RHIT EXAM PREP PRACTICE QUESTIONS (Coding) WITH CORRECT SOLUTIONS

) 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 ANSWER IS: - D) Diameter of the lesion as well as the margins excised as described in the operative report (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 ANSWER IS: - A) Complex (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 ANSWER IS: - D) Acute cholecystitis (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 ANSWER IS: - A) Miscarriage (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 ANSWER IS: - C) Query the physician to ask if the patient has septicemia because of the symptomatology (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 ANSWER IS: - B) Upcoding (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 ANSWER IS: - C) Metastatic carcinoma of the brain (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