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When coding a benign neoplasm of skin of the left upper eyelid, which of the following codes should be used? a. D23.12 - Other benign neoplasm of skin of left eyelid, including canthus b. D17.0 c. D23.121 - Other benign neoplasm of skin of left upper eyelid, including canthus d. D23.122 - Oth...

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  • August 27, 2024
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RHIT Domain 3 - Practice questions
AHIMA

When coding a benign neoplasm of skin of the left upper eyelid, which of the following codes should be
used?



a. D23.12 - Other benign neoplasm of skin of left eyelid, including canthus

b. D17.0

c. D23.121 - Other benign neoplasm of skin of left upper eyelid, including canthus

d. D23.122 - Other benign neoplasm of skin of left lower eyelid, including canthus correct answersc.
D23.121 - Other benign neoplasm of skin of left upper eyelid, including canthus



A Clinical Documentation Improvement (CDI) program facilitates accurate coding and helps coders avoid:



a. NCCI edits

b. Upcoding

c. Coding without a completed face sheet

d. Assumption coding correct answersd. Assumption coding



A CDI program provides a mechanism for the coding staff to communicate with the physician regarding
nonspecific diagnostic statements or when additional diagnoses are suspected but not clearly stated in
the record, which helps to avoid assumption coding



A 54-year-old patient is seen with a high fever, chest pain, and a cough. Gram stain of the sputum
showed staph. The physician documented staphylococcal pneumonia. What code(s) would be assigned
for this patient?

B95.7 Other staphylococcus as the cause disease classified elsewhereJ15.20 Pneumonia due to
staphylococcus, unspecifiedJ18.9 Pneumonia, unspecified organismR05 CoughR07.9 Chest pain,
unspecifiedR50.9 Fever, unspecified

,a. R50.9, R05, R07.9

b. R50.9, R05, R07.9, J15.20

c. J15.20

d. J18.9, B95.7 correct answersc. J15.20



Signs and symptoms integral to the disease process should not be coded. In this case the fever, chest
pain and cough are integral to the pneumonia. The specific type of pneumonia would be coded based on
the documentation of staph



A quality data review based on specific problem areas that comes after an initial baseline review has
been completed in a hospital is called a:



a. Compliance initiative

b. Concurrent review

c. Focused review

d. Internal audit correct answersc. Focused review



When coding a hydrocystoma of the right upper eyelid, which of the following codes should be used?



a. D23 - Other benign neoplasms of skin

b. D17.0

c. D23.121 - Other benign neoplasm of skin of left upper eyelid, includingcanthus

d. D23.111 - Other benign neoplasm of skin of right upper eyelid, includingcanthus correct answersd.
D23.111 - Other benign neoplasm of skin of right upper eyelid, includingcanthus



An inpatient, acute-care coder must follow official ICD-10-CM and ICD-10-PCS coding guidelines
established by the:



a. American Health Information Management Association

b. American Medical Association

,c. Centers for Medicare and Medicaid Services

d. Cooperating Parties correct answersd. Cooperating Parties



A select group of reasonably preventable conditions for which hospitals should not receive additional
payment when one of the conditions was not present on admission is called a:



a. Charge code

b. Hospital-acquired condition

c. Principal diagnosis

d. Value-based purchasing list correct answersb. Hospital-acquired condition



In order to determine the hospital's expected MS-DRG payment, the hospital's blended rate is multiplied
by the MS-DRG's ________ to determine the dollar amount paid.



a. Length of stay

b. Case mix number

c. Relative weight

d. Major diagnostic category correct answersc. Relative weight



Patient was admitted to the hospital and diagnosed with Type 1 diabetic gangrene. What is the correct
code assignment?



E10.52: Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene

E10.9Type 1 diabetes mellitus without complication

E11.52: Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene

I96: Gangrene, not elsewhere classified



a. E10.52

b. E10.9, I96

c. E10.52, E10.9, I96

, d. E11.52 correct answersa. E10.52



A patient has a malunion of an intertrochanteric fracture of the right hip, which is treated with a
proximal femoral osteotomy by incision. What is the correct ICD-10-PCS code for this procedure?



a. 0QB60ZZ

b. 0Q860ZZ

c. 0SB90ZZ

d. 0SN90ZZ correct answersb. 0Q860ZZ



Medical and Surgical—0

Body System is Lower Bones—Q

Root Operation is Division—8

Body Part is Femur, Right—6

Approach is Open—0

No Device—Z

No Qualifier —Z



A hospital can monitor its performance under the MS-DRG system by monitoring its:



a. Accounts receivable

b. Operating costs

c. RBRVS payments

d. Case-mix index correct answersd. Case-mix index



Which of the following could be a focus of a coding quality review program?



a. CC and MCC coding rates (MS-DRGs)

b. Outpatient Code Editor failure rates

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