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