Deck 8: Orthopedics

Question 1

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

A) only assign the fracture code
B) only assign the dislocation code
C) assign both dislocation and fracture codes
D) assign a combined code for dislocation and fracture

Answer 1

only assign the fracture code

Question 2

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

Answer 2

True

Question 3

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?

A) 203.00, 733.13
B) 733.13
C) 203.01, 733.13
D) 203.00

Answer 3

203.00

Question 4

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

Question 5

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

A) open fracture
B) pathological fracture
C) closed fracture
D) nonunion

Question 6

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

A) open or closed fracture
B) consciousness
C) intracranial injury
D) cause of injury

Question 7

E codes are necessary to assign when ________________.

A) a person is seen in the ER because she is assaulted by her spouse
B) a person is involved in an accident at work
C) a child takes a parent's prescription medication by accident
D) All answers are correct.

Question 8

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

Question 9

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

Question 10

Osteotomy requires making a new opening in a bone.

Question 11

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

Question 12

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.

A) 77.28, 77.28
B) 79.12, 79.12
C) 77.28, 78.53
D) 79.12, 78.53

Question 13

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

Question 14

When assigning ICD-9 fracture codes, the coder must know the site of the fracture and ____.

A) the age of the patient
B) place where accident occurred
C) if fracture is open or closed
D) if a cast was applied

Question 15

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.

Question 16

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?

A) 820.8
B) 733.14
C) 820.03
D) Query the physician for possible underlying disease.

Question 17

It is possible to have a closed fracture that requires open treatment.

Question 18

An open fracture is where the fracture site communicates with the outside environment.

Question 19

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

Question 20

A diagnostic endoscopy always includes a surgical endoscopy of the same site.

Question 21

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

Question 22

A ____________________ reduction is one where the physician manually or though the use of traction or force aligns the bone ends and/or fragments.

Question 23

Patient is seen in the pain clinic for lumbar pain associated with a traumatic crane accident years ago. X-rays show spondylolisthesis. Assign the ICD-9-CM diagnosis code(s).

Question 24

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

Question 25

A ____________________ fracture is due to diseased bone and is not a direct result of trauma.

Question 26

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.

Question 27

In CPT, the term manipulation is used synonymously for ____________________.

Question 28

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