Exam 8: Orthopedics

When a dislocation is associated with a fracture where the fracture is close to the joint where the disarticulation took place, the coder would ______.

Patient suffers from L5/S1 herniated disc. Physician performed left l5/S1 semihemilaminectomy, medial facetectomy, and proximal foraminotomy. Physician also performed a discectomy. He used an intraoperative microscope for the entire procedure. Assign the ICD-9 diagnosis codes and CPT procedure codes.

Osteotomy requires making a new opening in a bone.

When a dislocation is associated with a fracture of the same site, only the fracture is coded.

E codes are necessary to assign when ________________.

A 79-year-old frail patient accidentally sat down on the arm of the chair instead of the cushion. Patient sustained a fractured hip requiring hip replacement. What should the coder assign as the principal diagnosis?

Patient has multiple myeloma and presents to the hospital with severe back pain. Patient cannot recall any injury to the back. Films reveal pathological compression fractures of the spine. What is the correct code assignment?

Fifth digits in fracture coding only specify site of the fracture.

In CPT, code descriptions indicating manipulation cannot be assigned if a fracture reduction is not accomplished.

Fracture of bone due to diseased bone and not due to identifiable trauma is a(n) ____________.

Skull fractures require the coder to determine ____ at the fifth-digit level.

The ______________________________ was created by CMS and is used to prevent unbundling of CPT codes.

Bilateral fractures of the elbow would require two fracture codes to properly describe the patient's diagnosis.

If a coder reads that a fracture is described as "infected" or "punctured," this implies that the diagnosis is a(n) ____________________ fracture.

Patient sustained bilateral Colle's fractures trying to break his fall while skate boarding. Patient underwent reduction with percutaneous pinning of both fractures. Assign the ICD-9-CM procedure codes.

______________________________ is the process of securing bone ends or fragments together by means of hardware such as screws, nails, plates, and rods.

Properly or improperly treated fracture with resulting deformed alignment is called a ____________________.

External fixation is a method of securing the bone ends in their proper anatomical alignment without directly connecting them with hardware.

In CPT, code descriptions with words such as "each" or "single" indicate that the code should be listed more than once if necessary.

If the medical record documentation does not specify that a fracture is pathologic, spontaneous, or due to an underlying bone disease, the coder is required to assign a traumatic fracture code.