CAISS Extremities and Pelvic Girdle
"Name the nerves that may be coded in the lower extremity - ANS-1. Virtual
2. Femoral
three. Peroneal
four. Sciatic
five. Tibial
Describe a chief laceration to the higher extremity - ANS-It is greater than 10 cm long at the
hand or extra than 20 cm lengthy at the complete extremity and into the subcutaneous tissue
Describe a minor laceration to a vessel - ANS-Superficial; incomplete circumferential
involvement; blood loss </= 20% by volume.
Do you code an injury to the joint of the great toe the same as injuries to the joints of other toes?
- ANS-No. The great toe has its own category within the interphalangeal joint set of codes.
For patients who die before any rads are done and there is no autopsy, if a doctor diagnoses a
pelvic fracture based on detecting obvious instability, what code should be used? - ANS-Pelvic
ring fracture NFS
For penetrating injury, there is a specific code if there is tissue loss greater than______ and a
specific code for blood loss greater than______ - ANS-25 cm² and 20%
Give two examples of a totally unstable fracture in the pelvis - ANS-1. Vertical Shear Fx
2. Pubic rami fxs with sacroiliac fracture/dislocation
How are long bone fractures classified? - ANS-To their location on the bone; proximal, shaft, or
distal
How do you code a diagnosis of nerve palsy or neurapraxia? - ANS-Code as contusion to the
specific nerve
How do you code a fracture of the tibial plateau? - ANS-It is coded as a complete articular
fracture of the proximal tibia
How do you code a fracture to the acromion? - ANS-Code as a scapula fracture, NFS
How do you code a fracture to the olecranon? - ANS-Code to the proximal ulna
How do you code a fracture to the surgical neck of the humerus? - ANS-The surgical neck of the
humerus is located at the junction of the proximal section and the shaft. It should be coded as
751151.2 Proximal Humerus - Extra-Articular.
How do you code a Morel Lavelle Lesion? - ANS-As a degloving injury to the appropriate
extremity (it is an internal degloving)
How do you code bone contusions? - ANS-They are not codeable
How do you code bony fractures that are the result of a GSW? - ANS-Open Fx
How do you code GSW with missile lodged in the bone? - ANS-As an Open Fx (Clarification
document)
How do you code ligament injuries to named ligaments? - ANS-Code as a sprain in the
associated joint
, How many AIS codes are given to the patient who has a fracture in the pelvic ring and a
fractured acetabulum? - ANS-At least two and possibly three depending on the fracture in the
acetabulum.
How many foot joints are there in the AIS book? - ANS-Five: 1: Forefoot; 2: Midtarsal; 3:
Subtalar; 4. Tarsometatarsal; 5. Metarsophalangeal or Interphalangeal
If a laceration to the lower extremity is greater than______ and into the__________, it is coded
as a major laceration - ANS-20 cm long and into the subcutaneous tissue
If an acetabular fracture only involves one column, do you coded as a partial or a complete
articular fracture? - ANS-Partial
If specific anatomical locations of a bimalleolar fracture is not known, how do you code it? -
ANS-As a fibular fracture not further specified
If the medical record documents a large pelvic hematoma with a pelvic ring fracture, can you
pick up the pelvic ring fracture with blood loss > 20% through volume code? - ANS-Yes
In the decrease extremity, what bone does a lateral malleolus commonly belong to? - ANS-The
Fibula; the medial and posterior malleoli are usually the tibia
In the decrease extremity, when can you're making a medical prognosis of a fracture? - ANS-In
instances where patients die before any radiology is finished and there may be no autopsy,
clinical diagnosis of a fracture made by using detecting apparent instability is suitable. Use the
NFS codes (leg nfs if no bones are documented; or tibia nfs etc)
Injury to what nerve can reason foot drop? - ANS-Peroneal
Is a supracondylar fracture of the humerus greater-articular, partial articular, or complete
articular? - ANS-Extra-articular. A capitular fracture of the distal humerus is partial articular. And
a T-fashioned, Y-fashioned or T condylar fracture is coded as a complete articular
Name arterial injuries in lower extremities. - ANS-"1. Intimal tear; no disruption
2. Laceration; perforation; puncture, NFS
2a--minor-superficial; incomplete circumferential involvement
2b--blood loss much less than/equal to 20 %
2c--principal; rupture, transection; segmental loss; blood loss greater than 20 percentage by
means of quantity"
Name descriptors/anatomical points of the scapula that have exceptional ISS codes. - ANS-Not
in addition certain,
body,
neck with or without frame,
glenoid with or without neck or frame
Name accidents to the joint pill - ANS-rupture; tear; avulsion
Name the 2 coding subcategories of injuries to tendons inside the top extremity. - ANS-Tendon
tear; avulsion is the main category.
The first subcategory is multiple tendons in hand
The 2nd subcategory is multiple tendons aside from hand.
Name 3 accidents to joints in the upper extremity - ANS-Sprain, subluxation, dislocation
Name two joints inside the shoulder vicinity - ANS-1. The a/c or acromioclavicular joint
2. The glenohumeral joint
Name vessels mainly listed within the upper extremity chapter - ANS-1. Axillary artery, axillary
vein,
"Name the nerves that may be coded in the lower extremity - ANS-1. Virtual
2. Femoral
three. Peroneal
four. Sciatic
five. Tibial
Describe a chief laceration to the higher extremity - ANS-It is greater than 10 cm long at the
hand or extra than 20 cm lengthy at the complete extremity and into the subcutaneous tissue
Describe a minor laceration to a vessel - ANS-Superficial; incomplete circumferential
involvement; blood loss </= 20% by volume.
Do you code an injury to the joint of the great toe the same as injuries to the joints of other toes?
- ANS-No. The great toe has its own category within the interphalangeal joint set of codes.
For patients who die before any rads are done and there is no autopsy, if a doctor diagnoses a
pelvic fracture based on detecting obvious instability, what code should be used? - ANS-Pelvic
ring fracture NFS
For penetrating injury, there is a specific code if there is tissue loss greater than______ and a
specific code for blood loss greater than______ - ANS-25 cm² and 20%
Give two examples of a totally unstable fracture in the pelvis - ANS-1. Vertical Shear Fx
2. Pubic rami fxs with sacroiliac fracture/dislocation
How are long bone fractures classified? - ANS-To their location on the bone; proximal, shaft, or
distal
How do you code a diagnosis of nerve palsy or neurapraxia? - ANS-Code as contusion to the
specific nerve
How do you code a fracture of the tibial plateau? - ANS-It is coded as a complete articular
fracture of the proximal tibia
How do you code a fracture to the acromion? - ANS-Code as a scapula fracture, NFS
How do you code a fracture to the olecranon? - ANS-Code to the proximal ulna
How do you code a fracture to the surgical neck of the humerus? - ANS-The surgical neck of the
humerus is located at the junction of the proximal section and the shaft. It should be coded as
751151.2 Proximal Humerus - Extra-Articular.
How do you code a Morel Lavelle Lesion? - ANS-As a degloving injury to the appropriate
extremity (it is an internal degloving)
How do you code bone contusions? - ANS-They are not codeable
How do you code bony fractures that are the result of a GSW? - ANS-Open Fx
How do you code GSW with missile lodged in the bone? - ANS-As an Open Fx (Clarification
document)
How do you code ligament injuries to named ligaments? - ANS-Code as a sprain in the
associated joint
, How many AIS codes are given to the patient who has a fracture in the pelvic ring and a
fractured acetabulum? - ANS-At least two and possibly three depending on the fracture in the
acetabulum.
How many foot joints are there in the AIS book? - ANS-Five: 1: Forefoot; 2: Midtarsal; 3:
Subtalar; 4. Tarsometatarsal; 5. Metarsophalangeal or Interphalangeal
If a laceration to the lower extremity is greater than______ and into the__________, it is coded
as a major laceration - ANS-20 cm long and into the subcutaneous tissue
If an acetabular fracture only involves one column, do you coded as a partial or a complete
articular fracture? - ANS-Partial
If specific anatomical locations of a bimalleolar fracture is not known, how do you code it? -
ANS-As a fibular fracture not further specified
If the medical record documents a large pelvic hematoma with a pelvic ring fracture, can you
pick up the pelvic ring fracture with blood loss > 20% through volume code? - ANS-Yes
In the decrease extremity, what bone does a lateral malleolus commonly belong to? - ANS-The
Fibula; the medial and posterior malleoli are usually the tibia
In the decrease extremity, when can you're making a medical prognosis of a fracture? - ANS-In
instances where patients die before any radiology is finished and there may be no autopsy,
clinical diagnosis of a fracture made by using detecting apparent instability is suitable. Use the
NFS codes (leg nfs if no bones are documented; or tibia nfs etc)
Injury to what nerve can reason foot drop? - ANS-Peroneal
Is a supracondylar fracture of the humerus greater-articular, partial articular, or complete
articular? - ANS-Extra-articular. A capitular fracture of the distal humerus is partial articular. And
a T-fashioned, Y-fashioned or T condylar fracture is coded as a complete articular
Name arterial injuries in lower extremities. - ANS-"1. Intimal tear; no disruption
2. Laceration; perforation; puncture, NFS
2a--minor-superficial; incomplete circumferential involvement
2b--blood loss much less than/equal to 20 %
2c--principal; rupture, transection; segmental loss; blood loss greater than 20 percentage by
means of quantity"
Name descriptors/anatomical points of the scapula that have exceptional ISS codes. - ANS-Not
in addition certain,
body,
neck with or without frame,
glenoid with or without neck or frame
Name accidents to the joint pill - ANS-rupture; tear; avulsion
Name the 2 coding subcategories of injuries to tendons inside the top extremity. - ANS-Tendon
tear; avulsion is the main category.
The first subcategory is multiple tendons in hand
The 2nd subcategory is multiple tendons aside from hand.
Name 3 accidents to joints in the upper extremity - ANS-Sprain, subluxation, dislocation
Name two joints inside the shoulder vicinity - ANS-1. The a/c or acromioclavicular joint
2. The glenohumeral joint
Name vessels mainly listed within the upper extremity chapter - ANS-1. Axillary artery, axillary
vein,
