What is NISS? NISS is the sum of the suqares of the 3 highest AIS scores anywhere in
the body; e.g. 16 + 9 + 4 = 29
Is Asphxia a codeable sequela? Yes
Skin Tears are coded as a _________ to the "Laceration External"
appropriate location on the patient and assigned
to the _______ ISS body region
T/F: LeFort must be specified in the medical True. If not mentioned, code individual fractures
documentation to use the LeFort Codes
Soft palate perforations are coded as _______ and Soft palate perforations are coded as lacerations and hard palate as
hard palate perforations are coded as _______ fractures. If palate is not specified, code it as a fracture
What does ISS stand for and what is the range? Injury Severity Score and it ranges from 1-75
How Are Most of the Chapters Organized? 1. Whole Area 2. Vessels 3. Nerves 4. Internal Organs 6. Skeletal
What do the 6 digits in the predot stand for? 1 = body region 2 = type of anatomical structure 3,4 = specific
anatomical structure 5,6 = level of injury || Femoral shaft FX: 851814.3 8 =
body region: lower extremity 5 = type of structure: skeletal 18 = specific
structure: femur 14 = level of injury: shaft"
,What does the 7th digit in the AIS code Severity Score
represent?
What is a vessel thrombosis? It's a vessel injury that results in occlusion. Examples are an intimal tear
or a dissection
What does the post dot descriptions for the 1-minor 2-moderate 3-serious 4-severe 5-critical 6-Maximal and
various numbers currently untreatable"
What are the 6 ISS body regions? "1. Head or neck 2. Face 3. Chest 4. Abdominal or pelvic contents 5.
Extremities and Pelvis 6. External
What body region is supratentorial coded to? Cerebrum
What body region is the interpeduncular fossa Brainstem
(cistern) basal cisterns coded to?
Occipital Condyles are coded to the skull base or Skull Base
the vault?
Head and Spine Injuries: Within the first ____, 24 hrs
patients with transient signs and symptoms should
be coded even if they are resolved within the ___
period.
,What does a crush injury to the head region Must involve massive destruction of skull, brain and intracranial
involve contents
What code is assigned to a 2 cm penetrating injury 116002.3: Penetrating injury to skull-superficial = </= 2 cm beneath
to skull entrance
a major head laceration with code 110604.2 is ____ 10 cm or longer and into subcutaneous tissue
cm long or longer and _______
Head laceration with blood loss > ____ is assigned > 20% by volume
110606.3
Minor scalp avulsion is less than or equal to </= 100 cm2
____cm2
Major scalp avulsion is greater than ____cm2 > 100 cm2
Scalp avulsion with major blood loss has greater > 20% by volume
than ____ percent by volume
Head artery injuries include ______, ______ and ____ lacerations, thrombosis (occlusions) and traumatic aneurysms
In the Head Region, lacerations or thrombosis to Vessels: includes Sinus NFS, Cavernous sinus, sigmoid sinus, straight
the sinuses are coded in what section sinus, Saggital (Superior longitudinal) Sinus, and Transverse Sinus
, How do you code a through and through GSW to Code as a single injury: 116004.5 greater than 2 cm penetration.
skull However if you know more details to specific organ damage this
cannot be used
In a penetrating injury to the head, if the skull is Coded as a scalp laceration
not penetrated how do you code the entry?
True or false: cranial nerve injuries may be TRUE; contusions and lacerations; palsy and paralysis
described only by the type of dysfunction that
exists in the normal nerve activity
For cranial nerves how do you code total loss of Code total loss as a laceration and partial loss as a contusion.
nerve function (paralysis)? And how do you code
partial loss of function a.k.a. paresis?
Name the first 6 cranial nerves "I: Olfactory II. Optic III: Oculomotor IV Trochlear V: Trigeminal VI:
Abducens
Name cranial nerves 7-12 VII: Facial VIII: Auditory aka Vestibulocochlear IX: Glossopharyngeal
nerve X: Vagus--**excludes injury in neck, thorax or abdomen XI: Spinal
accessory XII Hypoglossal
Mnemonic to remember the Cranial Nerves On Old Olympus' Towering Tops, A Finn And German Viewed Some
Hops
the body; e.g. 16 + 9 + 4 = 29
Is Asphxia a codeable sequela? Yes
Skin Tears are coded as a _________ to the "Laceration External"
appropriate location on the patient and assigned
to the _______ ISS body region
T/F: LeFort must be specified in the medical True. If not mentioned, code individual fractures
documentation to use the LeFort Codes
Soft palate perforations are coded as _______ and Soft palate perforations are coded as lacerations and hard palate as
hard palate perforations are coded as _______ fractures. If palate is not specified, code it as a fracture
What does ISS stand for and what is the range? Injury Severity Score and it ranges from 1-75
How Are Most of the Chapters Organized? 1. Whole Area 2. Vessels 3. Nerves 4. Internal Organs 6. Skeletal
What do the 6 digits in the predot stand for? 1 = body region 2 = type of anatomical structure 3,4 = specific
anatomical structure 5,6 = level of injury || Femoral shaft FX: 851814.3 8 =
body region: lower extremity 5 = type of structure: skeletal 18 = specific
structure: femur 14 = level of injury: shaft"
,What does the 7th digit in the AIS code Severity Score
represent?
What is a vessel thrombosis? It's a vessel injury that results in occlusion. Examples are an intimal tear
or a dissection
What does the post dot descriptions for the 1-minor 2-moderate 3-serious 4-severe 5-critical 6-Maximal and
various numbers currently untreatable"
What are the 6 ISS body regions? "1. Head or neck 2. Face 3. Chest 4. Abdominal or pelvic contents 5.
Extremities and Pelvis 6. External
What body region is supratentorial coded to? Cerebrum
What body region is the interpeduncular fossa Brainstem
(cistern) basal cisterns coded to?
Occipital Condyles are coded to the skull base or Skull Base
the vault?
Head and Spine Injuries: Within the first ____, 24 hrs
patients with transient signs and symptoms should
be coded even if they are resolved within the ___
period.
,What does a crush injury to the head region Must involve massive destruction of skull, brain and intracranial
involve contents
What code is assigned to a 2 cm penetrating injury 116002.3: Penetrating injury to skull-superficial = </= 2 cm beneath
to skull entrance
a major head laceration with code 110604.2 is ____ 10 cm or longer and into subcutaneous tissue
cm long or longer and _______
Head laceration with blood loss > ____ is assigned > 20% by volume
110606.3
Minor scalp avulsion is less than or equal to </= 100 cm2
____cm2
Major scalp avulsion is greater than ____cm2 > 100 cm2
Scalp avulsion with major blood loss has greater > 20% by volume
than ____ percent by volume
Head artery injuries include ______, ______ and ____ lacerations, thrombosis (occlusions) and traumatic aneurysms
In the Head Region, lacerations or thrombosis to Vessels: includes Sinus NFS, Cavernous sinus, sigmoid sinus, straight
the sinuses are coded in what section sinus, Saggital (Superior longitudinal) Sinus, and Transverse Sinus
, How do you code a through and through GSW to Code as a single injury: 116004.5 greater than 2 cm penetration.
skull However if you know more details to specific organ damage this
cannot be used
In a penetrating injury to the head, if the skull is Coded as a scalp laceration
not penetrated how do you code the entry?
True or false: cranial nerve injuries may be TRUE; contusions and lacerations; palsy and paralysis
described only by the type of dysfunction that
exists in the normal nerve activity
For cranial nerves how do you code total loss of Code total loss as a laceration and partial loss as a contusion.
nerve function (paralysis)? And how do you code
partial loss of function a.k.a. paresis?
Name the first 6 cranial nerves "I: Olfactory II. Optic III: Oculomotor IV Trochlear V: Trigeminal VI:
Abducens
Name cranial nerves 7-12 VII: Facial VIII: Auditory aka Vestibulocochlear IX: Glossopharyngeal
nerve X: Vagus--**excludes injury in neck, thorax or abdomen XI: Spinal
accessory XII Hypoglossal
Mnemonic to remember the Cranial Nerves On Old Olympus' Towering Tops, A Finn And German Viewed Some
Hops
