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Obstetric Coding Basics Flashcards

7 cards from real COBGC practice questions. Tap to flip, then mark Knew It or Still Learning โ€” missed cards come back until you master them.

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  1. Which CPT code is used for postpartum care only when the physician did not provide antepartum care or perform the delivery?

    Answer: 59430

    CPT 59430 (Postpartum care) is billed when a provider furnishes only the postpartum component of obstetric care.

  2. A physician performs a cesarean delivery but did not provide antepartum or postpartum care. Which CPT code applies?

    Answer: 59514

    CPT 59514 (Cesarean delivery only) is reported when the physician performs only the delivery, without antepartum or postpartum care.

  3. A patient attempts VBAC but requires an emergency cesarean. The physician provided only the delivery. Which CPT code applies?

    Answer: 59620

    CPT 59620 (Cesarean delivery only, following attempted vaginal delivery after prior cesarean delivery) is used when VBAC fails and results in cesarean.

  4. Which ICD-10-CM code is assigned as the principal diagnosis when a patient is admitted in normal full-term labor and delivers a single healthy infant with no complications?

    Answer: O80

    O80 (Encounter for full-term uncomplicated delivery) is the principal diagnosis when delivery is entirely without complication; Z37.0 is added as an additional code.

  5. Which Z37 code represents the delivery of twins, both liveborn?

    Answer: Z37.2

    Z37.2 (Twins, both liveborn) is the outcome of delivery code assigned when both twins are born alive.

  6. A patient develops endometritis 10 days after vaginal delivery. How should this be coded under ICD-10-CM?

    Answer: O86.12

    O86.12 (Endometritis following delivery) is used for postpartum endometritis because Chapter 15 codes take priority when a condition occurs within the puerperium.

  7. Which ICD-10-CM category covers obstructed labor due to fetal malpresentation?

    Answer: O64

    Category O64 (Obstructed labor due to malposition and malpresentation of fetus) covers presentations such as face, brow, or transverse lie causing obstruction.