RHIT - Registered Health Information Technician Medical Coding Principles 3

Question 1

In ICD-10-PCS, what does the term 'root operation' refer to?

Accepted Answer

The objective of the procedure defining the specific action taken on the body part

Answer

The surgeon who performed the procedure

Answer

The anesthesia type

Answer

The operating room location

Question 2

What is the difference between 'excision' and 'resection' in ICD-10-PCS?

Accepted Answer

Excision removes a PORTION while resection removes ALL of a body part without replacement

Answer

They are the same

Answer

Excision is for tumors and resection for organs

Answer

Excision requires anesthesia and resection does not

Question 3

What is the correct sequencing when a patient is admitted for chemotherapy?

Accepted Answer

The chemotherapy encounter code (Z51.11) is the principal diagnosis, followed by the neoplasm code

Answer

The neoplasm is sequenced first

Answer

Only the chemotherapy code is assigned

Answer

Only the neoplasm code is assigned

Question 4

What does the term 'upcoding' refer to?

Accepted Answer

Assigning a code for a more complex condition than documented to obtain higher reimbursement

Answer

Assigning the most current code version

Answer

Using updated CPT codes

Answer

Converting ICD-9 to ICD-10 codes

Question 5

What is the purpose of E/M code leveling?

Accepted Answer

To assign the appropriate code level based on medical decision-making complexity or total time

Answer

To determine physician scheduling

Answer

To rank hospitals by quality

Answer

To determine nurse staffing ratios

Question 6

When is it appropriate to assign an external cause code in ICD-10-CM?

Accepted Answer

When documentation identifies the cause, intent, place, and activity related to an injury or external event

Answer

Only for workplace injuries

Answer

Only for motor vehicle accidents

Answer

External cause codes are no longer used