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CAISS Exam Latest Actual Verified Exam And Practice
Exam With Complete Questions And Correct Detailed
Answers|| Newest Exam!!!
Q: CT scan abdomen/pelvis shows: - spleen normal;
kidneys and adrenal glands normal; liver laceration gr IV
injury - multiple deep lacerations. The patient is taken to
OR where the operative note states liver laceration gr V
injury. What would you code? - Answer-A: 541828.5; The
surgeon is visually observing the liver and thus the
operative grading is more accurate than the CT scan. An
autopsy would also over-ride the reading of the CT if the
grade is different.
Q: Scenario: Man falls from a ladder while trimming a tree
striking the upright post of a metal fence before impact on
the ground. 1. Deep 18cm laceration across the abdomen
with obvious evisceration of bowel. Exploratory Lap report
only describes a Serosal tear at the junction of the
duodenum and jejunum with a small hematoma. How
would you code these injuries? - Answer-A: You cannot
code evisceration, code the abdominal laceration as minor
laceration < 20 cm 510602.1, code serosal tear assigning
it to the jejunum as partial thickness injury 541422.2
hematoma is already part of this injury.
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Q: Elderly patient fell out of bed, landing on his right side
and c/o RUQ pain; CT of the abdomen demonstrates an
injury to the ligamentum teres hepatis. What would you do
with this injury? - Answer-A: The ligament teres hepatis
represents the remnant of the fetal left umbilical vein. As
such, it is not a codeable injury.
Q: How do you code a renal artery psuedoaneurysm? -
Answer-A: A pseudoaneurysm, also termed a false
aneurysm, is a leakage of arterial blood from an artery into
the surrounding tissue with a persistent communication
between the originating artery and the resultant adjacent
cavity. A pseudoaneurysm is a hematoma formed by a
leaking hole in an artery. Code as a vessel laceration.
Q: How do you code a large abdominal wall hernia on the
R side of the abdomen (NOT the Rectus Abdominus
muscle) with a 15 cm fascial defect that required open
operative management to close? The skin was intact. This
was a seatbelt injury in a 12 yr. old. - Answer-A: This
should be coded as 510602.1. This is a "skin" code
(assigned to the External ISS body region) and includes
skin, subcutaneous and muscle lacerations or tears.
Although the outer skin was intact, clearly there was
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damage below the surface. I realize this seems quite low
in severity for an injury that was clearly complex, but it's
the best AIS has to offer.
Q: How is an aneurysm coded? - Answer-A: An aneurysm
is a sac formed by the dilatation of the walls of an artery or
a vein and filled with blood; Code as an intimal tear
Q: How is a pseudoaneurysm coded: - Answer-A: A
pseudoaneurysm is a hematoma formed by a leaking hole
in an artery. Code as a vessel laceration
Q: How do I decided between coding Open vs. External
approaches for procedures on open wounds - Answer-A:
External approach is for procedures performed directly on
the skin or mucous membrane and procedures performed
indirectly by the application of external force through the
skin or mucous membrane. Examples of external
approach procedures are closed fracture reduction,
laceration repair of skin or mucous membranes, and
excisional debridement of skin only. Repair L lower arm
subcutaneous tissue and fascia, OPEN approach
Q: A patient is found down in an apartment fire without
cardiac activity and was resuscitated and transported. She
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had a bronchoscopy and found to have a mild inhalation
injury with elevated carbon monoxide levels. How would
you code this injury and why? - Answer-A: This would be
coded as an inhalation injury. The asphyxia codes do not
apply to inhalation injury. Carbon monoxide poisoning is
not a codeable injury and asphyxia applies to mechanical
constriction or restriction of the airway. You may only code
the inhalation injury.
Q: When you start coding with ICD-10, there are many
questions that arise. You need to make a decision on how
specific you want to be with your code selection? There
are many thoughts on coding in trauma systems and you
may ask should you code everything as specific as
possible? Or, can you code less specifically and perhaps
have a more efficient work process for your registrars? -
Do very specific codes have an impact on our ISS? In
other words, if I code super specific, will my ISS's be
higher? - Answer-A: In regard to theses question, we
recommend coding as specifically as possible using the
AIS Dictionary, and not relying on the computer to identify
the codes since they don't always match and may give you
inaccurate AIS conversions and therefore inaccurate ISS.
CAISS Exam Latest Actual Verified Exam And Practice
Exam With Complete Questions And Correct Detailed
Answers|| Newest Exam!!!
Q: CT scan abdomen/pelvis shows: - spleen normal;
kidneys and adrenal glands normal; liver laceration gr IV
injury - multiple deep lacerations. The patient is taken to
OR where the operative note states liver laceration gr V
injury. What would you code? - Answer-A: 541828.5; The
surgeon is visually observing the liver and thus the
operative grading is more accurate than the CT scan. An
autopsy would also over-ride the reading of the CT if the
grade is different.
Q: Scenario: Man falls from a ladder while trimming a tree
striking the upright post of a metal fence before impact on
the ground. 1. Deep 18cm laceration across the abdomen
with obvious evisceration of bowel. Exploratory Lap report
only describes a Serosal tear at the junction of the
duodenum and jejunum with a small hematoma. How
would you code these injuries? - Answer-A: You cannot
code evisceration, code the abdominal laceration as minor
laceration < 20 cm 510602.1, code serosal tear assigning
it to the jejunum as partial thickness injury 541422.2
hematoma is already part of this injury.
,2|Page
Q: Elderly patient fell out of bed, landing on his right side
and c/o RUQ pain; CT of the abdomen demonstrates an
injury to the ligamentum teres hepatis. What would you do
with this injury? - Answer-A: The ligament teres hepatis
represents the remnant of the fetal left umbilical vein. As
such, it is not a codeable injury.
Q: How do you code a renal artery psuedoaneurysm? -
Answer-A: A pseudoaneurysm, also termed a false
aneurysm, is a leakage of arterial blood from an artery into
the surrounding tissue with a persistent communication
between the originating artery and the resultant adjacent
cavity. A pseudoaneurysm is a hematoma formed by a
leaking hole in an artery. Code as a vessel laceration.
Q: How do you code a large abdominal wall hernia on the
R side of the abdomen (NOT the Rectus Abdominus
muscle) with a 15 cm fascial defect that required open
operative management to close? The skin was intact. This
was a seatbelt injury in a 12 yr. old. - Answer-A: This
should be coded as 510602.1. This is a "skin" code
(assigned to the External ISS body region) and includes
skin, subcutaneous and muscle lacerations or tears.
Although the outer skin was intact, clearly there was
,3|Page
damage below the surface. I realize this seems quite low
in severity for an injury that was clearly complex, but it's
the best AIS has to offer.
Q: How is an aneurysm coded? - Answer-A: An aneurysm
is a sac formed by the dilatation of the walls of an artery or
a vein and filled with blood; Code as an intimal tear
Q: How is a pseudoaneurysm coded: - Answer-A: A
pseudoaneurysm is a hematoma formed by a leaking hole
in an artery. Code as a vessel laceration
Q: How do I decided between coding Open vs. External
approaches for procedures on open wounds - Answer-A:
External approach is for procedures performed directly on
the skin or mucous membrane and procedures performed
indirectly by the application of external force through the
skin or mucous membrane. Examples of external
approach procedures are closed fracture reduction,
laceration repair of skin or mucous membranes, and
excisional debridement of skin only. Repair L lower arm
subcutaneous tissue and fascia, OPEN approach
Q: A patient is found down in an apartment fire without
cardiac activity and was resuscitated and transported. She
, 4|Page
had a bronchoscopy and found to have a mild inhalation
injury with elevated carbon monoxide levels. How would
you code this injury and why? - Answer-A: This would be
coded as an inhalation injury. The asphyxia codes do not
apply to inhalation injury. Carbon monoxide poisoning is
not a codeable injury and asphyxia applies to mechanical
constriction or restriction of the airway. You may only code
the inhalation injury.
Q: When you start coding with ICD-10, there are many
questions that arise. You need to make a decision on how
specific you want to be with your code selection? There
are many thoughts on coding in trauma systems and you
may ask should you code everything as specific as
possible? Or, can you code less specifically and perhaps
have a more efficient work process for your registrars? -
Do very specific codes have an impact on our ISS? In
other words, if I code super specific, will my ISS's be
higher? - Answer-A: In regard to theses question, we
recommend coding as specifically as possible using the
AIS Dictionary, and not relying on the computer to identify
the codes since they don't always match and may give you
inaccurate AIS conversions and therefore inaccurate ISS.
