Edition | Actual Exam Questions with Correct
Answers | Graded A+
RHIT Exam Prep (Coding) | Updated 2025/2026 edition with actual exam-style questions
and 100% verified correct answers. Key focus areas include medical coding (ICD-10-CM,
ICD-10-PCS, CPT/HCPCS), health data management, compliance, reimbursement
methodologies, clinical documentation improvement (CDI), quality reporting, information
governance, and healthcare privacy/security regulations.
Overview
This RHIT coding-focused resource delivers authentic exam-based questions with fully correct
answers. Built to strengthen coding accuracy, reinforce health information management
practices, and prepare learners for RHIT certification success. Graded A+ for accuracy,
reliability, and exam alignment. The RHIT exam includes 150 questions, with a significant
portion dedicated to coding and health information management, per AHIMA standards.
Answer Format
Correct answers are highlighted in bold green. Each answer is paired with a rationale to
explain coding guidelines, compliance requirements, and best practices in health information
management.
Exam Questions
1. What is the purpose of ICD-10-CM in medical coding?
A. Assign procedure codes
B. Assign diagnosis codes
C. Track hospital reimbursements
D. Document surgical outcomes
Rationale: ICD-10-CM is used to code diagnoses for clinical and billing purposes,
ensuring accurate documentation and reimbursement.
2. A patient is diagnosed with type 2 diabetes mellitus with neuropathy. What
is the correct ICD-10-CM code?
A. E11.9
B. E11.40
, C. E10.9
D. E11.21
Rationale: E11.40 specifies type 2 diabetes mellitus with neurological complications
(neuropathy), per ICD-10-CM guidelines.
3. Which code set is used for inpatient hospital procedures?
A. CPT
B. HCPCS Level II
C. ICD-10-PCS
D. ICD-10-CM
Rationale: ICD-10-PCS is used for coding procedures in inpatient hospital settings,
ensuring specificity for reimbursement.
4. A patient undergoes a colonoscopy with polyp removal. What is the
appropriate CPT code?
A. 45378
B. 45385
C. 45380
D. 45330
Rationale: CPT 45385 represents a colonoscopy with polypectomy (polyp removal)
performed via snare technique.
5. What does the acronym HIPAA stand for?
A. Health Information Privacy and Accountability Act
B. Health Insurance Portability and Accountability Act
C. Healthcare Information Protection and Access Act
D. Health Integrity and Privacy Act
Rationale: HIPAA governs patient privacy, security, and data protection in healthcare
settings.
6. A patient is admitted for acute myocardial infarction (AMI). What is the
correct ICD-10-CM code?
A. I21.9
B. I21.4
C. I20.0
D. I25.2
Rationale: I21.4 is used for non-ST elevation myocardial infarction (NSTEMI), a
common type of AMI, per coding guidelines.
7. Which modifier is used to indicate a professional service by a physician in
CPT coding?
A. -25
B. -26
C. -59
D. -TC
, Rationale: Modifier -26 indicates the professional component of a service (e.g.,
physician interpretation), separate from technical components.
8. What is the purpose of clinical documentation improvement (CDI)?
A. Reduce hospital admissions
B. Enhance accuracy and specificity of medical records
C. Perform surgical procedures
D. Manage hospital staffing
Rationale: CDI ensures documentation reflects the patient’s condition accurately for
coding, billing, and quality reporting.
9. A patient undergoes an appendectomy. What is the correct ICD-10-PCS
code?
A. 0DTJ0ZZ
B. 0DTJ4ZZ
C. 0D5J0ZZ
D. 0DBJ0ZZ
Rationale: 0DTJ4ZZ represents an open appendectomy (resection of appendix) in
ICD-10-PCS.
10.Which coding system is used for outpatient supplies and services?
A. ICD-10-CM
B. HCPCS Level II
C. ICD-10-PCS
D. CPT
Rationale: HCPCS Level II codes are used for supplies, equipment, and non-physician
services in outpatient settings.
11.A patient has hypertension with heart failure. What is the correct
ICD-10-CM code?
A. I10
B. I11.0
C. I50.9
D. I13.0
Rationale: I11.0 specifies hypertensive heart disease with heart failure, per ICD-10-CM
combination coding rules.
12.What is the purpose of a DRG (Diagnosis-Related Group)?
A. Assign procedure codes
B. Group diagnoses for hospital reimbursement
C. Track outpatient visits
D. Monitor physician performance
Rationale: DRGs categorize inpatient cases for standardized Medicare reimbursement
based on diagnoses and procedures.