American Health Information Management Association (AHIMA) Certification Practice Exam

Which ICD-9-CM code is assigned for a threatened abortion with hemorrhage at 15 weeks?

1. 640.01, 640.91

2. 640.03

3. 640.83

4. 640.80

The correct answer is: 640.03

The correct choice indicates the appropriate ICD-9-CM code for a threatened abortion with hemorrhage at 15 weeks of gestation. In this case, 640.03 specifically captures the scenario of a threatened abortion, which is characterized by the presence of vaginal bleeding (hemorrhage) occurring before the 20th week of pregnancy. The distinction of being at 15 weeks of gestation aligns with this code's parameters, making it the most accurate choice for this clinical situation. The other choices refer to various conditions related to pregnancy complications, but they may not accurately specify a threatened abortion with hemorrhage at the specified gestational age. For example, 640.01 and 640.91 might relate to other specifics of threatened abortion and bleeding but do not exclusively confer the unique context of bleeding at this stage. Similarly, 640.83 and 640.80 are linked to different aspects of obstetric complications and do not accurately reflect the diagnosis of a threatened abortion combined with hemorrhage at 15 weeks. This delineation is crucial for proper coding and subsequent patient management in health information systems.