CAISS Extremities and Pelvic Girdle UPDATED Exam Questions and CORRECT Answers
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CAISS Extremities and Pelvic Girdle
UPDATED Exam Questions and
CORRECT Answers
How do you code GSW with missile lodged in the bone? - Correct Answer- As an Open Fx
(Clarification document)
How do you code bony fractures that are the result of a GSW? - Correct Answer- Open Fx
How do you code...
CAISS Extremities and Pelvic Girdle
UPDATED Exam Questions and
CORRECT Answers
How do you code GSW with missile lodged in the bone? - Correct Answer- As an Open Fx
(Clarification document)
How do you code bony fractures that are the result of a GSW? - Correct Answer- Open Fx
How do you code bone contusions? - Correct Answer- They are not codeable
What are some anatomical landmarks for amputation of the upper extremity? - Correct
Answer- 1. Between shoulder and hand NFS [does not apply to hands, thumbs, fingers]
2. At the shoulder
3. at or above elbow but below shoulder
4. below elbow at or above wrist
5. hand - partial or complete
6. thumb
7. other fingers - single or multiple.
When can you code compartment syndrome in the upper extremity? - Correct Answer-
Compartment syndrome from trauma to soft tissue only w/o FX, destruction of bone or other
structures (i.e.., you can use this category only if no specific injuries to the upper extremity
are documented)
What does crush injury involve? - Correct Answer- Massive destruction of skeletal vascular
nervous and tissue systems
Where are degloving injuries to the upper extremity assigned to - Correct Answer- External
What are considerations for assigning PENETRATING injury codes? - Correct Answer- Use
this if penetrating injury does not involve bone or internal structures; there are specific codes
, for tissue loss > 25 cm²; there are codes for blood loss > 20% for penetrating injuries at the
shoulder or at or above the elbow, below the shoulder.
Describe a major laceration to the upper extremity - Correct Answer- It is more than 10 cm
long on the hand or greater than 20 cm long on the entire extremity and into the subcutaneous
tissue
What is the difference between a minor and major avulsion on the upper extremity? - Correct
Answer- A minor or superficial is </= to 25 cm² on the hand or </= 100 cm² on the entire
extremity. A major avulsion is tissue loss > 25 cm on the hand or > 100 cm² on the entire
extremity
What are considerations for coding a vessel injury in the upper extremity? - Correct Answer-
Do not code them separately when they are directly involved in crush type injuries or
amputation unless a vascular injury is higher in severity than the crush or amputation injury.
Branches of vessels are not coded unless they are named vessels and or listed within a
specific vessel descriptor.
True or false. A vascular injury in upper extremity not further specified has a severity of 9"" -
Correct Answer- TRUE
Name vessels specifically listed in the upper extremity chapter - Correct Answer- 1. Axillary
artery, axillary vein,
2. Brachial artery, brachial vein,
3. Other named arteries such as Radial or ulnar
4. Other named veins such as cephalic or basilic.
True or false. In the vessel section, laceration, perforation or puncture are coded the same -
Correct Answer- TRUE
Describe a minor laceration to a vessel - Correct Answer- Superficial; incomplete
circumferential involvement; blood loss </= 20% by volume.
True or false in the vessel section in the upper extremity chapter, major injury examples are:
rupture or transection or segmental loss - Correct Answer- TRUE
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