Quiz 9: Coding Mental, Behavioral, and Nervous Conditions

Medicine

The primary health care provider for pregnant women is an obstetrician (OB), who focuses on care during pregnancy till normalisation of the uterus after labour. The information about the woman's pregnancy is essential for the OB treating her. The following are the guidelines for coding pregnancy. • Gravida and Para. The numbers following Gravida (G) report that the number of times the woman has been pregnant. The number following para (P) report the number of births. For example, G1P1 is pregnant once and given birth once. • Normal pregnancy. For coding a healthy pregnancy, the V code is used to represent a routine prenatal visit. • High-risk pregnancy. To denote a high-risk pregnancy, V23 codes are used. The fourth and fifth digit represents the cause of high-risk pregnancy. • Incidental pregnancy. A patient that comes for another treatment but is also pregnant then the code used is for incidental pregnancy. For example, V22.2. • Pregnancy with complication. These pregnancies are coded with code 630-677. The fifth digit will represent the state of pregnancy and if she gave birth. • Normal delivery without any complication or issue is coded by 650. The pregnancy can be coded differently depending on the condition and complications.

Female patient history involves reporting the relevant part if she has or has not been pregnant. The notations known as "gravida" and "para" are often written as G#P#, where # denotes the number of occurrences. The para (P#) denotion of a woman who has given birth once is reported as P1 and not P2. The numeric value 1 means that one fetus has been able to reach viability. Hence, the option (a) is not the correct answer. The para denotion of a woman who has never given birth is reported as P0 and not P2. The numeric value 0 means that none of the fetuses has been able to reach viability. Hence, the option (b) is not the correct answer. The para denotion of a woman who has given birth four times is reported as P4 and not P2. The numeric value 4 means that four of the fetus have been able to reach viability. Thus, the option (d) is also incorrect. In the notation G#P#, P denotes para, which identifies the number of times a woman has given birth. P1 means the woman has given birth once and P2 means that the woman has given birth twice. Hence, the correct answer is Option (c).

Pregnancies can sometimes present some complications. The complications of pregnancy are any illness or conditions that may threaten the pregnant state or the health of the woman. The complications of pregnancy may threaten the state of health of the woman, or it may affect how the patient is treated. The complications of pregnancy are reported with code from 630-677 range. Further, the fifth digit in the code determines the state of pregnancy in which the woman is and if she gave birth in the condition. The fifth digit codes are: 1-complication occurred during pregnancy, and the baby was born 2-complications developed after birth. 3-complication occurred and baby not born yet 4-baby born in a previous encounter and complication developed now. Hence, the complications of pregnancy are coded with a range of 630-677, and the fifth digit represents the state of complication.

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