RHIT Medical Coding Principles 4

Question 1

A patient is admitted for hip fracture repair and is found to have hypertension managed with medication. How is the hypertension coded?

Accepted Answer

It is coded as an additional diagnosis because it affects patient management

Answer

It is not coded because it is not the reason for admission

Answer

It is coded as the principal diagnosis

Answer

It is coded only if it causes a complication

Question 2

In CPT surgery coding, what does the global surgical package include?

Accepted Answer

Pre-operative, intraoperative, and post-operative care within a defined period

Answer

Only the operative procedure itself

Answer

Anesthesia services and follow-up labs

Answer

All services billed during the hospital stay

Question 3

Which ICD-10-CM code category is used to report the external cause of an injury (e.g., fall from a ladder)?

Accepted Answer

V–Y codes

Answer

Z codes

Answer

S codes

Answer

T codes

Question 4

What CPT modifier indicates that a service or procedure was distinct or independent from other services performed on the same day?

Accepted Answer

-59

Answer

-25

Answer

-51

Answer

-76

Question 5

In MS-DRG assignment under the IPPS, what effect does a major complication or comorbidity (MCC) have?

Accepted Answer

It typically shifts the case to a higher-weighted DRG with greater reimbursement

Answer

It has no effect on DRG assignment

Answer

It always reduces the DRG weight

Answer

It converts the stay to a per diem payment

Question 6

A patient is seen for a laceration repair of the scalp (2.6 cm). Which CPT code range applies?

Accepted Answer

12011–12018 (Simple repair, face/neck/scalp)

Answer

12001–12007 (Simple repair)

Answer

12031–12037 (Intermediate repair, scalp)

Answer

13100–13160 (Complex repair)

Question 7

What is the correct sequencing when coding sepsis with an associated localized infection?

Accepted Answer

Code the sepsis first, followed by the code for the localized infection

Answer

Code the localized infection first, then sepsis

Answer

Code only the sepsis

Answer

Code only the localized infection