What is a Boxed & Bold Text - answer>>Represent AIS coding rules
and conventions and contain directives to assist in the appropriate
use of specific descriptions.
(T/F) When vessel and head injuries occur simultaneously, both should
be coded. - answer>>T
(T/F) If a specific vessel is injured but not named, code the injury as
vascular injury on the head, NFS. - answer>>T
(T/F) Brain swelling and brain edema can be used interchangeably. -
answer>>F
(T/F) Coding of brain injuries should be done at 24 hours or at initial
confirmed diagnosis if later than 24 hours. - answer>>T
Stroke - answer>>Synonymous with a neurological deficit associated
with a vessel injury to the neck.
(T/F) If an injury to the trachea or esophagus is above the sternal notch
it should be coded to the Neck area. - answer>>T
Brackets - answer>>Denote inclusive or exclusive information.
,(T/F) Loss of Consciousness (LOC), is coded only when there is
convincing evidence of head trauma and the diagnosis is made by a
physician. - answer>>T
(T/F) "Closed Head Injury" and "Traumatic Brain Injury" are non-specific
diagnoses and are assigned a code of 100099.9 which indicates that
trauma has occurred, but it cannot be used to calculate an ISS. -
answer>>T
(T/F) With cranial nerve injuries, unless contusion or laceration is
specified, code the injury as a laceration if there is total loss of nerve
function (paralysis). - answer>>T
(T/F) Code the cranial nerve injury as a contusion if subtotal loss of
function (paresis/palsy) is documented. - answer>>T
(T/F) Clinical diagnosis alone is sufficient in coding brain injuries. No
other imaging is needed. - answer>>F
(T/F) Size, location and multiplicity of brain lesions may affect injury
severity. - answer>>T
,(T/F) Edema accompanying a contusion or hematoma (perilesional
edema) is not considered part of the lesion when assessing its size. -
answer>>F
Closed Cisterns - answer>>Implies brain swelling
(T/F) Code all skull fractures under vault unless specified as base. -
answer>>T
(T/F) If skull fractures to bot vault and base are documented, code both
fractures. - answer>>T
(T/F) If a single skull fracture involves both base and vault, code to the
more severe. - answer>>T
(T/F) If a single skull fracture involves both base and vault, but are of
equal severity, code the fracture to the point of origin. - answer>>T
Basilar Fracture - answer>>Involve ethmoid, sphenoid, orbital roof, and
portions of the occipital and temporal bones (petrous and mastoid
portions of the temporal bones)
, (T/F) You should automatically assume that all cases of periorbital
ecchymosis are basilar skull fractures. - answer>>F
(T/F) Code DAI if the injury is diagnosed on imaging and described using
terms such as white matter shearing, shear injury or DAI, is associated
with immediate prolonged coma AND meets definition of DAI given in
the AIS dictionary. - answer>>T
(T/F) DAI may be coded in the Cerebrum or concussinve injury section
of the head chapter. - answer>>T
(T/F) DAI that lasts more than 24 hours is always coded in the
concussive injury section. - answer>>T
(T/F) You should also code certain findings including intraventricular
hemorrhage, ischemic brain damage, subarachnoid hemorrhage and
subpial hemorrhage when a DAI diagnosis is confirmed. - answer>>F
(T/F) Under Cerebrum, several descriptors of imaging findings include
coma as a modifier. If a patient sustains more than one of these
documented findings involving coma, assign the coma only once to the
finding that will result in the highest AIS code. If there is no difference
in AIS code, add the coma to only one of the findings and code the
other findings as NFS. - answer>>T
and conventions and contain directives to assist in the appropriate
use of specific descriptions.
(T/F) When vessel and head injuries occur simultaneously, both should
be coded. - answer>>T
(T/F) If a specific vessel is injured but not named, code the injury as
vascular injury on the head, NFS. - answer>>T
(T/F) Brain swelling and brain edema can be used interchangeably. -
answer>>F
(T/F) Coding of brain injuries should be done at 24 hours or at initial
confirmed diagnosis if later than 24 hours. - answer>>T
Stroke - answer>>Synonymous with a neurological deficit associated
with a vessel injury to the neck.
(T/F) If an injury to the trachea or esophagus is above the sternal notch
it should be coded to the Neck area. - answer>>T
Brackets - answer>>Denote inclusive or exclusive information.
,(T/F) Loss of Consciousness (LOC), is coded only when there is
convincing evidence of head trauma and the diagnosis is made by a
physician. - answer>>T
(T/F) "Closed Head Injury" and "Traumatic Brain Injury" are non-specific
diagnoses and are assigned a code of 100099.9 which indicates that
trauma has occurred, but it cannot be used to calculate an ISS. -
answer>>T
(T/F) With cranial nerve injuries, unless contusion or laceration is
specified, code the injury as a laceration if there is total loss of nerve
function (paralysis). - answer>>T
(T/F) Code the cranial nerve injury as a contusion if subtotal loss of
function (paresis/palsy) is documented. - answer>>T
(T/F) Clinical diagnosis alone is sufficient in coding brain injuries. No
other imaging is needed. - answer>>F
(T/F) Size, location and multiplicity of brain lesions may affect injury
severity. - answer>>T
,(T/F) Edema accompanying a contusion or hematoma (perilesional
edema) is not considered part of the lesion when assessing its size. -
answer>>F
Closed Cisterns - answer>>Implies brain swelling
(T/F) Code all skull fractures under vault unless specified as base. -
answer>>T
(T/F) If skull fractures to bot vault and base are documented, code both
fractures. - answer>>T
(T/F) If a single skull fracture involves both base and vault, code to the
more severe. - answer>>T
(T/F) If a single skull fracture involves both base and vault, but are of
equal severity, code the fracture to the point of origin. - answer>>T
Basilar Fracture - answer>>Involve ethmoid, sphenoid, orbital roof, and
portions of the occipital and temporal bones (petrous and mastoid
portions of the temporal bones)
, (T/F) You should automatically assume that all cases of periorbital
ecchymosis are basilar skull fractures. - answer>>F
(T/F) Code DAI if the injury is diagnosed on imaging and described using
terms such as white matter shearing, shear injury or DAI, is associated
with immediate prolonged coma AND meets definition of DAI given in
the AIS dictionary. - answer>>T
(T/F) DAI may be coded in the Cerebrum or concussinve injury section
of the head chapter. - answer>>T
(T/F) DAI that lasts more than 24 hours is always coded in the
concussive injury section. - answer>>T
(T/F) You should also code certain findings including intraventricular
hemorrhage, ischemic brain damage, subarachnoid hemorrhage and
subpial hemorrhage when a DAI diagnosis is confirmed. - answer>>F
(T/F) Under Cerebrum, several descriptors of imaging findings include
coma as a modifier. If a patient sustains more than one of these
documented findings involving coma, assign the coma only once to the
finding that will result in the highest AIS code. If there is no difference
in AIS code, add the coma to only one of the findings and code the
other findings as NFS. - answer>>T
