Update Complete Exam Prep with
Accurate Solutions | Grade A+
• Rupture . Answer: to burst or break open (usually a body part) resulting in a hole
with stellate edges
• Neurologic Deficit . Answer: loss or deficit in function of the nervous system that
was NOT present pre injury and lasts more than a few minutes.
• Major (complex) Laceration . Answer: tissues torn from a blunt force. Wound
goes in to the subcutaneous and possibly muscle causing jagged edges usually
requires a layered closure and or extensive cleaning
• Rule for Coding Branches of Vessels . Answer: Branches of vessels are not coded
unless the branch has a specific anatomical name or is included in a vessel
descriptor. The branch MUST be a direct tributary of that vessel otherwise select
"other named arteries" or "veins"
• GSW gun shot wound where ballistic lodges in the bone or causes a fracture
should be considered Open or Closed Fracture? . Answer: OPEN
• Retroclival Hematoma Codeable in AIS? . Answer: No because it may or may not
be caused by trauma
• Can Vasospasm be coded in AIS? . Answer: No because it is the result of an
injury and not the INJURY ITSELF
,• How should a Hemorrhagic Contusion or Contusional Hematoma be coded? .
Answer: Code as a CONTUSION since hemorrhage describes a contusion
essentially.
• What should determine whether you code Brain Edema or Brain Swelling? .
Answer: Use the terminology used by the practitioner.
• Any penetrating injury to the skull that involves teh brain stem should be coded
as WHAT no matter what other regions involve the brain? . Answer: Brain Stem
Penetrating Injury
• Coding LOC loss of consciousness Rule . Answer: LOC must be documented by
a doctor or physician extender it may be coded even if concussion is not
mentioned.
• Iris injury should be coded under what part of the eye? . Answer: UVEA
• Multiple Mandible Fractures should be coded how many times? . Answer: Only
once, code to the largest mass area involved.
• Lamina papyracea is the same as or part of what? . Answer: Medial wall of the
ORBIT
• Zygomatic Complex Fractures only get the additonal COMPLEX classification
if.... . Answer: there is a fracture line going through the a main fragment not just
minor comminution
• Inhalation injury codes include burns to what organs? . Answer: Mouth, Nose,
Lungs. So don't code mouth or pharynx separately.
, • Define FLAIL CHEST . Answer: 3 or MORE adjacent ribs each fractured in
MORE than 1 place which create a free floating segment
• To make sure you select the right Code for Spinal Injuries what 4 questions
should you ask yourself before selecting your final Spinal Cord code? . Answer: 1.
Is the spinal Cord involved?
2. Is the injury a contusion or laceration?
3. IS the deficit from that injury Transient, Incomplete or Complete?
4. Is there a fracture, dislocation OR both?
• Subtrochanteric Fracture same as Femoral shaft Fracture True or False? . Answer:
TRUE
• Posterior Malleolus Fracture should be coded to what bone? . Answer: DISTAL
TIBIA
• Malgaigne's Fracture is a Complete or Incomplete Pelvic Ring Fracture? .
Answer: Complete it is a vertical shear injury.
• Nose amputation should be coded as what? . Answer: Skin Avulsion
• For fracture to code Displacement what should its significance be? . Answer: It
should be Very significant to code displaced otherwise code NON displaced
• Le Fort fractures code usage rule . Answer: You may use Lefort designation even
if the doctor doesn't if the patient's injuries include all the necessary fractures for
coding Lefort.