類 歷 理 1
類 類 類 2
類 3
類 流 4
Puerperium Abortion 流 Delivery Pregnancy Labor 5
流 abortion 數 22 500gms 6
流 abortion 流 spontaneous abortion 流 artificial abortion 流 threatened abortion 不 流 incomplete abortion 流 留 流 miss abortion 留 7
流 abortion 634.xx-637.xx 來 流 0 Unspecified 1 Incomplete 不 流 2 Complete 流 狀 來 8
流 abortion 634-638 流 0-8 9: 9
流 abortion 例 Complete therapeutic abortion with uterus perforation:635.22 abortion legal with damage to pelvic organ(laceration)(rupture)(tear) 635.22 10
例 流 abortion Complete therapeutic abortion 635.92 abortion legal 635.92 11
流 abortion 639 流 流 630-633.x 來 不 12
流 abortion 例 Therapeutic abortion( 療 流, Perforation of uterus( 裂 ) 流 類 639.2 (1) abortion with complication(any) following previous abortion-see categories 639 (2) perforation uterus following abortion 639.2 13
流 abortion 例 Tubal pregnancy ( 卵 ), peritonitis ( ), 6331., 639.0 pregnancy tubal 633.1 peritonitis with or following ectopic 639.0 14
流 abortion 流 來 流 640-648 651-657 3 來 15
流 abortion 例 Complete therapeutic abortion due to maternal rubella infection abortion legal 635.92 pregnancy management affected by fetal damage from materal rubella 655.33 16
流 abortion 不 流 流 17
流 abortion 例 femoral neck fracture spontaneous abortion 流 ANS 18
流 abortion 若 37 來 644.21 不 不論 Baby 若 Aapgar score>1 19
- Ectopic Pregnancy : 633.x 來 Pregnancy Tubal Pregnancy 卵 : 633.1 Ovarian pregnancy ( 卵 ) :633.2 Cervical pregnancy ( ) :633.8 20
見 66.01 Salpingotomy 卵 切 66.02 Salpingostomy 卵 66.62 Salpingectomy with removal of tubal pregnancy 卵 切 卵 若 lapascopy 54.21 74.3 Removal of Extratubal ectopic pregnancy 卵 21
Dilation and curettage D C for termination of pregnancy 69.01 D C following delivery or abortion 69.02 Other dilation and curettage 69.09 Aspiration curettage 69.51 22
Intra-amniotic injection for abortion 75.0 Insertion of laminaria 69.93 列 塞 Insertion of prostaglandin suppository 96.49 23
六 24
640-677 說 0 Unspecified as to episode of care or not applicable 不 量 1 Delivered, with or without mention of antepartum condition 2 Delivered, with mention of postpartum condition 3 Antepartum condition or complication 4 Postpartum condition or complication 25
640-677 說 640-677 說 : 不 : 不 : 不 26
若 行 27
例 P't pregnacy 40+1 wks fetal distress C/S ANS 656.31+645.11 Q&A619 28
650 657 670 672 了 0 672 Pyrexia of unknown origin during the puerperium Use 0 as fourth digit for category 672 29
不 切 (episiotomy) (manual assisted delivery) 30
若 來 31
例 Iron deficient Anemia ( ) ANS 648.23 280.9 例 Asymptomatic bacteriuria ( 狀 尿 ANS 646.53 32
Threatened labor 22 37, 644.03 premature delivery 37 644.21+V27.X 33
ROM rupture of membrance ) 數 37 不 PROM premature rupture of membrance 若 658.1x 若 658.2x PPROM premature premature rupture of membrance 若 658.1x+644.2x or 644.ox 658.2x+644.2x or 644.0x 34
(obstructed Labor) 660.0x-660.9x 不 異 異 35
例 Breech presentation with obstruction labor ANS 660.01+652.21+V27.0 652 653 654 C/S 行 C/S obstructed labor 660.xx,660.xx 36
630-677 索 索 不 不 料 +V22.2 37
例 Pregnancy 22+ weeks with APN ANS 646.63+590.10 APN 646.63 590.10 來 38
例 Pregnancy 22+ weeks with acute appendicitis ANS 646.83+540.9 ANS 540.9+V22.2 Appendicitis, 39
例 20 Femoral neck fracture Ans: 820.8 V22.2 40
療 類 669.5x-669.7x 療 類 不 669.5x-669.7x 類 41
例 Term pregnancy,delivered a liveborn infant,vacuum extraction due to prolong second stage,episiotomy with repair Ans:662.21 V27.0 72.71 42
HIV 療 647.6X 042 狀 HIV 狀 療 647.6X V08 pregnancy complication viral disease 647.6x 43
見 Pregnancy with GBS Group B streptococcus) infection ANS 648.9x+V02.51 Coding clinic,1q,2002,p14-15 pregnant at 29 weeks with bronchial asthma ANS 648.93+493.90 Q&A 413 44
見 Pregancy 23 weeks with APH ANS 641.93 Q&A 不 45
V27.X 歷 來 流 V27.x 不 流 V27.x 來 Outcome of delivery 46
Episiotomy73.6 Vacuum extraction 72.79 Vacuum extraction with episiotomy72.71 Classical cesarean section 74.0 Low cervical cesarean section 74.1 47
說 度 48
例 Postpartum acute pyelonephritis follwing delivery four days ago Ans: 646.64 590.10 49
l 50
類 51
38~42 Immaturity 不 1000 / 數 28 765.0x Prematurity 不 1000-2499 / 數 28-37 765.1 52
V30~V39 Liveborn infants according to type of birth ( ) 760~763 Maternal causes of perinatal morbidity and mortality 狀 764~779 Other conditions originating in the perinatal period 53
V30~V39 : 0 1, 車 2, 狀 不, 省略, 0 0 1 54
狀 : 760-763 : Maternal condition : 760-763 狀 760-763 狀, 歷 55
狀 例 Premature rupture of membranes Fetal distress Ans: 768.4 761.1 56
狀 糖尿 糖 775.0 狀 糖尿 syndrome of infant of a diabetic mother 糖尿 狀 糖 糖尿 775.1 糖尿 Neonatal diabetes mellitus 57
狀 : 764-779 狀 狀 不論 年 狀 類 58
狀 例 5 Facial palsy 神 Ans: 767.5 59
764.xx Slow fetal growth and fetal malnutrition 不良 數 : slow growth malnutrition 60
765.0x Extreme immaturity 度不 1000g 數 28 : Prematurity immaturity 61
765.1x Other preterm infants 1000g- 2499g 數 28-37 : Prematurity Premature 62
766.0 Exceptionally large baby 4500 : Large 63
766.1 數 (Heavy-for-dates) 數 數 : Large Heavy-for-dates 64
766.2 數 (Post-term) 數 294 4 : Postmaturity Postmature 65
(Birth injury) : 767.x : Birth 例 Clavicle fracture Ans: 767.2 66
: 771.0-771.8 類 狀 索 Neonatal Newborn Congenital Maternal condition affection fetus or newborn 67
例 1: 例 2: Rubella Ans: 771.0 Virus infection Ans: 079.99 68
泌尿 771.8 來 泌尿 69
例 A three -day-old-infant is admitted with diagnosis of neonatal staphylococcal septicemia How should this be coded? Ans: 771.8 +038.10 Coding Clinic Volume Number 1994 P6 70
類 若 狀 若 落 不 狀 71
例 A two-day-old infant is diagnosed with pneumonia. The documentation was unclear whether or not the infection was community How should this be coded? ANS 770.0 770.0 Congenital pneumonia infection pneumonia acquired prenatally Coding Clinic 1Q 2005 P10-11 72
例 When a 28-day-old newborn is diagnosed with RSV bronchiolitis How should this be coded? Ans:466.11 RSV bronchiolitis is a community-acquired infection 73
便 MAS(Meconium aspiration syndrome) 770.1 便 咽 量 量異 不 異 便 量 便 狀 不 臨 雷 兩 770.1 74
(Neonatal jaundice) 774.6 Neonatal jaundice Neonatal hyperbilirubinemia : jaundice 狀 75
(Neonatal jaundice) 774.2 Neonatal jaundice associated with preterm delivery 773.1 Hemolytic disease of fetus or newborn due to ABO isoimmunization ABO 774.39 Neonatal jaundice due to delayed conjugation from other cause 76
(Neonatal jaundice) G-6-P-D(Glucose 6-Phosphate Dehydrogenase) 282.2 Anemia due to disorders of glutathione metabolism [774.0] Perinatal jaundice from hereditary hemolytic anemias 77
類 類 779.89 (2001 年 779.8), 狀 78
類 779.89 other specified conditions originating in the perinatal peroid Use additional code to specify condition 79
類 例 What would be the appropriate code assignment for an infant admitted age 28 days or less with congestive heart failure (CHF)? Ans:779.89(2001 年 779.8) +428.0 Coding Clinic 1Q 2005 P9 80
類 例 : failure congestive fetus or newborn 779.8 779.8 81
類 例 A newborn is diagnosis with hyperkalemia, How should this be coded? Ans:775.5 +276.7 Coding Clinic 1Q 2005 P9 imbalance electrolyte neonatal,transitory 775.5 82
V29.x(observation) V30~V39 V29.x 狀 V29 狀 28 不 V29.x 83
例 single liveborn born in hospital without mention of C/S GBS infection 留 ANS V30.00 V29.0 observation suspected condition newboen infectious V29.0 84
例 a newborn infant was readmitted two days after discharge because of cyanosis and the possibility of a perinatal respiratory problem.the diagnosed as having type I respiratory distress syndrome ANS 769 2004 ICD-9-CM coding handbook P245 85
類 86
異 類 若 歷 740~759 deformity anomaly 87
類 (congenital) (acquired), 歷 88
類 例 : Renal cyst Cyst renal 753.10(congenital), 89
例 類 Breast deformity Deformity breast 611.8(acquired) 90
類 異 類 (Other specified) 91
類 例 Persistent pulmonary hypertension of newborn (PPHN) Ans: 747.89 Anomaly circulatory system specified 92
類 類 列 說 (Exclude) 說 說 93
類 例 1.Congenital hydrocephalus 742.3 Excludes hydrocephalus: with any condition classifiable to 741.9(741.0) 2. Hydrocephalus with spinal bifida 741.0 94
類 若 newborn newborn 95
類 例 Term birth male, anemia anemia newborn 773.2 Ans:V30.00 +773.2 anemia newborn 96
例 類 Term birth male, congenital hydrocephalus Hydrocephalus congenital 742.3 Ans:V30.00 +742.3 hydrocephalus congenital 97
類 錄 什 狀 15 15 不 Coding Clinic 1Q 2005 P59 98
類 論 年 類 740-759 年 異 年 論 立 740-759 Coding Clinic 1Q 2006 P61 99
類 例 30 Marfan s syndrome Marfan s syndrome 759.82 Syndrome Marfan s 759.82 100
類 異 不 異 異 異 不 若 不 異 Coding Clinic 1Q 2006 P61 101
類 例 六 Williams syndrome 療 supravalvar aortic stenosis,hypercalcemia Ans: 759.89+424.1+275.42 In addition, assign separate codes for each feature of the syndrome Coding Clinic 3Q 1998 P8 102
類 類 740-759 V30.XX-V39.XX Coding Clinic 1Q 2006 P61 103
例 類 Term birth a living infant delivered by NSD VSD (ventricular septal defect) Ans:V30.00 +745.4 104
類 異 療 105
例 類 congestive heart failure 療 atrial septal defect Ans:428.0 +745.5 106
類 (Congenital Heart Disease,CHD) 類 類 745-747,CHD 746.9 省略不 746.9 不 745-747 107
練 108
狀狀 練 1. Postpartum breast abscess, patient readmitted two weeks after delivery ANS 675.14 abscess breast puerperal, postpartum 675.14 4 109
練 2.Endometritis following spontaneous abortion occurred 12 days ago during previous admission. ANS 639.0 endometritis following abortion 639.0 流 流 639.x 不 110
639.0 練 3. Ovarian pregnancy with pelvic peritonitis this admission pregnancy ovarian 633.2 ANS 633.2+639.0 peritonitis with or following ectopic pregnancy 111
練 4. A single NSD liveborn newborn is diagnosed with septicemia and a urinary tract infection How should this be coded? ANS V30.00+771.8+599.0+038.9 112
練 Newborn single born in hospital (without mention of cesarean delivery or section) V30.00 Septicemia newborn 771.8 Septicemia 038.9 Infection urinary(tract) 599.0 泌尿 771.8 泌尿 113
練 5. Term pregnancy,obstructive labor due to transverse lie,delivered a liveborn infant by low cervical cesarean section,disruption of cesarean wound. ANS 660.01+652.31+674.12+V27.0+74.1 114
練 Delivery complicated obstructed labor due to malposition and malpresentation of fetus 660.01 Delivery( pregnancy) complicated (by), transverse presentation or lie 652.31 Disruption cesarean wound 674.12 Outcome of delivery single liveborn V27.0 Cesarean section low cervical 74.1 (660.0X-660.9X)+ 640-677 1 2 115
練 6.In the diagnostic statement single NSD liveborn newborn with meconium aspiration syndrome, subarachnoid hemorrhage, and neonatal jaundice due to prematurity baby weighs 2480 grams,what code are assigned ANS V30.00+765.18+770.1+772.2+774.2 116
練 Newborn single born in hospital (without mention of cesarean delivery or section) V30.00 prematurity 765.18(2000-2499grams) syndrome meconium aspiration 770.1 hemorrhage subarachnoid fetus or newborn 772.2 jaundice fetus or newborn preterm delivery 774.2 117
練 7.This 26-year-old gravida 1para 1female has been having spotting and has been on bed rest She awoke this morning with severe cramping and bleeding Her husband brought her to the hospital After examination, it was determined that she has had an incomplete early spontaneous abortion She is in the 12 week of her pregnancy She was taken to surgery, and a dilation and curettage was performed There were no complications from the procedure She is to follow up with me in the office ANS 634.91+69.02 118
練 incomplete abortion spontaneous 634.91 Dilaton and curettage uterus after abortion 69.02 Following delivery or abortion 119
練 8. This patient was admitted in labor at 39-weeks gestation She has had gestational diabetes during her pregnancy The labor was very difficult, and finally a low cervical cesarean section was performed because of obstructed labor due to an unusually large baby causing disproportion 不 What codes are assigned in this case ANS 660.11 653.51 648.81 790.2 V27.0 74.1 120
練 delivery complicated oversize fetus causing obstructed labor 660.11 disproportion cause by fetal unusually lage fatus 653.51 pregnancy complicated abnormal glucose tolerance 648.81 Outcome of delivery single liveborn V27.0 Cesarean section low cervical 74.1 121
練 9.A 27-week-gestation infant is born by cesarean section The baby weighs 945 grams The baby s lung are immature, and the baby devlops respiratory distress syndrome, requiring a 25-day hospital stay in the NICU Discharge diagnosis Extreme immaturity, with 27-week gestation, with respiratory distress syndrome, delivered by cesarean section Which of the following diagnosis codes would be correct ANS V30.01 765.03 769 122
若 類 類 若 練 Newborn single born in hospital (with mention of cesarean delivery or section) V30.01 syndrome respiratory distress 769 prematurity extreme 765.03(945grams) Extreme immaturity immaturity 123
練 10. A premature infant born at another hospital body weight 1850grams was transferred for additional care due to premature infant born, feeding problems and newborn hypothermia( ) (her current weight is 2010grams). ANS 765.17 779.3 778.3 124
練 prematurity 765.17(1750-1999grams) problems feeding newborn 779.3 hypothermia newborn 778.3 1. 狀 Neonatal Newborn Congenital Maternal condition affection fetus or or newborn 125
126