CAISS Extremities
"A guy in an MVC is trapped at the Left knee via the dashboard. Upon extrication he has gross
deformity on the knee with huge blood loss and no sensation or motion in the L decrease leg, no
pedal pulse. Diagnostics suggest open critically comminuted distal L femur fracture with all
ligaments in disruption to the knee. There is also an open midshaft fracture of the left tibia. An
above the knee amputation changed into achieved on day 2. How would these injuries be
coded?" - ANS-Code the injury at the L knee as a crush injury at or above the knee code
813002.4, due to the fact bone, tender tissue, vascular and nerve were all concerned. You could
additionally code the open L mid shaft tibia fx even though the leg changed into surgically
amputated.
A child is admitted to the ED after gambling on the trampoline wherein any other infant landed
on him. Xrays are achieved and a navicular fracture is recognized. Is this a codeable damage,
or do you want greater data? - ANS-This fracture requires more records as to whether or not or
no longer that is a tarsal or a carpal bone; In an actual scientific situation, the bodily exam and
xray might be labeled as wrist or foot; If this is a tarsal navicular fx then the proper code would
be 857451.2 in which it is known as as such; if this is a carpal navicular FX, then code 752461.2
as a carpal bone FX
A guy touched a excessive voltage line with flash burns and harm to the tender tissue and
muscle of the thumb aspect of his R hand requiring serial debridement of necrotic muscular
tissues. Which of his accidents would be coded? - ANS-Code 080002.3 Electrical damage w/
muscle necrosis. If electric burns involve flash, code best the electric damage and now not the
associated flash skin burns.
A tibia-fibula xray states distal tibia fracture; CT of the extremity better defines the injury as a
pilon fracture; How could you code this fracture? - ANS-854331.2; A pilon fracture is positioned
at the distal shaft of the tibia but isn't always part of the malleoli; the code for this fracture is
discovered within the "distal tibia". This fracture can also be referred to as a plafond FX. ("Distal
Tibia fracture NFS [includes medial malleolus; also pilon fracture*])
As an example wherein it'd now not be coded: A patient who develops a compartment
syndrome from swelling associated with a damaged tibia has a difficulty, and in this example the
compartment syndrome is not coded. - ANS-As an example in which it would be coded: A
affected person whose arm gets trapped in a vacuum line and is derived to the ED with marked
swelling however no damaged bones and is recognized with compartment syndrome is coded.
Can bilateral acetabulum fractures be coded separately? - ANS-TRUE
Can blood loss be coded to pelvic hematomas? - ANS-Yes: </= 20% for small/mod. Pelvic
hematoma
Can pelvic ring dislocations be coded? - ANS-Pelvic ring dislocations are coded as Pelvic ring
fractures
How are bilateral extremity fractures coded? - ANS-Bilateral fractures should be entered two
times, coding right and left sides separately
How are ligament tears/injuries coded? - ANS-Sprain
"A guy in an MVC is trapped at the Left knee via the dashboard. Upon extrication he has gross
deformity on the knee with huge blood loss and no sensation or motion in the L decrease leg, no
pedal pulse. Diagnostics suggest open critically comminuted distal L femur fracture with all
ligaments in disruption to the knee. There is also an open midshaft fracture of the left tibia. An
above the knee amputation changed into achieved on day 2. How would these injuries be
coded?" - ANS-Code the injury at the L knee as a crush injury at or above the knee code
813002.4, due to the fact bone, tender tissue, vascular and nerve were all concerned. You could
additionally code the open L mid shaft tibia fx even though the leg changed into surgically
amputated.
A child is admitted to the ED after gambling on the trampoline wherein any other infant landed
on him. Xrays are achieved and a navicular fracture is recognized. Is this a codeable damage,
or do you want greater data? - ANS-This fracture requires more records as to whether or not or
no longer that is a tarsal or a carpal bone; In an actual scientific situation, the bodily exam and
xray might be labeled as wrist or foot; If this is a tarsal navicular fx then the proper code would
be 857451.2 in which it is known as as such; if this is a carpal navicular FX, then code 752461.2
as a carpal bone FX
A guy touched a excessive voltage line with flash burns and harm to the tender tissue and
muscle of the thumb aspect of his R hand requiring serial debridement of necrotic muscular
tissues. Which of his accidents would be coded? - ANS-Code 080002.3 Electrical damage w/
muscle necrosis. If electric burns involve flash, code best the electric damage and now not the
associated flash skin burns.
A tibia-fibula xray states distal tibia fracture; CT of the extremity better defines the injury as a
pilon fracture; How could you code this fracture? - ANS-854331.2; A pilon fracture is positioned
at the distal shaft of the tibia but isn't always part of the malleoli; the code for this fracture is
discovered within the "distal tibia". This fracture can also be referred to as a plafond FX. ("Distal
Tibia fracture NFS [includes medial malleolus; also pilon fracture*])
As an example wherein it'd now not be coded: A patient who develops a compartment
syndrome from swelling associated with a damaged tibia has a difficulty, and in this example the
compartment syndrome is not coded. - ANS-As an example in which it would be coded: A
affected person whose arm gets trapped in a vacuum line and is derived to the ED with marked
swelling however no damaged bones and is recognized with compartment syndrome is coded.
Can bilateral acetabulum fractures be coded separately? - ANS-TRUE
Can blood loss be coded to pelvic hematomas? - ANS-Yes: </= 20% for small/mod. Pelvic
hematoma
Can pelvic ring dislocations be coded? - ANS-Pelvic ring dislocations are coded as Pelvic ring
fractures
How are bilateral extremity fractures coded? - ANS-Bilateral fractures should be entered two
times, coding right and left sides separately
How are ligament tears/injuries coded? - ANS-Sprain
