ICD/CPT/HCPCS Codes Used to Identify Pregnancy Episodes And
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1063 Relation Between Vaginal Hiatus and Perineal Body
1063 Campanholi V1, Sanches M1, Zanetti M R D1, Alexandre S1, Resende A P M1, Petricelli C D1, Nakamura M U1 1. Unifesp- Brasil RELATION BETWEEN VAGINAL HIATUS AND PERINEAL BODY LENGTHS WITH EPISIOTOMY IN VAGINAL DELIVERY Hypothesis / aims of study The aim of the study was to assess the relationship between vaginal hiatus and perineal body lengths with the occurrence of episiotomy during vaginal delivery. Study design, materials and methods It´s a cross-sectional observational study with a consecutive sample of 60 parturients, made from July 2009 to March 2010 in the Obstetric Center at University Hospital in São Paulo, Brazil. Inclusion criteria were parturients at term (37 to 42 weeks gestation) in the first stage of labour, with less than 9 cm dilatation, with a single fetus in cephalic presentation and good vitality confirmed by cardiotocography. Exclusion criteria were parturients submitted to cesarean section or forceps delivery. The patients were evaluated in the lithotomic position. The measurement was performed in the first stage of labour, by the same examiner using a metric measuring tape previously cleaned with alcohol 70% and discarded after each use. The vaginal hiatus length (distance between the external urethral meatus and the vulvar fourchette) and the perineal body (distance between the vulvar fourchette and the center of the anal orifice) were evaluated. For statistical analysis the SPSS (Statistical Package for Social Sciences) version 17® was used, applying Mann-Whitney Test and Spearman Rank Correlation Test to determine the importance of vaginal hiatus and perineal body length in the occurrence of episiotomy, with p<0.05. -
Intravenous Drug Use-Associated Infective Endocarditis in Pregnant Patients at a Hospital in West Virginia
Open Access Original Article DOI: 10.7759/cureus.17218 Intravenous Drug Use-Associated Infective Endocarditis in Pregnant Patients at a Hospital in West Virginia Deena Dahshan 1 , Mohamed Suliman 2 , Ebad U. Rahman 3 , Zachary Curtis 1 , Ellen Thompson 2 1. Internal Medicine, Marshall University Joan C. Edwards School of Medicine, Huntington, USA 2. Cardiology, Marshall University Joan C. Edwards School of Medicine, Huntington, USA 3. Internal Medicine, St. Mary's Medical Center, Huntington, USA Corresponding author: Deena Dahshan, [email protected] Abstract Introduction Due to high levels of intravenous drug use (IVDU) in West Virginia (WV), there are increasing numbers of hospitalizations for infective endocarditis (IE). More specifically, pregnant patients with IE are a uniquely challenging population, with complex management and a clinical course that further affects the health of the fetus, with high morbidity and mortality. Timely recognition and awareness of the most common bacterial causes will provide hospitals and clinicians with valuable information to manage future patients. Methods This retrospective study analyzed the clinical course of pregnant patients admitted with IE and IVDU history presenting at Cabell Huntington Hospital from 2013 to 2018. Inclusion criteria were women between 16 and 45 years of age confirmed to be pregnant by urine pregnancy test and ultrasonography with at least eight weeks gestation, with a first-time diagnosis of endocarditis and an identified history of IVDU. We excluded charts with pre-existing risk factors including a history of valvular disease, rheumatic heart disease, surgical valve repair or mechanical valve replacement, or a diagnosis of coagulopathies. The resulting charts were evaluated for isolated organisms, reported clinical course, and complications of the pregnancy. -
Diseases of the Digestive System (KOO-K93)
CHAPTER XI Diseases of the digestive system (KOO-K93) Diseases of oral cavity, salivary glands and jaws (KOO-K14) lijell Diseases of pulp and periapical tissues 1m Dentofacial anomalies [including malocclusion] Excludes: hemifacial atrophy or hypertrophy (Q67.4) K07 .0 Major anomalies of jaw size Hyperplasia, hypoplasia: • mandibular • maxillary Macrognathism (mandibular)(maxillary) Micrognathism (mandibular)( maxillary) Excludes: acromegaly (E22.0) Robin's syndrome (087.07) K07 .1 Anomalies of jaw-cranial base relationship Asymmetry of jaw Prognathism (mandibular)( maxillary) Retrognathism (mandibular)(maxillary) K07.2 Anomalies of dental arch relationship Cross bite (anterior)(posterior) Dis to-occlusion Mesio-occlusion Midline deviation of dental arch Openbite (anterior )(posterior) Overbite (excessive): • deep • horizontal • vertical Overjet Posterior lingual occlusion of mandibular teeth 289 ICO-N A K07.3 Anomalies of tooth position Crowding Diastema Displacement of tooth or teeth Rotation Spacing, abnormal Transposition Impacted or embedded teeth with abnormal position of such teeth or adjacent teeth K07.4 Malocclusion, unspecified K07.5 Dentofacial functional abnormalities Abnormal jaw closure Malocclusion due to: • abnormal swallowing • mouth breathing • tongue, lip or finger habits K07.6 Temporomandibular joint disorders Costen's complex or syndrome Derangement of temporomandibular joint Snapping jaw Temporomandibular joint-pain-dysfunction syndrome Excludes: current temporomandibular joint: • dislocation (S03.0) • strain (S03.4) K07.8 Other dentofacial anomalies K07.9 Dentofacial anomaly, unspecified 1m Stomatitis and related lesions K12.0 Recurrent oral aphthae Aphthous stomatitis (major)(minor) Bednar's aphthae Periadenitis mucosa necrotica recurrens Recurrent aphthous ulcer Stomatitis herpetiformis 290 DISEASES OF THE DIGESTIVE SYSTEM Diseases of oesophagus, stomach and duodenum (K20-K31) Ill Oesophagitis Abscess of oesophagus Oesophagitis: • NOS • chemical • peptic Use additional external cause code (Chapter XX), if desired, to identify cause. -
Leapfrog Hospital Survey Hard Copy
Leapfrog Hospital Survey Hard Copy QUESTIONS & REPORTING PERIODS ENDNOTES MEASURE SPECIFICATIONS FAQS Table of Contents Welcome to the 2016 Leapfrog Hospital Survey........................................................................................... 6 Important Notes about the 2016 Survey ............................................................................................ 6 Overview of the 2016 Leapfrog Hospital Survey ................................................................................ 7 Pre-Submission Checklist .................................................................................................................. 9 Instructions for Submitting a Leapfrog Hospital Survey ................................................................... 10 Helpful Tips for Verifying Submission ......................................................................................... 11 Tips for updating or correcting a previously submitted Leapfrog Hospital Survey ...................... 11 Deadlines ......................................................................................................................................... 13 Deadlines for the 2016 Leapfrog Hospital Survey ...................................................................... 13 Deadlines Related to the Hospital Safety Score ......................................................................... 13 Technical Assistance....................................................................................................................... -
State Medicaid Manual
Page 1 of 37 Louisiana Medicaid Approved Pay and Chase Primary Prenatal Care Diagnosis Codes MCOs must use the "pay and chase" method of payment for prenatal services for individuals with other Health Insurance. The MCO must seek reimbursement from the third party within 60 days after the end of the month in which payment is made. Primary prenatal diagnoses which do not require primary health insurance claim filing by most providers are confined to those listed below. Hospitals are not included and must continue to file claims with the primary health insurance carriers. ICD-9-CM to ICD-10 crosswalk for Prenatal Diagnosis Codes ICD-9-CM Description Code V22.0 Supervision of normal pregnancy V22.1 V23 Supervision of high risk pregnancy V28 Antenatal screening 640-648 Complications related to pregnancy 651-658 Other conditions requiring care in 671 pregnancy 673 675-676 ICD-10-CM Diagnosis Codes – for Prenatal Services upon Implementation of ICD-10 ICD-9-CM code V22.0 maps to the following ICD-10-CM codes Z3400 Encounter for supervision of normal first pregnancy, unspecified trimester Z3403 Encounter for supervision of normal first pregnancy, third trimester Z3401 Encounter for supervision of normal first pregnancy, first trimester Z3402 Encounter for supervision of normal first pregnancy, second trimester ICD-9-CM code V22. -
Maternity Information for Childbirth Services
Maternity information for childbirth services What you need to know 20905-3-17 New York State’s Maternity Information Law requires each hospital to provide the following information about its childbirth practices and procedures. This information will help you to better understand what to expect, learn more about your childbirth choices, and plan for your baby’s birth. Data shown are for 2014. Most of the information is given in percentages of all deliveries occurring in the hospital during a given year. For example, if 20 births out of 100 are by cesarean section, the cesarean section rate will be 20 percent. If external fetal monitoring is used in 50 out of 100 births, or one-half of all births, the rate will be 50 percent. This information alone doesn’t tell you that one hospital is better than another. If a hospital has fewer than 200 births per year, the use of special procedures in just a few births could change its rates. The types of births could affect the rates as well. Some hospitals offer specialized services to women who are expected to have complicated or high-risk births, or whose babies are not expected to develop normally. These hospitals can be expected to have higher rates of the special procedures than hospitals that do not offer these services. This information also does not tell you about your doctor’s or nurse-midwife’s practice. However, the information can be used when discussing your wishes with your doctor or nurse-midwife, and to find out if his or her use of special procedures is similar to or different from that of the hospital. -
Pelvic Floor Disorders After Vaginal Birth Effect of Episiotomy, Perineal Laceration, and Operative Birth
Pelvic Floor Disorders After Vaginal Birth Effect of Episiotomy, Perineal Laceration, and Operative Birth Victoria L. Handa, MD, MHS, Joan L. Blomquist, MD, Kelly C. McDermott, BS, Sarah Friedman, MD, and Alvaro Mun˜oz, PhD OBJECTIVE: To investigate whether episiotomy, perineal who experienced at least one forceps birth (compared laceration, and operative delivery are associated with with delivering all her children by spontaneous vaginal pelvic floor disorders after vaginal childbirth. birth). METHODS: This is a planned analysis of data for a cohort CONCLUSION: Forceps deliveries and perineal lacera- study of pelvic floor disorders. Participants who had tions, but not episiotomies, were associated with pelvic experienced at least one vaginal birth were recruited floor disorders 5–10 years after a first delivery. 5–10 years after delivery of their first child. Obstetric (Obstet Gynecol 2012;119:233–9) exposures were classified by review of hospital records. DOI: 10.1097/AOG.0b013e318240df4f At enrollment, pelvic floor outcomes, including stress LEVEL OF EVIDENCE: II incontinence, overactive bladder, anal incontinence, and prolapse symptoms were assessed with a validated ques- tionnaire. Pelvic organ support was assessed using the mong parous women, cesarean birth reduces the 1 Pelvic Organ Prolapse Quantification system. Logistic Aodds of pelvic floor disorders later in life. How- regression analysis was used to estimate the relative odds ever, most U.S women deliver vaginally. Therefore, it of each pelvic floor disorder by obstetric history, adjust- is important to identify labor interventions that in- ing for relevant confounders. crease the risk of pelvic floor disorders after vaginal RESULTS: Of 449 participants, 71 (16%) had stress incon- childbirth. -
Guide on Health 2015-2016 There Are Many Important Topics to Consider with Regard to Pregnancy and Delivery
PLANNING A HEALTHY START Why Maternity Care is Important CONSUMER GUIDE ON HEALTH 2015-2016 THERE ARE MANY IMPORTANT TOPICS TO CONSIDER WITH REGARD TO PREGNANCY AND DELIVERY. USE THIS GUIDE TO LEARN HOW TO MAKE THE BEST CHOICES FOR MATERNITY CARE. BOOMING: Can you believe nearly 4 million babies were born in 2014? That’s roughly 11,000 each day! The 2014 number of births marks the first increase since 2007. Source: CDC, National Vital Statistics Reports, Vol 64 No 6. PLANNING A HEALTHY START What NOT to Eat When You Are Pregnant & MAINTAINING A HEALTHY Unpasturized (soft) cheeses such as brie, feta, PREGNANCY or bleu cheese, as they may contain listeria (a bacteria that can be fatal to your baby). Checklist for a Healthy Start: Deli meat or hot dogs unless cooked to steaming to eliminate possible listeria. Take 400 mcg of Folic Acid daily to prevent Neural Tube Defects (NTD) Fish containing high levels of mercury, such as If you smoke, QUIT! swordfish. You can safely consume up to 12 oz. of Avoid consuming alcohol. seafood per week, as long as it is low in mercury. Receive a flu shot to protect you and your baby. Raw sprouts, as bacteria can get into If you are diabetic, maintain control of it to the seeds before they grow. prevent complications. Talk to your doctor about any medications you Potluck dishes that have been are on and their safety during pregnancy. sitting out for 2 hours or more. Source: CDC Source: WebMD Folic Acid: An Important Foundation Tips for a Healthy Diet Women of childbearing age should get 400 GRAINS micrograms of Folic Acid (a B vitamin) EACH day. -
• Chapter 8 • Nursing Care of Women with Complications During Labor and Birth • Obstetric Procedures • Amnioinfusion –
• Chapter 8 • Nursing Care of Women with Complications During Labor and Birth • Obstetric Procedures • Amnioinfusion – Oligohydramnios – Umbilical cord compression – Reduction of recurrent variable decelerations – Dilution of meconium-stained amniotic fluid – Replaces the “cushion ” for the umbilical cord and relieves the variable decelerations • Obstetric Procedures (cont.) • Amniotomy – The artificial rupture of membranes – Done to stimulate or enhance contractions – Commits the woman to delivery – Stimulates prostaglandin secretion – Complications • Prolapse of the umbilical cord • Infection • Abruptio placentae • Obstetric Procedures (cont.) • Observe for complications post-amniotomy – Fetal heart rate outside normal range (110-160 beats/min) suggests umbilical cord prolapse – Observe color, odor, amount, and character of amniotic fluid – Woman ’s temperature 38 ° C (100.4 ° F) or higher is suggestive of infection – Green fluid may indicate that the fetus has passed a meconium stool • Nursing Tip • Observe for wet underpads and linens after the membranes rupture. Change them as often as needed to keep the woman relatively dry and to reduce the risk for infection or skin breakdown. • Induction or Augmentation of Labor • Induction is the initiation of labor before it begins naturally • Augmentation is the stimulation of contractions after they have begun naturally • Indications for Labor Induction • Gestational hypertension • Ruptured membranes without spontaneous onset of labor • Infection within the uterus • Medical problems in the -
Pretest Obstetrics and Gynecology
Obstetrics and Gynecology PreTestTM Self-Assessment and Review Notice Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required. The authors and the publisher of this work have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication. However, in view of the possibility of human error or changes in medical sciences, neither the authors nor the publisher nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they disclaim all responsibility for any errors or omissions or for the results obtained from use of the information contained in this work. Readers are encouraged to confirm the information contained herein with other sources. For example and in particular, readers are advised to check the prod- uct information sheet included in the package of each drug they plan to administer to be certain that the information contained in this work is accurate and that changes have not been made in the recommended dose or in the contraindications for administration. This recommendation is of particular importance in connection with new or infrequently used drugs. Obstetrics and Gynecology PreTestTM Self-Assessment and Review Twelfth Edition Karen M. Schneider, MD Associate Professor Department of Obstetrics, Gynecology, and Reproductive Sciences University of Texas Houston Medical School Houston, Texas Stephen K. Patrick, MD Residency Program Director Obstetrics and Gynecology The Methodist Health System Dallas Dallas, Texas New York Chicago San Francisco Lisbon London Madrid Mexico City Milan New Delhi San Juan Seoul Singapore Sydney Toronto Copyright © 2009 by The McGraw-Hill Companies, Inc. -
NTSV: Accurate Coding for Improved Quality Measures Program III: OB Procedure Coding Module 3: Delivery and Procedures Assisting Delivery Grant Acknowledgement
NTSV: Accurate Coding for Improved Quality Measures Program III: OB Procedure Coding Module 3: Delivery and Procedures Assisting Delivery Grant Acknowledgement Funding for this training series was made possible by a sub- award from the American College of Obstetricians and Gynecologists under Grant #UC4MC28042 from the Health Resources and Services Administration. The views expressed in the written materials and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government. Resource Acknowledgement Information presented in this module is directly resourced from the 2020 ICD-10-CM/PCS Official Guidelines for Coding and Reporting found on the Centers for Disease Control and Prevention website and the ICD-10-CM and ICD-10-PCS Coding Handbook With Answers published by the American Hospital Association. Our Faculty Carole Liebner, RHIT, CDIP, CCS AHIMA APPROVED ICD-10-CM/PCS TRAINER AHIMA APPROVED REVENUE CYCLE TRAINER Director, Education & Program Development Amber Owens, RHIA, CICA, CCS Director of Health Information Services Program III: Module 3 Topics Review delivery and the procedures assisting delivery. Take a look at manually assisted delivery. Describe C-section delivery. Illustrate vacuum assisted and forceps deliveries. Demonstrate perineal lacerations and episiotomies. And a little assessment at the end to test your knowledge. Delivery Delivery: Assisting the passage of the products of conception from the genital tract. Classified to the Obstetrics Section: Root operation: Delivery Body system: Pregnancy 10E0XZZ: Delivery of products of conception, external approach C-Section Surgical delivery performed when vaginal delivery is not possible or advisable. -
Global Maternity & Multiple Births Billing Guidelines
Global Maternity & Multiple Births Billing Guidelines Quick Reference Guide Global Maternity Global maternity care includes pregnancy-related antepartum care, admission to labor and delivery, management of labor including fetal monitoring, delivery, and uncomplicated postpartum care until six weeks postpartum. A global charge should be billed for maternity claims when all maternity-related services, as outlined in Blue Cross and Blue Shield of North Carolina’s (BCBSNC’s) corporate medical policy “Guidelines for Global Maternity Reimbursement,” are provided by the same physician or physicians practicing at the same location. The number of antepartum visits may vary from patient to patient. If global maternity care is provided, all maternity related visits and delivery should be billed under the global maternity code. Individual E&M codes should not be billed to report maternity-related E&M visits. Prenatal care is considered an integral part of the global reimbursement and will not be paid separately The Current Procedural Terminology® (CPT) manual identifies the following CPT codes as global maternity services: 59400 - Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartu m care 59510 - Routine obstetric care including antepartum care, cesarean delivery and postpartum care 59610 - Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartu m care, after previous cesarean delivery 59618 - Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal deliver y after previous cesarean delivery Billing tips: An initial visit, confirming the pregnancy, is not a part of global maternity care services (verification of benefits will determine appropriate member liability).