American Health Information Management Association (AHIMA) Certification Practice Exam

Identify the code(s) for a lower uterine segment cesarean delivery due to failure of cervical dilation. What is correct?

1. 661.01, V27.0, 74.1

2. 661.21, 74.1

3. 661.01, 74.0

4. 661.21, V27, 74.1

The correct answer is: 661.01, V27.0, 74.1

In coding a lower uterine segment cesarean delivery specifically due to failure of cervical dilation, it is essential to choose codes that accurately reflect both the procedure and the clinical circumstances surrounding it. The correct combination involves the use of specific ICD coding for the complications or reasons for the cesarean delivery, as well as the appropriate procedural code. The code for failure of cervical dilation is represented by 661.01. Additionally, a diagnosis for the resultant situation following the delivery is included, which is denoted with V27.0 (concerning outcomes of delivery for a liveborn infant). Lastly, the procedural code for the cesarean section is 74.1. This combination effectively captures both the medical necessity of the procedure and the outcome for classification and data collection purposes. Consequently, this set of codes provides a comprehensive view of the patient’s condition, ensuring that all aspects are appropriately billed and documented for medical records, insurance purposes, and statistical data.