1.) The patient is a 40-year-old man brought to the emergency department by fire department ambulance after falling off a ladder at home while doing home repairs. Apparently, in an attempt to catch himself, his left hand and wrist broke a window, and he was cut severely by the broken glass. The ED physician examines the patient and orders x-rays of the fingers, hand, and wrist. No fractures are seen. Based on the physical examination, the physician concludes that there is a major injury to the ulnar nerve and also an injury to the tendon in addition to the laceration of the wrist. The physician repairs the laceration loosely and makes arrangements for the patient to be transferred to another hospital in the city where a hand surgeon waits to examine him and possibly take him to surgery for definitive repair. The patient is transferred by private ambulance to the nearby hospital.
Question 1: What are the 3 ICD-10-CM codes?
The patient is a 44-year-old woman who works as a road construction flag holder. The patient was directing traffic on an expressway where road resurfacing was being performed. A truck came too close to the worker and its tires rolled over her left foot. The patient is brought to the nearest hospital's emergency department, where the physician on duty immediately examines the patient and x-rays are performed. The physician describes the patient's trauma as a crush injury of the foot with open fracture. The radiologist's impression documented on the radiology report describes the injury as open fracture of the first metatarsal of the foot. The orthopedic surgeon on call comes to the hospital, and the patient is admitted and taken to surgery for an open reduction and internal fixation of the first metatarsal bone with a fasciotomy. The patient remains in the hospital 3 days before being discharged to home health services follow-up care, with an appointment to see the orthopedic surgeon in 7 days.
Question 2: What are the 2 ICD-10-CM Codes?
Question 3: What are the 2 ICD-10-PCS Codes?
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