CAISS Extremities and Pelvic Girdle Latest 2023 Already Passed
CAISS Extremities and Pelvic Girdle Latest 2023 Already Passed How do you code GSW with missile lodged in the bone? As an Open Fx (Clarification document) How do you code bony fractures that are the result of a GSW? Open Fx How do you code bone contusions? They are not codeable What are some anatomical landmarks for amputation of the upper extremity? 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? 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? Massive destruction of skeletal vascular nervous and tissue systems Where are degloving injuries to the upper extremity assigned to External What are considerations for assigning PENETRATING injury codes? 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 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? 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? 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"" TRUE Name vessels specifically listed in the upper extremity chapter 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 TRUE Describe a minor laceration to a vessel 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 TRUE One example of a major brachial artery injury is a laceration with blood loss greater than______ percent 20% How do you code a diagnosis of nerve palsy or neurapraxia? Code as contusion to the specific nerve What nerves are named in the nerves section for the upper extremity? Digital, median, radial and ulnar Name injuries to the joint capsule rupture; tear; avulsion True or false - a muscle contusion is coded the same as a muscle strain. TRUE Name the two coding subcategories of injuries to tendons in the upper extremity. Tendon tear; avulsion is the main category. The first subcategory is multiple tendons in hand The second subcategory is multiple tendons other than hand. What
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