Exam 24: Injuries and Certain Other Consequences of External Cases and External Causes of Morbidity

The patient is a 2-year-old child who was admitted after falling down four steps and hitting his head on concrete. The accident occurred at the patient's house. There was about 5 minutes' LOC with continued lethargy per paramedics. CT of the head and neck revealed no abnormality. The patient is on oral antibiotics for pneumonia and AOM, and these were continued during the hospital stay. He will follow up with pediatrician.Final Diagnosis: Closed head injury due to fall

Spinal cord injuries tend to occur where the spine is most flexible.

Which of the following is NOT an external cause code guideline?

When the surgeon makes an incision at the fracture site to reduce or manipulate the fracture into anatomic position, this is called ____ of a fracture.

Match each definition to one of the following items. -The body part is subjected to a high degree of force or pressure, usually after being squeezed between two heavy or immobile objects

The patient was admitted for observation for internal injury after an accident at work. The patient, who does construction work, fell into a pit but was quickly rescued by coworkers. CT scan and x-rays were taken to evaluate for internal injury. No respiratory issues were noted. On the following morning, the patient had no complaints and was discharged to home.Discharge Diagnosis: Contusion on forehead

A patient is admitted with a parietal bone fracture and fracture of the left fifth rib. Assign only the injury code.

Match each definition to one of the following items. -When the bone is somewhat bent and partially broken; usually occurs in children

All of the following are true of external cause codes EXCEPT they capture____.

Which of the following would NOT be an upper limb fracture?

The patient was the driver in an ATV rollover. The patient was intoxicated at the time of the accident and was not wearing a helmet. There was no LOC. CT of the head revealed a small subdural hemorrhage. The patient was observed closely for any change in mental status, and neurology was consulted. There was no need for operative intervention at this time. The patient was stable and was given instructions for follow-up.

A patient is admitted with a closed head injury with concussion with LOC for less than 30 minutes at the scene. The patient is intoxicated (alcohol) and fell down the steps at home (a single-family home). The patient also sustained an open wound of the lip and an abrasion of the forehead.

Match each definition to one of the following items. -History of falling

In ICD-10-CM, there are more Instructional notes for the coder to also code any associated injuries.

When air or gas bubbles get into the bloodstream, it is called a(n) ___________________.

A closed fracture occurs when the bone exits and is visible through the skin or when a deep wound exposes the bone through the skin.

The patient sustained a contusion and severe sprain of left ankle after falling into a hole while hiking in the mountains while on vacation.

When a patient is unable to respond to people or to other stimuli, he or she is considered to have ____________________.

Small piece of grass from mowing lawn at a single-family house stuck on right cornea. Grass was removed. Assign injury and procedure codes only.

Match each definition to one of the following items. -Any mechanical injury that results in hemorrhage beneath unbroken skin