AHIMA AHIMA Certifications RHIA Questions & Answers

• Question 961:

  Which of the following contains a list of coding edits developed by CMS in an effort to promote correct coding nationwide and to prevent the inappropriate unbundling of related services?

  A. National Coverage Determination (NCD)

  B. National Correct Coding Initiative (NCCI)

  C. CPT Assistant

  D. Health care Common Procedure Coding System (HCPCS)

  Correct Answer: B

• Question 962:

  The best place to ascertain the size of an excised lesion for accurate CPT coding is the

  A. discharge summary.

  B. pathology report.

  C. operative report.

  D. anesthesia record.

  Correct Answer: C

• Question 963:

  CPT provides Level I modifiers to explain all of the following situations EXCEPT

  A. when a service or procedure is partially reduced or eliminated at the physician's discretion.

  B. when one surgeon provides only postoperative services.

  C. when a patient sees a surgeon for follow-up care after surgery.

  D. when the same laboratory test is repeated multiple times on the same day.

  Correct Answer: C

• Question 964:

  According to the American Medical Association, medical decision making is measured by all of the following except

  A. number of diagnoses or management options.

  B. Amount and complexity of data reviewed.

  C. Risk of complications.

  D. Specialty of the treating physician.

  Correct Answer: D

• Question 965:

  The attending physician requests a consultation from a cardiologist. The cardiologist takes a detailed history, performs a detailed examination, and utilizes moderate medical decision making. The cardiologist orders diagnostic tests and prescribe medication. He documents his findings in the patient's medical record and communicates in writing with the attending physician. The following day the consultant visits the patient to evaluate the patient' sresponse to the medication, to review results from the diagnostic test, and to discuss treatment options. What codes should the consultant report for the two visits?

  A. an initial inpatient consult and a follow-up consult

  B. an initial inpatient consult for both visits

  C. an initial inpatient consult and a subsequent hospital visit

  D. an initial inpatient consult and initial hospital care

  Correct Answer: C

• Question 966:

  In order to use the inpatient CPT consultation codes, the consulting physician must

  A. order diagnostic tests.

  B. document his findings in the patient's medical record.

  C. communicate orally his opinion to the attending physician.

  D. use the term "referral" in his report.

  Correct Answer: B

• Question 967:

  According to CPT, in which of the following cases would an established E/M code be used?

  A. A home visit with a 45-year-old male with a long history of drug abuse and alcoholism. The man is seen at the request of Adult Protective Services for an assessment of his mental capabilities.

  B. John and his family have just moved to town. John has asthma and requires medication to control the problem. He has an appointment with Dr. You and will bring his records from his previous physician.

  C. Tom is seen by Dr. X for a score throat. Dr. X is on-call for Tom's regular physician, Dr. Y. The last time that Tom saw Dr. Y was a couple of years ago.

  D. A 78-year-old female with weight loss and progressive agitation over the past 2 months is seen by her primary care physician for drug therapy. She has not seen her primary care physician in 4 years.

  Correct Answer: C

• Question 968:

  When is it appropriate to use category V10, history of malignant neoplasm?

  A. primary malignancy recurred at original site and adjunct chemotherapy is directed at the site

  B. primary malignancy has been eradicated and no adjunct treatment is being given at this time

  C. primary malignancy eradicated and the patient is admitted for adjunct chemotherapy to primary site

  D. primary malignancy is eradicated; adjunct treatment is refused by patient even thought here is some remaining malignancy

  Correct Answer: B

• Question 969:

  In the diagnosis "first-, second-, and third-degree burns of the chest wall," a code is required for

  A. the first-degree burn only.

  B. the second-degree burn only.

  C. the third-degree burn only.

  D. each first-, second-, and third-degree burn.

  Correct Answer: C

• Question 970:

  Given the diagnosis "carcinoma of axillary lymph nodes and lungs, metastatic from breast," what is the primary cancer site(s)?

  A. axillary lymph nodes.

  B. lungs.

  C. breast.

  D. both A and B

  Correct Answer: C