A: The rule for penetrating injuries is to code the underlying injury(ies) when known. In this case, code only the brachial artery 720608.3.
A: Artery dissections are coded under intimal tear and we do not have a code for bilateral under intimal tear. I would code 321004.3 for the left vertebral artery with its subsequent PCA infarction, and 321002.2 for the right side.
A: We aren’t allowed to code based on carboxyhemaglobins… just the observed airway stuff for inhalation. Asphyxiation is reserved for things like hanging and strangulation… sort of the more mechanical side. So we use inhalation only and the best code is for minor – 419202.3 based on your description.
A: The zygomatico-maxillary complex (ZMC) describes the are which includes the zygomatic arch where it joins the maxilla and the frontal skull. It describes a region of the face and is not a description of the severity of the fracture. The correct code is 251800.1.
A: The actual region of the esophagus injured is not stated as thorax( below the sternal notch) or to the neck so the default code is to the neck region. This is an ingestion injury with partial thickness necrosis, the sloughing of the lining of the esophagus, 340104.3
A: Cannot code evisceration, code the abdomianl laceration as minor laceraton < 20 cm 510602.1, code serosal tear assign to jejunum as partial thickness injry 541422.2 hematoma is part of this injury, Lis Franc injury is a dislocation of tarsometatarsal joints with no mention of fracture, cartilage involvement or ligament injury so code 878030.1
A: This case demonstrates the use of the multiple fracture within one vertebra code however the major compression fx must be identified separately due to the severity;It of course, is always acceptable to code each fracture individually is you so choose; Code: 650434.3 and 650417.2; or 650434.3 and 650426.2 and 650422.2
A: 854331.2; A pilon fracture is located at the distal shaft of the tibia but not part of the malleoli; the code for this fracture is found within the “distal tibia”. This fracture may also be called a plafond.
A:150202.3; The occipital condyles are part of the base of the skull despite the diagnosis frequently appearing on the cervical CT scan. As with any basilar skull fracture, an assessment for CSF leak as well as head injury is important. In addition, since the occipital condyles articulate with the first cervical vertebrae, assessment for spinal
A: The revised burn rule states that in cases described this way, the first degree burns should be coded separately from the second and third. Therefore, the first degree burns are coded as 912002.1. The second and third degree burns together total 19 % so they are coded together as 912014.3. (Remember that this child