RHIT Domain 4d: Questions & Answers
Identify the correct root operation, used in ICD-10-PCS, for the following:
Excision gallbladder
1. removal
2. resection
3. excision
4. incision - ANSWER:2. resection
In ICD-10-PCS, a 1-year-old child was left in a car for 5 hours during a blizzard with extreme drop in
temperature. In the hospital, hyperthermia is used to raise the child's body temperature back to normal.
One session was completed.
1. 6A3Z0ZZ
2. 6A4Z0ZZ
3. 6AB50BZ
4. 6A550Z0 - ANSWER:1. 6A3Z0ZZ
A patient is admitted with acute urinary tract infection due to E. coli.
1. N30.90, B96.20
2. N11.9, B96.20
3. N10, B96.20
4. N39.0, B96.20 - ANSWER:4. N39.0, B96.20
In the Medical Surgical Section of ICD-10-PCS, the second character position represents which of the
following?
1. approach
2. body system
,3. qualifier
4. body part - ANSWER:2. body system
In ICD-10-PCS, during a 90-day residential substance abuse treatment program, the therapist worked
one-on-one with the patient performing cognitive behavioral counseling.
1. HZ32ZZZ
2. HZ52ZZZ
3. HZ63ZZZ
4. HZ42ZZZ - ANSWER:1. HZ32ZZZ
In ICD-10-PCS, report left below-the-knee amputation, proximal tibia/fibula.
1. 0Y6H0ZZ
2. 0Y6J0Z3
3. 0YBJ0ZZ
4. 0Y6J0Z1 - ANSWER:4. 0Y6J0Z1
Identify the correct root operation term used in ICD-10-PCS for the following:
Left common carotid endarterectomy, open
1. excision
2. extraction
3. resection
4. release - ANSWER:2. extraction
** An endarterectomy is the surgical removal of the internal lining of an artery.
A patient is admitted with a left nondisplaced comminuted patella fracture, a displaced left spiral
fracture of the shaft of the fibula, and a displaced comminuted fracture of the shaft of the left tibia,
initial encounter.
1. S82.045A, S82.442A
2. S82.045, S82.252A
, 3. S82.252A, S82.442A, S82.045A
4. S82.045A, S82.442A, S82.255A - ANSWER:3. S82.252A, S82.442A, S82.045A
** Although the nondisplaced fracture of the patella is mentioned first, it is reported last because it is
less severe than a displaced fracture.
Identify the correct root operation, used in ICD-10-PCS, for the following:
Amputation first left toe
1. amputation
2. excision
3. resection
4. detachment - ANSWER:4. detachment
A patient is admitted with acute alcohol intoxication with a blood alcohol level of 113 mg/100 ml.
1. F10.120, Y90.5
2. F10.129, Y90.4
3. Y90.5, F10.120
4. F10.129, Y90.6 - ANSWER:1. F10.120, Y90.5
In ICD-10-PCS, thoracentesis right pleural effusion
1. 0W9C30Z
2. 0W930ZZ
3. 0W9C3ZZ
4. 0W993ZZ - ANSWER:4. 0W993ZZ
** Drainage = taking out gases and/or fluids from a body part
Identify the correct root operation term used in ICD-10-PCS for the following:
Endometrial ablation of cervical polyps
Identify the correct root operation, used in ICD-10-PCS, for the following:
Excision gallbladder
1. removal
2. resection
3. excision
4. incision - ANSWER:2. resection
In ICD-10-PCS, a 1-year-old child was left in a car for 5 hours during a blizzard with extreme drop in
temperature. In the hospital, hyperthermia is used to raise the child's body temperature back to normal.
One session was completed.
1. 6A3Z0ZZ
2. 6A4Z0ZZ
3. 6AB50BZ
4. 6A550Z0 - ANSWER:1. 6A3Z0ZZ
A patient is admitted with acute urinary tract infection due to E. coli.
1. N30.90, B96.20
2. N11.9, B96.20
3. N10, B96.20
4. N39.0, B96.20 - ANSWER:4. N39.0, B96.20
In the Medical Surgical Section of ICD-10-PCS, the second character position represents which of the
following?
1. approach
2. body system
,3. qualifier
4. body part - ANSWER:2. body system
In ICD-10-PCS, during a 90-day residential substance abuse treatment program, the therapist worked
one-on-one with the patient performing cognitive behavioral counseling.
1. HZ32ZZZ
2. HZ52ZZZ
3. HZ63ZZZ
4. HZ42ZZZ - ANSWER:1. HZ32ZZZ
In ICD-10-PCS, report left below-the-knee amputation, proximal tibia/fibula.
1. 0Y6H0ZZ
2. 0Y6J0Z3
3. 0YBJ0ZZ
4. 0Y6J0Z1 - ANSWER:4. 0Y6J0Z1
Identify the correct root operation term used in ICD-10-PCS for the following:
Left common carotid endarterectomy, open
1. excision
2. extraction
3. resection
4. release - ANSWER:2. extraction
** An endarterectomy is the surgical removal of the internal lining of an artery.
A patient is admitted with a left nondisplaced comminuted patella fracture, a displaced left spiral
fracture of the shaft of the fibula, and a displaced comminuted fracture of the shaft of the left tibia,
initial encounter.
1. S82.045A, S82.442A
2. S82.045, S82.252A
, 3. S82.252A, S82.442A, S82.045A
4. S82.045A, S82.442A, S82.255A - ANSWER:3. S82.252A, S82.442A, S82.045A
** Although the nondisplaced fracture of the patella is mentioned first, it is reported last because it is
less severe than a displaced fracture.
Identify the correct root operation, used in ICD-10-PCS, for the following:
Amputation first left toe
1. amputation
2. excision
3. resection
4. detachment - ANSWER:4. detachment
A patient is admitted with acute alcohol intoxication with a blood alcohol level of 113 mg/100 ml.
1. F10.120, Y90.5
2. F10.129, Y90.4
3. Y90.5, F10.120
4. F10.129, Y90.6 - ANSWER:1. F10.120, Y90.5
In ICD-10-PCS, thoracentesis right pleural effusion
1. 0W9C30Z
2. 0W930ZZ
3. 0W9C3ZZ
4. 0W993ZZ - ANSWER:4. 0W993ZZ
** Drainage = taking out gases and/or fluids from a body part
Identify the correct root operation term used in ICD-10-PCS for the following:
Endometrial ablation of cervical polyps
