AAPC CHAPTER 13 EXAM QUESTIONS
WITH REVIEWED ANSWERS
A patient with a previous low transverse incision cesarean delivery is attempting VBAC
(vaginal birth after cesarean), also known as TOLAC (trial of labor after cesarean) with
her second child. During labor her uterus ruptured. She had an emergency cesarean
section followed immediately by hysterectomy to remove her ruptured uterus. Mother
and baby survived. The same obstetrician provided her antepartum and postpartum
care. What are the CPT® and ICD-10-CM codes reported for this service? - Answer-
59618, 59525, O71.1, O34.211, Z3A.00, Z37.0
Mrs. Smith is visiting her mother and is 150 miles away from home. She is in the 26th
week of pregnancy. In the late afternoon she suddenly feels a gush of fluids followed by
strong uterine contractions. She is rushed to the hospital but the baby is born before
they arrive. In the ED she and the baby are examined and the retained placenta is
delivered. The baby is in the neonatal nursery doing okay. Mrs. Smith has a 2nd degree
perineal laceration secondary to precipitous delivery which was repaired by the ED
physician. She will return home for her postpartum care. What ICD-10-CM and CPT®
codes are reported by the ED physician? - Answer- 59414, 59300-51, O73.0, Z3A.26,
Z37.0
Patient presents with no menses and positive pregnancy test but ultrasound finds no
uterine contents. Embryo has implanted on left ovary and this is treated with
laparoscopic oophorectomy. What are the CPT® and ICD-10-CM codes reported for
this procedure? Do not code the ultrasound. - Answer- 59151, O00.202
A 23 year-old woman presents with sudden LLQ (left lower quadrant) pain which does
not resolve. The decision is made to perform exploratory laparoscopy revealing a cyst
on the left ovary. The cyst is removed along with a partial oophorectomy. What is/are
the CPT® code(s) reported for this procedure? - Answer- 58661
What ICD-10-CM code is reported for an incomplete uterine prolapse? - Answer- N81.2
A pregnant patient presents to the hospital in active labor. The obstetrician providing her
prenatal care is contacted to perform the delivery. The provider delivers twins vaginally.
The obstetrician will also provide the postnatal care. What CPT® code(s) describe this
procedure? - Answer- 59400, 59409-51
WITH REVIEWED ANSWERS
A patient with a previous low transverse incision cesarean delivery is attempting VBAC
(vaginal birth after cesarean), also known as TOLAC (trial of labor after cesarean) with
her second child. During labor her uterus ruptured. She had an emergency cesarean
section followed immediately by hysterectomy to remove her ruptured uterus. Mother
and baby survived. The same obstetrician provided her antepartum and postpartum
care. What are the CPT® and ICD-10-CM codes reported for this service? - Answer-
59618, 59525, O71.1, O34.211, Z3A.00, Z37.0
Mrs. Smith is visiting her mother and is 150 miles away from home. She is in the 26th
week of pregnancy. In the late afternoon she suddenly feels a gush of fluids followed by
strong uterine contractions. She is rushed to the hospital but the baby is born before
they arrive. In the ED she and the baby are examined and the retained placenta is
delivered. The baby is in the neonatal nursery doing okay. Mrs. Smith has a 2nd degree
perineal laceration secondary to precipitous delivery which was repaired by the ED
physician. She will return home for her postpartum care. What ICD-10-CM and CPT®
codes are reported by the ED physician? - Answer- 59414, 59300-51, O73.0, Z3A.26,
Z37.0
Patient presents with no menses and positive pregnancy test but ultrasound finds no
uterine contents. Embryo has implanted on left ovary and this is treated with
laparoscopic oophorectomy. What are the CPT® and ICD-10-CM codes reported for
this procedure? Do not code the ultrasound. - Answer- 59151, O00.202
A 23 year-old woman presents with sudden LLQ (left lower quadrant) pain which does
not resolve. The decision is made to perform exploratory laparoscopy revealing a cyst
on the left ovary. The cyst is removed along with a partial oophorectomy. What is/are
the CPT® code(s) reported for this procedure? - Answer- 58661
What ICD-10-CM code is reported for an incomplete uterine prolapse? - Answer- N81.2
A pregnant patient presents to the hospital in active labor. The obstetrician providing her
prenatal care is contacted to perform the delivery. The provider delivers twins vaginally.
The obstetrician will also provide the postnatal care. What CPT® code(s) describe this
procedure? - Answer- 59400, 59409-51
