early onset delivery
- delivery before 37 wks gestation (644.2x)
- 639 cannot be coded with
- 634 to 638
- immediate complications following abortion, ectopic or molar pregnancies OR complication responsible for episode of care
- 639
- abortion 5th digits
-
incomplete = 1
complete = 2
unspecified = 0 - nonviable fetus
- less than 500 g or 22 wks
- abortion classifications
-
spontaneous (634)
legal (635)
illegal (636)
unspecified (637)
failed attempted (638)
complications following (639) - fetal death
- greater than 500 g or 22 wks gestation
- habitual aborter
- 646.3x
- three phases of pregnancy
- antepartum, labor & delivery, postpartum
- antepartum
- prenatal period
- postpartum (puerperium)
- end of stage 3 (infant & all other products expelled) through 6 wks
- malpresentation at time of delivery
- look under 'delivery, complicated by'
- pregnancy, complicated (by)
- find infections, placental abnormalities, etc
- pregnancy, management affected by
- find advanced maternal age, multiple births, etc
- normal delivery (650) requires
-
1) fetal presentation=occipital, cephalic or vertex
2) no antepartum conditions or L&D abnormalities
3) Single liveborn (V27.0)
4) Only episy's - no forceps - single liveborn
- V27.0
- normal delivery
- only episy's, amniotomy, manual assistance, fetal monitoring, sterilization - no forceps
- preterm
- before 37 wks complete gestation
- term
- 38 to 40 wks gestation
- postterm
- 41 to 42 wks gestation
- prolonged
- 43 wks or more gestation
- gravida
- pregnancy (e.g. G2, second pregnancy)
- para
- has delivered (e.g.P1, delivered one infant)
- G2P1
-
gravida 2, para 1 =
two pregnancies, one delivery - late pregnancy
- delivery over 40 wks (645.1x or 645.2x)
- multiple gestation
-
delivery, complicated by (651)
pregancy, complicated by (651) - malposition and malpresentation
- delivery, complicated by (652)
-
5th digits for previous
c-section delivery (654.2x) - limited to 0,1,3
- fetal distress
- only when documented as affecting mother's mgmt (656.3x)
- Pt is admitted due to HIV-related disease during pregnancy
-
1) 647.6x (infection complicating pregnancy)
2) 042 (HIV)
3) xxx.xx (HIV-related condition - Pt is pregnant with asymptomatic HIV
-
1) 647.6x (infection complicating pregnancy)
2) V08 (asymptomatic HIV) - 5th digits in combination
-
1 with 2, but not with 0,3,4
2 with 1, but not with 0,3,4
3 alone, but not with 0,1,2,4
4 alone, but not with 0,1,2,3 -
liveborn, 35 wks gestation
650 or not? - NO
-
vaginal brith after cesarean, normal liveborn infant
650 or not? - NO
-
lveborn infant, full-term, transverse presentation switched to cephalic prior to delivery
650 or not? - NO
-
35 wks gestation
term or not? - NO
-
delivered at 36 wks
early onset or not? - YES, early onset
- gestational diabetes
- glucose intolerance
- gestational diabetes with DM in pregnancy?
- never
- stage of dilation
- first stage, from onset of contractions until os is flush w/vagina and birth canal is complete
- delivery - stage of expulsion
- stage two, from end of stage one until expulsion of infant
- delivery - placental stage
- stage three, from end of stage two until placenta and membranes are expelled
- delivery - final stage
- stage four, hour or two after delivery until uterine tone is reestablished
- obstetrical procedures
- look in Chapter 13, Tabular, Vol 3
-
find procedure for Cesarean Section
under Delivery? - No, under Cesarean Section
-
find procedure for Medical Induction of Labor
under Delivery? - No, under Induction