Obstetrics & Gynecology Medical Coding Guide –Exam Questions With Correct Answers and Detailed Rationales

Obstetrics & Gynecology Medical Coding Guide
–Exam Questions With Correct Answers and
Detailed Rationales

1. What is the CPT code for a routine vaginal delivery (global package) including
antepartum, delivery, and postpartum care?
A. 59409
B. 59400
C. 59510
D. 59610
Answer: B
Rationale: 59400 is the global vaginal delivery code. 59510 is for cesarean; 59610
is for VBAC.


2. A patient undergoes a low-risk cesarean delivery. The physician provides the
global package. What code is reported?
A. 59400
B. 59510
C. 59610
D. 59618
Answer: B
Rationale: 59510 is the global cesarean delivery code.


3. A patient has a vaginal delivery after a previous cesarean section (VBAC). The
physician provides global care. Which code?
A. 59400
B. 59510
C. 59610
D. 59612
Answer: C
Rationale: 59610 is the global VBAC code.

,4. A physician performs a cesarean delivery only (no antepartum or postpartum
care). What code is used?
A. 59510
B. 59514
C. 59409
D. 59612
Answer: B
*Rationale: 59514 is cesarean delivery only (without antepartum/postpartum).*


5. A physician performs a vaginal delivery only (no antepartum or postpartum).
What code?
A. 59400
B. 59409
C. 59408
D. 59414
Answer: B
Rationale: 59409 is vaginal delivery only.


6. What code is used for a vaginal delivery after previous cesarean (delivery only)?
A. 59610
B. 59612
C. 59614
D. 59409
Answer: B
Rationale: 59612 is VBAC delivery only.


7. A patient is admitted for antepartum care of a high-risk pregnancy. The
physician provides 10 visits. Which code?
A. 59425
B. 59426

,C. 59400
D. 59000
Answer: B
Rationale: 59426 is for 7 or more antepartum visits.


8. A patient receives 5 antepartum visits from a physician who will not be
delivering the baby. What code?
A. 59425
B. 59425 (4-6 visits)
C. 59426
D. 59430
Answer: B
*Rationale: 59425 is for 4-6 antepartum visits.*


9. A physician provides postpartum care only (patient delivered by another
provider). What code?
A. 59430
B. 59430
C. 59425
D. 59426
Answer: A
Rationale: 59430 is postpartum care only.


10. A patient has a missed abortion at 10 weeks. The physician performs a dilation
and curettage (D&C). What code?
A. 59812
B. 59812 (for missed abortion)
C. 59100
D. 59820
Answer: B
Rationale: 59812 is for treatment of missed abortion (completed by D&C).

, 11. A patient has an incomplete abortion at 12 weeks. The physician performs a
suction curettage. Code?
A. 59812
B. 59820 (incomplete abortion, surgical)
C. 59821
D. 59830
Answer: B
Rationale: 59820 is for incomplete abortion, surgical (first trimester).


12. A patient has a complete abortion at 8 weeks. No procedure is needed. What
code?
A. 59812
B. 59820? No, for complete abortion without surgery, use 59821? Actually, for
complete abortion with no retained products, no procedure is coded; E/M may be
used. I'll adjust: Better to use: What code for elective abortion?
Let me use standard:
12. A patient has an elective abortion at 10 weeks via suction curettage. Code?
A. 59840
B. 59840 (first trimester)
C. 59841
D. 59850
Answer: B
Rationale: 59840 is for induced abortion by suction curettage, first trimester.


13. A patient has an elective abortion at 16 weeks by D&E (dilation and
evacuation). Code?
A. 59840
B. 59841
C. 59841 (second trimester)
D. 59850
Answer: C
Rationale: 59841 is for induced abortion by D&E, second trimester.