Root Ops
ICD10 CMS and AIS Scenario
Anatomy
AIS
Data Management
100

Taking or cutting out solid matter from a body part.

Extirpation

100

21-year-old male suffered multiple GSWs to his right shoulder and neck. XR Right Shouldershows a mildly displaced, comminuted fracture of the shaft of the clavicle with surroundingmetallic fragments. CTA Neck identifies transection of the right vertebral artery.

Open RT Comm clavicle shaft fx  
S42.021A          750671.2

RT Vertebral Artery Transection
S15.111A           321012.3

100

The human body has _______ number of bones.

206

100

How many pre dot digits in an AIS code?

6

100

What is the purpose of reporting?

Quality Improvement, Injury Prevention, Clinical Research, and Policy Development

200

Cutting out or off, without, replacement, a portion of a body part.

Excision

200

89-year-old female suffered a same level fall. Pt presents with a right hip contusion. CT Pelvis showed a displaced fracture of the right femoral head with extension onto the articular surface and associated acetabular fracture.

Right femur head fx       S72.051A          853171.3
Right acetabular fx         S32.401A          856200.2
Right hip contusion         S70.01XA          810402.1

200

How many abdominal quadrants are there?

4

200

What does the single digit after the dot show in an AIS code?

It is the post dot score and describes the severity of an injury.

200

What are the validation levels?

Single Variable, Multi-Variable, Test-Retest Reliability, and Inter-Rater Reliabilty.

300

Restoring, to the extent possible, a body part to its normal anatomic structure and fuction.

Repair

300

58-year-old male suffered a 10-foot fall from a ladder. Pt presents with abrasions to bothshins. Upon arrival CT Chest showed fractures of the left 5th, 6th and 7th ribs with a smallassociated pneumothorax. There is an age indeterminate hairline fracture of the manubrium.

3 Left Rib Fx         S22.42XA        450203.3
Pneumothorax      S27.0XXA        442202.2
Right lower Leg abrasion   S80.811A         810202.1
Left Lower Leg abrasion    S80.812A         810202.1

300

Which organ is surrounded by pericardial fluid to prevent it from outside jerk and injuries?

Heart

300

The ISS score range is.

1-75

300

What are the validation error levels?

Level 1, Level 2, and Level 3

400

Moving to its normal location or other suitable location all or a portion of a body part.

Reposition

400

32-year-old female was caught in a fatal house fire. Pt was unresponsive on scene due to heat and smoke inhalation. She went into cardiac arrest and was successfully resuscitated on scene. Pt presents with 54% extensive burns to the upper half of her body and severe inflammation with friability in respiratory tract. There are second and third degree burns of her bilateral hands and forearms. There are first and second degree burns about her upper arms, shoulders, chest, abdomen and back.

Inhalation inj W/friability  
T59.811A, J70.5                  419206.5
3RD/2ND        T31.51           912018.3
2ND/1ST           /                 912002.1

400

Name the layers of the skin from out to in.

Epidermis, Dermis, Subcutaneous Tissue, Muscle

400

As a general rule of thumb. What is 20% of blood loss in a average adult. ______cc =20%

>1000cc

400

Who originated the NTDB?

The ACS

500

Cutting off all or a portion of the upper or lower extremities

Detachment

500

49-year-old female found down at home after unspecified fall. Pt endorses +LOC but is unsure for how long. Pt presents with contusions of her scalp and left elbow, and a skin tear of her left forearm. CT Head shows a right sided subdural hematoma measuring 0.8mm x 0.6mm with an overlying subgaleal hematoma. No other intracranial injuries identified.

SDH W/ Unk LOC         S06.5X9A             140652.4
Scalp Contusion           S00.03XA             110402.1
Left elbow contusion     S50.02XA             710402.1
Left Forearm Lac           S51.812A             710602.1

500

How many Lumber vert are there?

5

500

Fracture involving the joint.

Articular fracture

500

What is the process of PIPS?

Recognition, Assessment, and Correction.