Chapter 6: Coding Practice: Obstetrics Section
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1. Manual suction Suction curettage of retained placenta involves the extraction of retained products
curettage of re- of conception (e.g., placental, fetal tissue) that remains in the uterus following
tained placen- delivery, miscarriage, or termination of pregnancy. Root operation Extraction is
ta, post-Cesarean defined as pulling or stripping out or off all or a portion of a body part by the use
section of force.
Go to ICD-10-PCS index main term Suction curettage, obstetric post-delivery see
Extraction, Products of Conception, Retained 10D1. (ICD-10-PCS index main term
Extraction and subterms Products of Conception and Retained 10D1 can also be
referenced.) In ICD-10-PCS table 10D, select fourth-character 1 (Products of Con-
ception, Retained), fifth-character 7 (Via Natural or Artificial Opening), sixth-char-
acter Z (No Device), and seventh-character 9 (Manual).
2. Assisted vaginal When spontaneous delivery is not possible, instrumental delivery (e.g., vacuum
delivery using extractor) may be used to assist delivery due to failure to progress during the
vacuum extrac- second stage of labor or as a result of a nonreassuring fetal heart tracing (abnormal
tion heart rate findings, such as prolonged bradycardia or tachycardia). Root operation
Extraction is defined as pulling or stripping out or off all or a portion of a body part
by the use of force.
Go to ICD-10-PCS index main term Vacuum extraction, obstetric 10D07Z6. (A vaginal
delivery is obstetric.) In ICD-10-PCS table 10D, select fourth-character 0 (Products
of Conception), fifth-character 7 (Via Natural or Artificial Opening), sixth-character
Z (No Device), and seventh-character 6 (Vacuum) to verify the code.
3. External cephal- An external cephalic version (ECV) helps turn a breech baby while in the womb prior
ic version (reposi- to delivery. The provider places their hands on the outside of the pregnant belly and
tioning) of breech attempts to manually turn the baby. (If not turned during the procedure, the baby
infant at 36 weeks might turn at a later time prior to delivery. Kim, a pregnant patient at 38 weeks, went
for a walk and realized the baby was starting to turn. Kim lay down on the lawn of
a neighbor and experienced normal discomfort and pressure during the turning
process. Later vaginal delivery of a healthy baby was successful.) Root operation
Reposition is defined as moving to its normal location, or other suitable location, all
or a portion of a body part.
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Study online at https://quizlet.com/_d3636x
1. Manual suction Suction curettage of retained placenta involves the extraction of retained products
curettage of re- of conception (e.g., placental, fetal tissue) that remains in the uterus following
tained placen- delivery, miscarriage, or termination of pregnancy. Root operation Extraction is
ta, post-Cesarean defined as pulling or stripping out or off all or a portion of a body part by the use
section of force.
Go to ICD-10-PCS index main term Suction curettage, obstetric post-delivery see
Extraction, Products of Conception, Retained 10D1. (ICD-10-PCS index main term
Extraction and subterms Products of Conception and Retained 10D1 can also be
referenced.) In ICD-10-PCS table 10D, select fourth-character 1 (Products of Con-
ception, Retained), fifth-character 7 (Via Natural or Artificial Opening), sixth-char-
acter Z (No Device), and seventh-character 9 (Manual).
2. Assisted vaginal When spontaneous delivery is not possible, instrumental delivery (e.g., vacuum
delivery using extractor) may be used to assist delivery due to failure to progress during the
vacuum extrac- second stage of labor or as a result of a nonreassuring fetal heart tracing (abnormal
tion heart rate findings, such as prolonged bradycardia or tachycardia). Root operation
Extraction is defined as pulling or stripping out or off all or a portion of a body part
by the use of force.
Go to ICD-10-PCS index main term Vacuum extraction, obstetric 10D07Z6. (A vaginal
delivery is obstetric.) In ICD-10-PCS table 10D, select fourth-character 0 (Products
of Conception), fifth-character 7 (Via Natural or Artificial Opening), sixth-character
Z (No Device), and seventh-character 6 (Vacuum) to verify the code.
3. External cephal- An external cephalic version (ECV) helps turn a breech baby while in the womb prior
ic version (reposi- to delivery. The provider places their hands on the outside of the pregnant belly and
tioning) of breech attempts to manually turn the baby. (If not turned during the procedure, the baby
infant at 36 weeks might turn at a later time prior to delivery. Kim, a pregnant patient at 38 weeks, went
for a walk and realized the baby was starting to turn. Kim lay down on the lawn of
a neighbor and experienced normal discomfort and pressure during the turning
process. Later vaginal delivery of a healthy baby was successful.) Root operation
Reposition is defined as moving to its normal location, or other suitable location, all
or a portion of a body part.
1/2
