RHIA Domain 4 Questions With Complete Solutions

A patient has HIV with disseminated candidiasis. What is the correct code assignment? a. B20, B37.0 b. B37.7, B20 c. B20, B37.7 d. B20, B37.89, B37.7 correct answer: c Patients who are admitted for an HIV-related illness should be assigned a minimum of two codes in the following order: code B20 to identify the HIV disease and additional codes to identify the related diagnosis, which in this case is disseminated candidiasis code B37.7 A patient was admitted for removal of the left lobe of the liver via laparotomy due to metastasis from a colon carcinoma. What is the correct ICD-10-PCS procedure code for this operation? a. 0FB20ZZ b. 0FB24ZZ c. 0FT20ZZ d. 0FT24ZZ correct answer: The root operation performed was resection—cutting out or off, without replacement, all of a body part. Even though the entire liver was not removed, the correct root operation is resection based on coding guideline B3.8. PCS contains specific body parts for anatomical subdivisions of a body part, such as lobes of the lungs and liver and regions of the intestine. Resection of the specific body part is coded whenever all of the body part is cut out or off, rather than coding Excision of a less specific body part. The correct code is 0FT20ZZ. The section is Medical and Surgical—character 0; Body System is Hepatobiliary and Pancreas—character F; Root Operation is Resection—character T; Body Part is Liver, Left Lobe—character 2; Approach is Open—character 0; No Device—character Z; and No Qualifier—character Z A 65-year-old woman was admitted to the hospital. She was diagnosed with sepsis secondary to methicillin susceptible Staphylococcus aureus and abdominal pain secondary to diverticulitis of the colon. What is the correct code assignment? a. A41.89, K57.32, R10.9 b. A41.01, K57.32