RHIT EXAM |ACTUAL QUESTIONS AND VERIFIED
ANSWERS 2026-2027 UPDATED EDITION|GRADED
A+
Question 1
(113) If a patient has an excision of a malignant lesion of the skin, the CPT code is
determined by the body area from which the excision occurs and which of the following?
A) Length of the lesion as described in the pathology report
B) Dimension of the specimen submitted as described in the pathology report
C) Width times the length of the lesion as described in the operative report
D) Diameter of the lesion as well as the margins excised as described in the operative report
CORRECT ANSWER
D) Diameter of the lesion as well as the margins excised as described in the operative
report
Question 2
(114) According to CPT, a repair of a laceration that includes retention sutures would be
considered what type of closure?
A) Complex
B) Intermediate
C) Not specified
D) Simple
CORRECT ANSWER
A) Complex
1
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,Question 3
(115) The patient was admitted with nausea, vomiting and abdominal pain. The physician
documents the following on the discharge summary: acute cholecystitis, nausea, vomiting
and abdominal pain. Which of the following would be the correct coding and sequencing
for this case?
A) Acute cholecystitis, nausea, vomiting, abdominal pain
B) Abdominal pain, vomiting, nausea, acute cholecystitis
C) Nausea, vomiting, abdominal pain
D) Acute cholecystitis
CORRECT ANSWER
D) Acute cholecystitis
Question 4
(116) A patient is admitted with spotting. She had been treated two weeks previously for a
miscarriage with sepsis. The sepsis had resolved, and she is afebrile at this time. She is
treated with an aspiration dilation and curettage. Products of conception are found. Which
of the following should be the principal diagnosis?
A) Miscarriage
B) Complications of spontaneous abortion with sepsis
C) Sepsis
D) Spontaneous abortion with sepsis
CORRECT ANSWER
A) Miscarriage
2
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,Question 5
(117) An 80-year-old female is admitted with fever, lethargy, hypotension, tachycardia,
oliguria, and elevated WBC. The patient has more than 100,000 organisms of Escherichia
coli per cc of urine. The attending physician documents "urosepsis". How should this case
be coded?
A) Code sepsis as the principal diagnosis with urinary tract infection due to E.coli as
secondary diagnosis
B) Code urinary tract infection with sepsis as the principal diagnosis
C) Query the physician to ask if the patient has septicemia because of the symptomatology
D) Query the physician to ask if the patient had septic shock so that this may be used as the
principal diagnosis
CORRECT ANSWER
C) Query the physician to ask if the patient has septicemia because of the
symptomatology
Question 6
(118) The practice of using a code that results in a higher payment to the provider than the
code that actually reflects the service or item provided is known as:
A) Unbundling
B) Upcoding
C) Medically unnecessary services
D) Billing for services not provided
CORRECT ANSWER
B) Upcoding
Question 7
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, (119) A 65 year-old patient with a history of lung cancer is admitted to a healthcare facility
with ataxia and syncope and a fractured arm as a result of falling. The patient undergoes a
closed reduction of the fracture in the emergency department as well as a complete
workup for metastatic carcinoma of the brain. The patient is found to have metastatic
carcinoma of the lung to the brain and undergoes radiation therapy to the brain. Which of
the following would be the principal diagnosis in this case?
A) Ataxia
B) Fractured arm
C) Metastatic carcinoma of the brain
D) Carcinoma of the lung
CORRECT ANSWER
C) Metastatic carcinoma of the brain
Question 8
(120) A patient was admitted for abdominal pain with diarrhea and was diagnosed with
infectious gastroenteritis. The patient also had angina and chronic obstructive pulmonary
disease. Which of the following would be the correct coding and sequencing for this case?
A) Abdominal pain; infectious gastroenteritis; chronic obstructive pulmonary disease; angina
B) Infectious gastroenteritis; chronic obstructive pulmonary disease; angina
C) Gastroenteritis; abdominal pain; angina
D) Gastroenteritis; abdominal pain; diarrhea; chronic obstructive pulmonary disease; angina
CORRECT ANSWER
B) Infectious gastroenteritis; chronic obstructive pulmonary disease; angina
Question 9
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ANSWERS 2026-2027 UPDATED EDITION|GRADED
A+
Question 1
(113) If a patient has an excision of a malignant lesion of the skin, the CPT code is
determined by the body area from which the excision occurs and which of the following?
A) Length of the lesion as described in the pathology report
B) Dimension of the specimen submitted as described in the pathology report
C) Width times the length of the lesion as described in the operative report
D) Diameter of the lesion as well as the margins excised as described in the operative report
CORRECT ANSWER
D) Diameter of the lesion as well as the margins excised as described in the operative
report
Question 2
(114) According to CPT, a repair of a laceration that includes retention sutures would be
considered what type of closure?
A) Complex
B) Intermediate
C) Not specified
D) Simple
CORRECT ANSWER
A) Complex
1
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,Question 3
(115) The patient was admitted with nausea, vomiting and abdominal pain. The physician
documents the following on the discharge summary: acute cholecystitis, nausea, vomiting
and abdominal pain. Which of the following would be the correct coding and sequencing
for this case?
A) Acute cholecystitis, nausea, vomiting, abdominal pain
B) Abdominal pain, vomiting, nausea, acute cholecystitis
C) Nausea, vomiting, abdominal pain
D) Acute cholecystitis
CORRECT ANSWER
D) Acute cholecystitis
Question 4
(116) A patient is admitted with spotting. She had been treated two weeks previously for a
miscarriage with sepsis. The sepsis had resolved, and she is afebrile at this time. She is
treated with an aspiration dilation and curettage. Products of conception are found. Which
of the following should be the principal diagnosis?
A) Miscarriage
B) Complications of spontaneous abortion with sepsis
C) Sepsis
D) Spontaneous abortion with sepsis
CORRECT ANSWER
A) Miscarriage
2
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,Question 5
(117) An 80-year-old female is admitted with fever, lethargy, hypotension, tachycardia,
oliguria, and elevated WBC. The patient has more than 100,000 organisms of Escherichia
coli per cc of urine. The attending physician documents "urosepsis". How should this case
be coded?
A) Code sepsis as the principal diagnosis with urinary tract infection due to E.coli as
secondary diagnosis
B) Code urinary tract infection with sepsis as the principal diagnosis
C) Query the physician to ask if the patient has septicemia because of the symptomatology
D) Query the physician to ask if the patient had septic shock so that this may be used as the
principal diagnosis
CORRECT ANSWER
C) Query the physician to ask if the patient has septicemia because of the
symptomatology
Question 6
(118) The practice of using a code that results in a higher payment to the provider than the
code that actually reflects the service or item provided is known as:
A) Unbundling
B) Upcoding
C) Medically unnecessary services
D) Billing for services not provided
CORRECT ANSWER
B) Upcoding
Question 7
3
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, (119) A 65 year-old patient with a history of lung cancer is admitted to a healthcare facility
with ataxia and syncope and a fractured arm as a result of falling. The patient undergoes a
closed reduction of the fracture in the emergency department as well as a complete
workup for metastatic carcinoma of the brain. The patient is found to have metastatic
carcinoma of the lung to the brain and undergoes radiation therapy to the brain. Which of
the following would be the principal diagnosis in this case?
A) Ataxia
B) Fractured arm
C) Metastatic carcinoma of the brain
D) Carcinoma of the lung
CORRECT ANSWER
C) Metastatic carcinoma of the brain
Question 8
(120) A patient was admitted for abdominal pain with diarrhea and was diagnosed with
infectious gastroenteritis. The patient also had angina and chronic obstructive pulmonary
disease. Which of the following would be the correct coding and sequencing for this case?
A) Abdominal pain; infectious gastroenteritis; chronic obstructive pulmonary disease; angina
B) Infectious gastroenteritis; chronic obstructive pulmonary disease; angina
C) Gastroenteritis; abdominal pain; angina
D) Gastroenteritis; abdominal pain; diarrhea; chronic obstructive pulmonary disease; angina
CORRECT ANSWER
B) Infectious gastroenteritis; chronic obstructive pulmonary disease; angina
Question 9
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