AHIMA AHIMA Certifications RHIA Questions & Answers

• Question 981:

  A barrier to widespread use of automated code assignment is

  A. inadequate technology.

  B. poor quality of documentation.

  C. resistance by physicians.

  D. resistance by HIM professionals.

  Correct Answer: B

• Question 982:

  A patient has major surgery and sees the surgeon 10 days later for an unrelated e/m services. Indicate the modifier that should be attached to the E/M code for the service provided.

  A. -24

  B. -25

  C. -59

  D. -79

  Correct Answer: A

• Question 983:

  A patient develops difficulty during surgery and the physician discontinues the procedure. Identify the modifier that may be reported by the physician to indicate that the procedure was discontinued.

  A. -52

  B. -53

  C. -73

  D. -74

  Correct Answer: B

• Question 984:

  A patient is seen by a surgeon who determines that an emergency procedure is necessary. Identify the modifier that may be reported to indicate that the deciion to do surgery was made on this office visit.

  A. -25.

  B. -55.

  C. -57

  D. -58

  Correct Answer: C

• Question 985:

  A physician excises a 3.1-cm malignant lesion of the scalp that requires full-thickness graft from the thigh to the scalp. In CPT, which of the following procedures should be coded?

  A. full-thickness skin graft to scalp only

  B. excision of lesion; full-thickness skin graft to scalp

  C. excision of lesion; full-thickness skin graft to scalp; excision of skin from thigh

  D. code 15000 for surgical preparation of recipient site; full-thickness skin graft to scalp

  Correct Answer: B

• Question 986:

  The Level I (CPT) codes of the HCPCS coding system are maintained by the

  A. American Medical Association

  B. American Hospital Association.

  C. Local fiscal intermediary.

  D. Centers for Medicare and Medicaid Services

  Correct Answer: A

• Question 987:

  A patient is admitted with pneumonia. Cultures are requested to determine the infecting organism. Which of the following, if present, would alert the coder to ask the physician whether or not this should be coded as gram-negative pneumonia?

  A. Pseudomonas.

  B. Clostridium.

  C. Staphylococcus.

  D. Listeria.

  Correct Answer: A

• Question 988:

  A patient is admitted is alcohol withdrawal suffering from delirium tremens. The patient is a chronic alcoholic and cocaine addict. Which of the following is the principal diagnosis?

  A. alcoholic withdrawal.

  B. chronic alcoholism.

  C. cocaine dependence.

  D. delirium tremens.

  Correct Answer: D

• Question 989:

  The Level II (national) codes of the HCPCS coding system are maintained by the

  A. American Medical Association.

  B. CPT Editorial Panel

  C. Local fiscal intermediary

  D. Centers for Medicare and Medicaid Services.

  Correct Answer: D

• Question 990:

  The nursing staff would most likely use which of the following to facilitate aggregation of data for comparison at local, regional, national, and international levels?

  A. READ codes.

  B. ABC codes.

  C. SPECIALIST Lexicon.

  D. LOINC.

  Correct Answer: B