1. (113) If a patient has an excision of a malignant
D) Diameter of the
lesion of the skin, the CPT code is determined
lesion as well as the
by the body area from which the excision
margins ex- cised as
occurs and which of the following?
described in the
A) Length of the lesion as described in the operative report
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
ex- cised as described in the operative
report
2. (114) According to CPT, a repair of a
laceration that includes retention sutures A) Complex
would be considered what type of closure?
A) Complex
B) Intermediate
C)Not specified
D) Simple
3. (115) The patient was admitted with nausea,
vomiting and abdominal pain. The physician D) Acute cholecystitis
documents the fol- lowing 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
, RHIT EXAM PREP PRACTICE QUESTIONS (Coding)FINAL.
B) Abdominal pain, vomiting, nausea, acute
cholecys- titis
C)Nausea, vomiting, abdominal pain
D) Acute cholecystitis
4. (116) A patient is admitted with spotting. She had been A)
Miscarriage
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
5. (117) An 80-year-old female is admitted with C) Query the
fever, lethargy, hypotension, tachycardia, physician to ask if
oliguria, and ele- the patient has
vated WBC. The patient has more than 100,000 organ- septicemia
because of the
isms of Escherichia coli per cc of urine. The sep-
attend- ing physician documents "urosepsis". ticemia
How should this case be coded? because
of the
A) Code sepsis as the principal diagnosis with symptom
urinary tract infection due to E.coli as atology
secondary diagnosis D) Query the
B) Code urinary tract infection with sepsis as physician
the prin- cipal diagnosis to ask if
C)Query the physician to ask if the patient has the
,RHIT EXAM PREP PRACTICE QUESTIONS (Coding)FINAL.
patient had septic symptomatology
, RHIT EXAM PREP PRACTICE QUESTIONS (Coding)FINAL.
shock so that this may be used as the principal
diag- nosis
6. (118) The practice of using a code that B) Upcoding
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
7. (119) A 65 year-old patient with a history of lung
C) Metastatic
can- cer is admitted to a healthcare facility with
carcinoma of the brain
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 pa- tient 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
B) Infectious
8. (120) A patient was admitted for abdominal gastroen-
pain with
diarrhea and was diagnosed with infectious gastroen- teritis;