CAISS Extremities and Pelvic Girdle 2024 exam

CAISS Extremities and Pelvic Girdle 2024 exam How do you code GSW with missile lodged in the bone? - Correct Answers As an Open Fx (Clarification document) How do you code bony fractures that are the result of a GSW? - Correct Answers Open Fx How do you code bone contusions? - Correct Answers They are not codeable What are some anatomical landmarks for amputation of the upper extremity? - Correct Answers 1. Between shoulder and hand NFS [does not apply to hands, thumbs, fingers] 2. At the shoulder 3. at or above elbow but below shoulder 4. below elbow at or above wrist 5. hand - partial or complete 6. thumb 7. other fingers - single or multiple. When can you code compartment syndrome in the upper extremity? - Correct Answers Compartment syndrome from trauma to soft tissue only w/o FX, destruction of bone or other structures (i.e.., you can use this category only if no specific injuries to the upper extremity are documented) What does crush injury involve? - Correct Answers Massive destruction of skeletal vascular nervous and tissue systems Where are degloving injuries to the upper extremity assigned to - Correct Answers External What are considerations for assigning PENETRATING injury codes? - Correct Answers Use this if penetrating injury does not involve bone or internal structures; there are specific codes for tissue loss 25 cm²; there are codes for blood loss 20% for penetrating injuries at the shoulder or at or above the elbow, below the shoulder. Describe a major laceration to the upper extremity - Correct Answers It is more than 10 cm long on the hand or greater than 20 cm long on the entire extremity and into the subcutaneous tissue What is the difference between a minor and major avulsion on the upper extremity? - Correct Answers A minor or superficial is /= to 25 cm² on the hand or /= 100 cm² on the entire extremity. A major avulsion is tissue loss 25 cm on the hand or 100 cm² on the entire extremity What are considerations for coding a vessel injury in the upper extremity? - Correct Answers Do not code them separately when they are directly involved in crush type injuries or amputation unless a vascular injury is higher in severity than the crush or amputation injury. Branches of vessels are not coded unless they are named vessels and or listed within a specific vessel descriptor. True or false. A vascular injury in upper extremity not further specified has a severity of 9"" - Correct Answers TRUE Name vessels specifically listed in the upper extremity chapter - Correct Answers 1. Axillary artery, axillary vein, 2. Brachial artery, brachial vein, 3. Other named arteries such as Radial or ulnar 4. Other named veins such as cephalic or basilic. True or false. In the vessel section, laceration, perforation or puncture are coded the same - Correct Answers TRUE Describe a minor laceration to a vessel - Correct Answers Superficial; incomplete circumferential involvement; blood loss /= 20% by volume. True or false in the vessel section in the upper extremity chapter, major injury examples are: rupture or transection or segmental loss - Correct Answers TRUE One example of a major brachial artery injury is a laceration with blood loss greater than______ percent - Correct Answers 20% How do you code a diagnosis of nerve palsy or neurapraxia? - Correct Answers Code as contusion to the specific nerve What