CSTR Exam Study Guide Part 4 Question with complete solution 2023

CSTR Exam Study Guide Part 4 Question with complete solution 2023Injury cause code, external ranges for Trauma A00-T88.9, Z00-Z99 When assigning procedure codes, letters ___ and ___ are not used? a. O & I b. K & V c. M & P d. L & C a. O & I (these letters are too close to the numbers zero and one) Sequelae Pathological condition "commonly resulting" from the actual disease, process, injury or trauma. This is not to be confused with complications. Anatomy of an ICD-10-PCS 1-Section,2-Body System,3-Root Operation,4-Body Part,5-Approach,6-Device,7-Qualifier If the intent of the incident is unknown or unspecified? code as accidental In ICD-1O-PCS what is the 7th character? a. X b. M c. Z d. N c. Z The value Z is used as the 7th character to indicate a specific device or qualifier does not apply to the procedure. Uncal herniation,transtentorial (cerebellum)-Code ICD-10- Cord Contusion = AIS code of .5 squared 25 ISS score. ICD-10 Coding a classification system that groups health related conditions and procedures for statistical and billing purposes. Types of ICD-10 Codes There are 3 primary sections in PCS (Primary Coding System). Medical and Surgical (Largest Section in PCS). Medical and Surgical Related. Ancillary ICD-10 Medical and Surgical Section All Codes in Medical and Surgical Section begin with 0 (zero), the first character in a PCS Code represents the section, there are 31 body systems in Medical and Surgical Section. ICD-10 Body System Anatomical Region procedures are performed on multiple body parts and through various types of structures. ICD-10 Body Part Indicates site of the body on which the procedure was performed (example: liver,upper lung,skin of back,etc.) ICD-10 Device Characters Used only to specify the devices that remain after the procedure is completed. Four General Types:Grafts and Prostheses, Implants, Simple or Mechanical Appliance and Electronic appliance (drainage device, monitoring device,etc.) ICD-10-CM 3-7 characters in length, no procecure codes, Alphanumerical, 1st character is letter, use of decimal after 3rd character, X & A (new in ICD-10-used as placeholders), "placeholders" used in certain codes in ICD-10-CM to allow for future expansion, A: Initial Encounter-the patient is receiving active treatment for a condition (active treatment), D: Subsequent Encounter:Receiving routine care for the condition during the healing for the condition during the healing or recovery phase (Cast change/removal),S: Sequela-Assigned when the patient has complications or conditions that arise as a direction result of a consition (scar;left w/scar;deformity in walk) ICD-10-CM Code Structure 3-7 Characters: 1st Character: Always alpha (A-Z, except u). 2nd Character: Always numeric. 3rd-7th Characters: Alpha or numeric. First 3 characters: Category. 4th-6th Characters: Describe etiology, anatomic site, severity, and such. 7th Character: Added information for obstetrics, injuries, external causes or injury and such. ICD-10-CM Classification arranges dx and injuries into groups Y92.0 Non institutional (private) residence Y92.1 Institutional (non-private) residence Y92.2 School, Other Institutional and Public Administrative Y92.3 Sports and athletic area Y92.4 Street,Highway, other paved road Y92.5 Trade and service area Y92.6 Industrial construction area Y92.7 Farm Y92.8 Other Places Y92.9 Unspecified T07 Unspecified multiple injuries T14 Injury of unspecified body region T20-T28 7th character A only-burns by specific body area T30-T32 burns by TBSA percentages T79.A1-T79.A9 7th character A only-traumatic compartment syndrome Mastoid or Petrous Code to Base Rule of Nines in Children Head= 18 Arms= 9 each Legs= 14 each Front of Body= 18 Back of Body= 18 Genital= 1 Rule of Nines in Adults Head=9 Arms=9 each Legs= 18 each Front of Body= 18 Back of Body= 18 Genital= 1 What is important to know about rib fractures when coding? Location and ribs fractured, right side vs left side, anterior vs posterior, unilateral vs bilateral Burn Scoring the rule of nines GCS Motor 1-No movement 2-Move to pain,extension 3-Flexion to pain 4-Withdrawal from pain 5-Locailizing pain 6-Obeys commands GCS Verbal 5- Oriented 4- Confused 3- Inappropriate 2- Incomprehensible 1- None