Title: Module 15: Chapters 30, 31, 32
Course: Introduction to Coding and Classification Systems > Section: Module 15: Coding of Injuries, Burns, Poisonings and Complications of Care

Q: Most categories in the injury chapter have three seventh-character values. What are these characters and how are they used?
Feedback: A-initial encounter, D-subsequent encounters, S-sequela

Q: When a fracture is not indicated as either displaced or not displaced, it should be coded to ____________.
- Closed
- Displaced
- Stable
A: Displaced

Q: A patient is seen for a follow-up visit for a left distal radius fracture. There is occasional numbness and tingling of the fingers, but swelling has decreased from the visit last week. X-ray showed unchanged comminuted left distal radius fracture. Open reduction with internal fixation is scheduled for the end of the week. Final diagnoses: (1) Fracture of the left distal radius, unchanged, (2) x-ray of the radius. Assign the appropriate diagnosis codes.
- S52.502A
- S52.502D
- S52.502S
A: S52.502A

Q: A 50-year-old patient was seen in the physician's office for a chronic non-healing wound of the right lower leg. The patient sustained an injury 3 years ago and has had multiple debridements and reconstructive surgeries; however, the wound persists. Final diagnoses: (1) Chronic non-healing wound secondary to previous injury. Assign the appropriate diagnosis codes.
- S81.801A
- S81.801D
- S81.801S
A: S81.801D

Q: When the condition code from the main classification is a sequela (late effect) of injury, the associated External cause code must also indicate a late effect or sequela.
- True
- False
A: True

Q: Anoxic grain damage due to previous head injury, three years ago, when patient was accidentally struck by car while walking along highway.
- V03.90xA
- V03.90xD
- V03.90xS
A: V03.90xS

Q: Codes for child and adult abuse are assigned only when the physician documents abuse.
- True
- False
A: True

Q: ICD-10-CM provides seventh-character values for fracture codes that are significantly different to identify the bones affected and indicating initial encounter, subsequent, or sequela.
- True
- False
A: True

Q: Trimalleolar fracture, left ankle
- S83.852A
- S83.852B
- S83.852S
A: S83.852A

Q: Traumatic amputation of left arm and hand above the elbow.
- S48.112B
- S48.112A
- S48.112S
A: S48.112A

Q: A second -degree burn takes precedence over a third-degree burn.
- True
- False
A: False

Q: It is appropriate to assign a code for both a current burn and a late effect of a burn on the same record.
- True
- False
A: True

Q: A 32-year-old female was burned by hot grease in the kitchen of her condo. She is seen in the hospital's outpatient clinic for large dressing change on her left forearm. She had been treated for second-degree burns to her left arm several days ago. Final diagnosis: Second degree burn to left forearm. Assign the appropriate diagnosis codes.
- T22.212A, X10.2xxD
- T22.212D, X10.2xxD
- T22.212S, X10.2xxD
A: T22.212D, X10.2xxD

Q: A condition caused by taking less of a medication than is prescribed by a provider or a manufacturer's instruction is called:
- Toxic effect
- Adverse effect
- Underdosing
A: Underdosing

Q: When no intent of a poisoning is indicated, the code for accidental poisoning should be assigned.
- True
- False
A: True

Q: A 3-year-old child was taken to the ER after ingesting an unknown amount of windshield washer fluid. The child suffered dizziness and complained of abdominal pain. Serum methanol level was 30 g/dl. An antidote was administered to reverse the effect of the methanol, and the child was dialyzed. Final diagnoses: (1) Ingestion of washer fluid (methanol), (2) dizziness, (3) abdominal pain. Assign the appropriate codes.
- T51.1x1A, R42, R10.9, 5A1D00Z
- R42, T51.1x1A, R10.9, 5A1D00Z
A: T51.1x1A, R42, R10.9, 5A1D00Z
If wrong: Comments: (1) This is a case of poisoning. The poisoning code is sequenced as principal diagnosis, followed by codes for the manifestations

Q: Severe bradycardia due to accidental double dose of digoxin.
- T46.0x1, R00.1
- T46.0x1A, R00.1
- T46.0x1D, R00.1
A: T46.0x1A, R00.1

Q: What three things must exist in order for a postcare condition to be classified as a complication?
Feedback: There must be an unexpected or abnormal occurrence. There must be a documented relationship between the condition and the care. There must be an indication that it is a complication.

Q: Postoperative anemia due to blood loss is always coded as a complication.
- True
- False
A: False

Q: Fill in the blanks: Complications due to the presence of internal devices, implants, or grafts are classified first according to whether they are __________________ or ________________ in nature.
- Mechanical or non-mechanical
- Infected or non-infected
- Pre or post-operative
A: Mechanical or non-mechanical