A: Only when there is evidence of a codeable cord injury associated with the spondylolisthesis would you code this injury which is actually a slippage of one vertebrae on another. For the spine this is coded as a dislocation with the cord compression of first consideration leading the code selection Code 640606.3 Thank you to
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: a tympanic membrane rupture is coded as 240216.1; note that frequently this injury is also associated with a basilar skull fracture so look for that on the CT scan or a clinical diagnosis of such.
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.
A: Brain death is a situation not an injury. The coder would appropriately code the lesions identified on CT as well as any edema. However, brain death is a sequelae of those injuries. Even if the patient had no codeable injuries in the brain, there would still be no code to apply for the brain
A: Code the C2 spinous process with one code (650218.2) and the C6/C7 fx/dislocation with the cord contusion as one code (with complete tetraplegia) as 640228.5. Although the cord contusion is multilevel, you should only code it with the fracture dislocation. If you had a second, discrete area of contusion in another place on the
A: The correct code is 140643.2 found under Cerebrum, hematoma, intracerebral, tiny – petechial hemorrhage(s) [includes radiographic “shearing” lesions] not associated with coma > 6 hours
A: The correct code is 854441.2Although there are three codes that mention bimalleolar fracture, the rule box on page 151 of AIS 2005 directs the coder to use this code when the specific anatomic location of the bimalleolar fracture is not known.
A: Spinal cord injuries should be coded based on the patient’s status at 24 hours. The correct code for this injury is 640214.4 — cord contusion, incomplete cord syndrome, with fracture. Because the patient does improve, coders frequently want to use the code for transient injuries rather than the correct code for incomplete cord syndrome.