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Registered Health Information Administrator (RHIA) Questions 646–650 (page: 131)

Updated On: 9-Feb-2026

The patient has had abnormal heavy uterine bleeding and abdominal pain. There was bright red blood in the vagina and the right adnexa was enlarged. The woman was admitted. In surgery, a laparoscopy revealed a right follicular ovarian cyst. A laparoscopic ovarian cystectomy was performed. Following surgery she was transfused two units of packed red blood cells for acute blood-loss anemia.

  1. 620.0, 285.1, 65.25
  2. 620.0, 280.0, 65.39
  3. 620.0, 285.1, 65.39
  4. 620.0, 280.0, 65.25

Answer(s): A



Jane Doe is 6 weeks post mastectomy for carcinoma of the breast. She is admitted for chemotherapy. What is the correct sequencing of the codes?

  1. V58.11 (chemotherapy), 174.9 (malignant neoplasm of the breast), V45.71 (acquired absence of breast)
  2. V58.11 (chemotherapy), V10.3 (personal history of malignant neoplasm of breast), V45.71 (acquired absence of breast)
  3. V67.00 (follow-up exam after surgery), V58.11 (chemotherapy)
  4. V10.3 (personal history of malignant neoplasm of breast)

Answer(s): A



The patient was admitted due to increasingly severe pain in his right arm, shoulder, and neck for the past 6 weeks. MRI tests showed herniation of the C5-C6 disc. Patient underwent
cervical laminotomy and diskectomy C5-C6 disc. The patient is currently being treated for COPD and CAD with a history of a PICA.

  1. 722.0, 492.8, 414.01, V45.82, 80.51
  2. 722.11, 496, 414.01, V45.82, 03.09, 80.51
  3. 722.11, 492.8, 414.00, 03.09, 80.51
  4. 722.0, 496, 414.01, V45.82, 80.51

Answer(s): D



A 75-year-old man is admitted to your facility with acute cerebral embolism with infarction. He had hemiplegia and dysphagia. Physical therapy was given for the hemiplegia. Dysphagia was resolved at the time of discharge

  1. 434.11, 342.90, V57.1
  2. 434.11, 342.90, 787.20
  3. 434.11, 342.90
  4. 434.11, 342.90, 787.20, V57.1

Answer(s): C



Patient is admitted to St. Mary's Hospital with hyperthermia, tachycardia, hypoxemia, and altered mental status. Urinalysis is positive for E. coli and blood cultures are negative. Patient
is immediately started on broad-spectrum IV antibiotics. Physician documents urosepsis as the final diagnosis. The coder should

  1. report 599.0 (UT!) and 041.4 (E. coli).
  2. report 038.42 (septicemia due to E. coli) and 995.91 (SIRS-sepsis).
  3. report 038.42 (septicemia due to E. cob), 599.0 (UTI) and 995.91 (SIRS-sepsis).
  4. confer with physician for reporting 038.9 (unspecified septicemia) based upon the clinical findings with 041.4 (E. coli) and 995.91 (SIRS-sepsis).

Answer(s): D



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