Please Help

[Sparky]

I am disputing this question with my school, the questions are specific what am I am missing??
I chose "D", they are indicating "A"?????

7. Which of the following scenarios would be assigned the code for normal delivery on the
mother’s record?
A. Live birth, full term, cephalic presentation with episiotomy repair
B. Live birth, full term, cephalic presentation, postpartum breast abscess
C. Live birth, full term, breech presentation, rotated by version before delivery
Answer: D. Live birth, full term, vertex presentation, low forceps

I am disputing this question too, I chose "B", but they are indicating it is "D". The question does not indicate birth weight of 37 weeks or before????

9. A valid documentation for codes 764 or 765 would be physician documentation stating
A. gestational age as 35 weeks
Answer: B. fetal growth retardation.
C. Low birth weight for 37 weeks
D. prematurity

my study guide mentions that "codes for premature infants and/or fetal growth retardation are assigned to code categories 764 and 765 with fift digit to indicate birth weight.

 

[Sparky]

I don't think the questions are specific enough. Sorry if I was not clear the first time on that sentence. Just very frustrated with this right now. Have to take a breathe and just move on. Have a Good Day

 

[Luna]

I am disputing this question with my school, the questions are specific what am I am missing??
I chose "D", they are indicating "A"?????

7. Which of the following scenarios would be assigned the code for normal delivery on the
mother’s record?
A. Live birth, full term, cephalic presentation with episiotomy repair
B. Live birth, full term, cephalic presentation, postpartum breast abscess
C. Live birth, full term, breech presentation, rotated by version before delivery
Answer: D. Live birth, full term, vertex presentation, low forceps
I am disputing this question too, I chose "B", but they are indicating it is "D". The question does not indicate birth weight of 37 weeks or before????

I'm not good with technical terms yet but looking at choice D I see that there was a vertex presentation. Probably not considered "normal" as that means shoulder or side presentation. We also see low forceps mentioned. I don't think forceps are considered "normal" either and means intervention was used in delivery.

 

[Sparky]

Luna, Thank you

 

[Carolyn Heath]

Sparky, I agree with you. The questions does not give enough information for you to code correctly.

 

[Luna]

Sparky, I'm not a coder yet. I start my coding course in about a month. But I was just musing about the choices myself when I commented earlier. I do hope someone with more knowledge is able to address your questions. I am curious to know the correct answers myself and the reasoning that supports them. I hope your "breath" got you through the rest of your day and turned your frown into a smile. This is a good place to clear the air. Cheers.

 

[Sparky]

Carolyn and Luna, again thank you so much for your support. I found this quote (s) and it seems fall into every day life.............

"Courage doesn't always roar. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow."

At times I do get upset because I want to better myself, make a career, and it seems some days it is a losing battle, then I think, no I am better than that, I came this far, I will succeed, I will make it, I will be "Okay." Having my husband supporting me every second of every day, and having the support of everyone here, it takes a winner to cross that finish line.

"There are no failures, just experiences and our reactions to them." I have dreams, I will make them come true.

 

[kayal]

Hi, Luna and Sparky. I have just enrolled in CCO's Coding course and am looking forward to it. Laureen and Alicia gave an excellent orientation webinar on it a few nights ago. Perhaps we will get to study together on the Student Forum. And, of course, let's don't give up, just like you've both said.

 

[Carolyn Heath]

Sparky, love that quote!

 

[Sparky]

Thank you!!

 

[Laureen]

The key is they are looking for NORMAL delivery situations. Vertex is a type of cephalic presentation. Answer B is mentioning other complications (postpartum breast abscess) so that would not be NORMAL.

Here is a nice wikipedia page on birth presenations http://en.wikipedia.org/wiki/Presentation_(obstetrics)

 

[Sparky]

Laureen, thank you! Your thoughts on the the question about code 764 and 765?

 

[Laureen]

9. A valid documentation for codes 764 or 765 would be physician documentation stating
A. gestational age as 35 weeks
Answer: B. fetal growth retardation.
C. Low birth weight for 37 weeks
D. prematurity

Codes:
764 - Slow fetal growth and fetal malnutrition
765 - Disorders relating to short gestation and unspecified low birthweight

From the Official ICD-9 Guidelines:
i. Prematurity and Fetal Growth Retardation
Providers utilize different criteria in determining
prematurity. A code for prematurity should nor
be assigned unless it is documented. The 5th
digit assignment for codes from category 764 and
subcategories 765.0 and 765.1 should be based on rhe
recorded birth weight and estimated gestational age.
A code from subcategory 765.2, Weeks of gestation,
should be assigned as an additional code wirh category
764 and codes from 765.0 and 765.1 to specify weeks of
gestation as documented by the provider in che record.

From the textbook:

Prematurity and Fetal Growth Retardation: Codes
from category 764 and subcategories 765.0 and 765.l
should not be assigned based solely on recorded
birth weight or estimated gestational age, but on the
attending physician's clinical assessment of maturity
of the infant. Because physicians may utilize
different criteria in determining prematurity, do not
code the diagnosis of prematurity unless the physician
documents this condition.

So I'd say B or D would work ofr 764 OR 765.

 

[Sparky]

That's why I disputed this question, because their study guide says ""codes for premature infants and/or fetal growth retardation are assigned to code categories 764 and 765 with fift digit to indicate birth weight." They would not give me credit. Thanks Laureen

 

[Sparky]

To Kayal and Luna, I am not enrolled in the student forum but would possibly consider the thought of a study group.