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 root operation (third character) defines the objective or purpose of the procedure.

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

Excision (root operation B) removes a portion; resection (root operation T) removes the entire body part.

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

When admitted solely for chemotherapy, the Z code is the principal diagnosis with the neoplasm as secondary.

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

Upcoding is assigning a code representing higher severity than what documentation supports.

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

E/M leveling involves selecting the appropriate service level based on MDM complexity or total time.

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