RHIT Domain 4c: Questions & Answers
A patient has end-stage kidney disease, which resulted from malignant hypertension.
1. I13.11, N18.6
2. I15.1, N18.6
3. I12.0, N18.6
4. I10, N18.6 - ANSWER:3. I12.0, N18.6
** Note: know difference between Hypertensive kidney disease and Hypertensive heart and kidney
disease
A patient has intractable status epilepticus.
1. G40.201
2. G40.319
3. G40.301
4. G40.311 - ANSWER:4. G40.311
A patient is admitted with bleeding esophageal varices with alcoholic liver cirrhosis and portal
hypertension. The patient is alcohol dependent.
1. K70.0. I85.11, K76.6
2. I85.11, K76.6, K70.30
3. K76.6, I85.11, K70.30
4. I85.01, K70.30, K76.6, F10.288 - ANSWER:4. I85.01, K70.30, K76.6, F10.288
An infant has hypoglycemia and a mother who had been diagnosed with type 2 diabetes 5 years ago.
1. P70.0
2. P70.2
3. P70.1
4. P70.4 - ANSWER:3. P70.1
,** The documentation that the mother was diagnosed with diabetes mellitus 5 years ago confirms that
her diabetes was preexisiting to the pregnancy.
A patient is admitted with cervical spina bifida with hydrocephalus.
1. Q05.5
2. Q76.0
3. Q05
4. Q05.0 - ANSWER:4. Q05.0
Identify the correct root operation, used in ICD-10-PCS, for the following:
Cystoscopy
1. inspection
2. endoscopy
3. drainage
4. insertion - ANSWER:1. inspection
A patient is admitted with a through and through gunshot wound, accidentally discharged while cleaning
the gun, to the right upper quadrant of the abdomen, which involves a moderate laceration to the liver,
initial encounter.
1. S36.115A, S31.101A
2. S36.115A
3. S31.130A, S36.115A, W34.00xA
4. S36.118A, W34.00xA - ANSWER:3. S31.130A, S36.115A, W34.00xA
** "through gunshot" doesn't mean there is a penetration into peritoneal cavity.
A female, 68 years old, was admitted with type 2 diabetes mellitus with a diabetic ulcer of the left heel
involving the subcutaneous layer of the skin. The patient will be scheduled for wound care with
whirlpool treatments.
1. L97.421, E11.621
, 2. E11.621
3. E11.621, L97.421
4. E11.620, L97.421 - ANSWER:3. E11.621, L97.421
In ICD-10-PCS, beam radiation was administered using electrons for a femoral bone tumor.
1. DP005ZZ
2. DP093ZZ
3. DPY97ZZ
4. DT023ZZ - ANSWER:2. DP093ZZ
The physician's H&P for admission makes no mention of the patient's UTI. The present on admission
indicator is ___.
1. N = No
2. U = Unknown
3. Unreported/Not Used (Exempt from POA) Reporting
4. W = Clinically Undetermined
5. Y = Yes - ANSWER:1. N = No
** Present on admission (POA) guidelines were established to identify and report diagnoses that are
present at the time of a patient's admission. The reporting options for each ICD-10-CM code are:
Y = Yes;
N = No;
U = Unknown;
W = Clinically Undetermined;
Unreported/Not Used (Exempt from POA) Reporting.
In ICD-10-PCS, percutaneous insertion Greenfield IVC filter
1. 06L03DZ
2. 06V03DZ
3. 06H03DZ
A patient has end-stage kidney disease, which resulted from malignant hypertension.
1. I13.11, N18.6
2. I15.1, N18.6
3. I12.0, N18.6
4. I10, N18.6 - ANSWER:3. I12.0, N18.6
** Note: know difference between Hypertensive kidney disease and Hypertensive heart and kidney
disease
A patient has intractable status epilepticus.
1. G40.201
2. G40.319
3. G40.301
4. G40.311 - ANSWER:4. G40.311
A patient is admitted with bleeding esophageal varices with alcoholic liver cirrhosis and portal
hypertension. The patient is alcohol dependent.
1. K70.0. I85.11, K76.6
2. I85.11, K76.6, K70.30
3. K76.6, I85.11, K70.30
4. I85.01, K70.30, K76.6, F10.288 - ANSWER:4. I85.01, K70.30, K76.6, F10.288
An infant has hypoglycemia and a mother who had been diagnosed with type 2 diabetes 5 years ago.
1. P70.0
2. P70.2
3. P70.1
4. P70.4 - ANSWER:3. P70.1
,** The documentation that the mother was diagnosed with diabetes mellitus 5 years ago confirms that
her diabetes was preexisiting to the pregnancy.
A patient is admitted with cervical spina bifida with hydrocephalus.
1. Q05.5
2. Q76.0
3. Q05
4. Q05.0 - ANSWER:4. Q05.0
Identify the correct root operation, used in ICD-10-PCS, for the following:
Cystoscopy
1. inspection
2. endoscopy
3. drainage
4. insertion - ANSWER:1. inspection
A patient is admitted with a through and through gunshot wound, accidentally discharged while cleaning
the gun, to the right upper quadrant of the abdomen, which involves a moderate laceration to the liver,
initial encounter.
1. S36.115A, S31.101A
2. S36.115A
3. S31.130A, S36.115A, W34.00xA
4. S36.118A, W34.00xA - ANSWER:3. S31.130A, S36.115A, W34.00xA
** "through gunshot" doesn't mean there is a penetration into peritoneal cavity.
A female, 68 years old, was admitted with type 2 diabetes mellitus with a diabetic ulcer of the left heel
involving the subcutaneous layer of the skin. The patient will be scheduled for wound care with
whirlpool treatments.
1. L97.421, E11.621
, 2. E11.621
3. E11.621, L97.421
4. E11.620, L97.421 - ANSWER:3. E11.621, L97.421
In ICD-10-PCS, beam radiation was administered using electrons for a femoral bone tumor.
1. DP005ZZ
2. DP093ZZ
3. DPY97ZZ
4. DT023ZZ - ANSWER:2. DP093ZZ
The physician's H&P for admission makes no mention of the patient's UTI. The present on admission
indicator is ___.
1. N = No
2. U = Unknown
3. Unreported/Not Used (Exempt from POA) Reporting
4. W = Clinically Undetermined
5. Y = Yes - ANSWER:1. N = No
** Present on admission (POA) guidelines were established to identify and report diagnoses that are
present at the time of a patient's admission. The reporting options for each ICD-10-CM code are:
Y = Yes;
N = No;
U = Unknown;
W = Clinically Undetermined;
Unreported/Not Used (Exempt from POA) Reporting.
In ICD-10-PCS, percutaneous insertion Greenfield IVC filter
1. 06L03DZ
2. 06V03DZ
3. 06H03DZ
