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Ch 19 Badic Coding

Injury and Poisoning I

QuestionAnswer
What is the title and code numbers for chapter 17 of ICD-9-CM? Injury and poisoning (800-999)
The Alphabetic Index clasifies injuries according to their general type such as what? What do sub-terms identify? Wound, fracture, or dislocation; Anatomical site
When there is no indication as to whether the fracture is open or close which code is chosen? Closed
As long as th pt is receiving active treatment for the fracture traumatic fractures are coded using which codes? Acute traumatic fracture codes
Which codes are used when a pt has completed active treament for a traumatic fracture and is receiving routine care for the fracture during the healing period? After codes V54.0 or .1,.8.9
What type of fracture would not be classified to chapter 17 of ICD-9-CM? Patholofical fractures due to due to underlying bone disease are not condidered traumatic.
Code: Multifple fractures of right upper limb 818.0, Ill-defined fracture of upper limb
What is a rule for coding multiply fractures? Seperate codes should be assigned for muliple fractures unless otherwise specified
Code: Pt had many traumatic injuries, including several fractures of the hand bones. 817.0 b/c of all the other more critical injuries, space was not available on the form to code each metacarpal fracture separately
An incomplete dislocation with the contact between the joint surfaces remaining in place. It is commonly seen in children. Subluxation
An injury of the ligaments of a joint resulting from turning or twisting of a body part. Symtoms are swelling and discoloration. Whiplah is an example. Sprain
An overstretching of some part of the musculature. Strain
The note at the begining of the section offers information for when a diagnostic statement includes the terms open, infected, or foreign body, the fourth-digit code describing what should be assigned? an open intracracial
A transient loss of consciousness for less than 24 hours after a traumatic head injury. Althou no intracranial damage occurs, the pt. may experience bradycardia, hypotension and respiratory arrest for a few seconds. Cerebral Concussion
Bruise of the brain with bleeding into brain tissue. It is often accompanied by a laceration or fracture. Cerebral Contusion
An open wound is an injury of the soft tissue parts associated with ruture of the skin. They may be animal bites, avulsions, cuts, lacerations, and traumatic amputation. Give some examples of open wounds. Knife, gunshot wound and fractured tooth or one broken due to trauma.
Code: Delayed healing of open wound of foot 892.1, Complicated open wound of foot except (toes) alone. delayed healing is considered complicated as found in instruction notes for (870-897)
This degree burn is the most severe and includes all three layers of the skin. It is also known as a full-thickness burn. Pain is minimal. Third-degree burn
This degree burn involves the first two layers of the skin. It may be described as either superficial partial thickness or deep partial thickness. 2nd degree burn.
Deep full-thickness burn. Most severe. May be damage to the tendons and bones. The skin is black with no edema. Pain is minimal. 4th degree burn
What do you code nonhealing burns as? Acute burns
Code: What code is used as an additional code for any documented infected burn site? 958.3 Posttraumatic wound infection ,NEC
Code: Open wound of the forearm with injury to the ulnar blood vessel. 881.0, 903.3
Code: Foreign body inadvertenly left in an operative wound. 998.4
What is the title and code numbers for ch 19 of ICD-10-CM? S00-S99 to T88 Injury, poisoning and certain other consequences of external causes
Most categories in ch 19 of ICD-10-CM have required 7-character extentions. 3 of these extentions have and A, D, and S. What do these stand for? A- Initial encounter of care D- Subsequent encounter of care S- Sequela (complications form injury).
Created by: marrufotheresa
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