2016 OB/GYN

1.

1 point

An NST is normally performed

Not until 32 weeks gestation

Only once in the pregnancy if there is a normal finding

Between 24 and 26 gestation

After 28 weeks gestation

2.

1 point

A widowed 45 year-old patient presents for her annual exam and wants to discuss having sexual relations with her new boyfriend as her first encounter was uncomfortable. How should this be coded?

A preventive and problem E/M service with a diagnosis of atrophic vaginitis

A problem E/M service with a sexual counseling diagnosis

Include this discussion as part of the preventive service

Bill a preventive service and CPT 99401 for the additional discussion

3.

1 point

A patient is seen for severe cramping 2 weeks after placement of an IUD. The physician confirms that the IUD is embedded in the uterine wall. Correct coding for this encounter would be:

Coding IUD surveillance

Coding this as a complication and a subsequent encounter

Coding this as a complication and an initial encounter

Coding this as a sequela

4.

1 point

Your physician orders STI testing on a patient who wants to know her results because she just found out her boyfriend was sleeping around. The correct code to order this test is:

Z72.89 Other problems related to lifestyle

Z11.3 Encounter for screening for infections with a predominantly sexual mode of transmission

Z72.51 High risk heterosexual behavior

Z20.2 Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission

5.

1 point

The fetal non-stress test measures

Fetal heart rate in response to fetal movements

Fetal hypoxia

Fetal contractions in response to stimulus

How soon the mother will go into labor

6.

1 point

Your OB/GYN diagnoses pregnancy during a patient's annual exam. What diagnosis should you link to the diagnostic test (for instance, 81025)?

Z33.1 Pregnant state, incidental

Z32.01 Encounter for pregnancy test, result positive

Z01.411 Encounter for gynecological examination (general) (routine) with abnormal findings

Z01.419 Encounter for gynecological examination (general) (routine) without abnormal findings

7.

1 point

A biophysical profile requires all of the following elements to be documented except

Fetal breathing

Fetal tone

Maternal contractions

Fetal movements

8.

1 point

Your patient presents for her second Depo-Provera injection, 150 mg. Your diagnosis code for this encounter will be:

Z30.09 Encounter for other general counseling and advise on contraception

Z30.42 Encounter for surveillance of injectable contraceptive

Z79.890 Hormone replacement therapy

Z79.3 Long term (current) use of hormonal contraceptives

9.

1 point

When the physician documents an infection, what documentation must be present to code to the highest level of specificity?

Whether the condition is acute or persistent

The acuity of the infection and the infectious agent

The infection agent

Whether the condition is acute or chronic

10.

1 point

Fetal assessment should be performed initially

At 26 weeks for all indications

At 32 weeks gestation for lower risk pregnancies

At 24 weeks for high risk pregnancies

Not until interventions can be undertaken