RHIT (Coding) EXAM PRACTICE Questions and Answers Latest Updated 2024/2025 (Graded A+)

RHIT (Coding) EXAM PRACTICE Questions and Answers Latest Updated 2024/2025 (Graded A+) 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-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-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-A) Miscarriage RHIT EXAM PRACTICE QUESTIONS (Coding) Questions ad Answers Latest Updated 2024/2025 Graded A+ (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-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-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-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 D) Gastroenteritis; abdominal pain; diarrhea; chronic obstructive pulmonary disease; angina - ANSWER-B) Infectious gastroenteritis; chronic obstructive pulmonary disease; angina (121) A patient is admitted with a history of prostate cancer and with mental confusion. The patient completed radiation therapy for prostatic carcinoma three years ago and is status post a radical resection of the prostate. A CT scan of the brain during the current admission reveals metastasis. Which of the following is the correct coding sequencing for the current hospital stay? A) Metastatic carcinoma of the brain; carcinoma of the prostate; mental confusion B) Mental confusion; history of carcinoma of the prostate; admission for chemotherapy C) Metastatic carcinoma of the brain; history of carcinoma of the prostate D) Carcinoma of the prostate; metastatic carcinoma to the brain - ANSWER-C) Metastatic carcinoma of the brain; history of carcinoma of the prostate (122) A patient is admitted with abdominal pain. The physician states that the discharge diagnosis is pancreatitis and noncalculus cholecystitis. Both diagnoses are equally treated. The correct coding and sequencing for this case would be: A) Either the pancreatitis or noncalculus cholecystitis sequenced as the principal diagnosis B) Pancreatitis; noncalculus cholecystitis; abdominal pain C) Noncalculus cholecystitis; pancreatitis; abdominal pain D) Abdominal pain; pancreatitis; noncalculus cholecystitis - ANSWER-A) Either the pancreatitis or noncalculus cholecystitis sequenced as the principal diagnosis (123) According to the UHDDS, which of the following is the definition of "other diagnoses"? A) Is recorded in the patient record B) Is documented by the attending physician and cannot be documented by any other provider C) Is considered all conditions that coexist at the time of admission or develop subsequently that affect the treatment received and/or the length of stay D) Is documented by at least wo physicians and/or the nursing staff - ANSWER-C) Is considered all conditions that coexist at the time of admission or develop subsequently that affect the treatment received and/or the length of stay (124) A seven year-old patient was admitted to the emergency department for treatment of shortness of breath. The patient is given epinephrine and nebulizer treatments. The shortness of breath and wheezing are unabated following treatment. What diagnosis should be suspected? A) Acute bronchitis B) Acute bronchitis with chronic obstructive pulmonary disease C) Asthma with status asthmaticus D) Chronic obstructive asthma - ANSWER-C) Asthma with status asthmaticus (125) A coder might find which of the following on a patient's problem list if the medication list contain the drug Procardia? A) Esophagitis B) Hypertension C) Schizophrenia D) AIDS - ANSWER-B) Hypertension (126) A physician orders a chest x-ray for an office patient who presents with fever, productive cough, and shortness of breath. The physician indicated in the progress notes: "Rule out pneumonia." What should the coder report for the visit when the results have not yet been received? A) Pneumonia B) Fever, cough, shortness of breath C) Cough, shortness of breath D) Pneumonia, cough, shortness of breath, fever - ANSWER-B) Fever, cough, shortness of breath (128) Which of the following promotes uniform reporting and statistical data collection for medical procedures, supplies, products and services? A) Current Procedural Terminology B) Healthcare Common Procedure Coding System C) 'International Classification of Diseases', Ninth Revision, Clinical Modification D) 'International Classification of Diseases for Oncology', Third Edition - ANSWER-C) Healthcare Common Procedure Coding System (129) Which of the following provides a detailed classification system for coding the histology, topography, and behavior of neoplasms? A) Current Procedural Terminology B) Healthcare Common Procedure Coding System C) 'International Classification of Diseases for Oncology', Third Edition D) Systematized Nomenclature of Medicine Clinical Terminology - ANSWER-C) 'International Classification of Diseases for Oncology', Third Edition (131) Which of the following provides the most comprehensive, controlled vocabulary for coding the content of a patient record? A) CPT B) HCPCS C) ICD-10-CM D) SNOMED-CT - ANSWER-D) SNOMED-CT (133) Which of the following is the planned replacement for ICD-9-CM Volumes 1 and 2? A) Current Procedural Terminology (CPT) B) 'International Classification of Diseases', Tenth Revision, Clinical Modification (ICD10-CM and ICD-10-PCS) C) 'International Classification of Diseases', Tenth Revision (ICD-10) D) 'International Classification of Diseases', Tenth Revision, Clinical Modification (ICD10-CM) - ANSWER-D) 'International Classification of Diseases', Tenth Revision, Clinical Modification (ICD-10-CM) (134) Which organization originally published ICD-10? A) American Medical Association B) Centers for Disease Control C) United States federal government D) World Health Organization - ANSWER-D) World Health Organization (135) When reporting an encounter for a patient who is HIV positive but has never had any symptoms, the following code is assigned: A) B20, Human immunodeficiency virus [HIV] disease B) Z21, Asymptomatic HIV infection status C) Z21, Asymptomatic human immunodeficiency virus [HIV] infection status D) Z20.6, Contact with and (suspected) exposure to human immunodeficiency virus [HIV] - ANSWER-B) Z21, Asymptomatic HIV infection status (136) Identify the two-digit modifier that may be reported to indicate a physician performed the postoperative management of a patient but another physician performed the surgical procedure. A) -22, Increased procedural services B) -54, Surgical care only C) -32, Mandated service D) -55, Postoperative management only - ANSWER-D) -55, Postoperative management only (137) Assign the correct CPT code for the following procedure: Revision of the pacemaker skin pocket A) 33223, Relocation of skin pocket for cardioverter-defibrillator B) 33210, Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure) C) 33212, Insertion of a pacemaker pulse generator only; with existing single lead D) 33222, Relocation of skin pocket for pacemaker - ANSWER-D) 33222, Relocation of skin pocket for pacemaker (138) The ICD-10-CM utilizes a placeholder character at certain codes to allow for future expansion of the classification system. What letter is used to represent this placeholder character? A) A B) G C) U D) X - ANSWER-D) X (139) Assign the correct CPT code for the following: A 63 year-old female had a temporal artery biopsy completed in the outpatient surgical center. A) 32405, Biopsy, lung or mediastinum, percutaneous needle B) 37609, Ligation or biopsy, temporal artery C) 20206, Biopsy, muscle percutaneous needle D) 31629, Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needles aspiration biopsy(s), trachea, mainstem and/or lobar bronchus(i) - ANSWER-B) Ligation or biopsy, temporal artery