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Medical Coding Basics

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. Zygoma
Small collection of clear fluid; blister
Cheek Bone
Nose
Lunula

2. Who developed HCPCs codes?
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
CMS
Back part of the body.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

3. Ethmoid Bone
Forms the roof of the nasal cavity
Bone
Muscle
Beside

4. hemi
CMS
Surgical Procedure Performed -Local infiltration/metatarsal/digit block/anesthesia -Pre-Op E/M services on day before surgery -Immediate Post-Op care -Normal - uncomplicated Post-Op care
Half
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

5. -scopy
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Abnormal condition
Visual Examination
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

6. Frontal Bone
Forms the front part of the skull and the forehead.
Beside
Surgical Repair
Bones at the corner of each eye that cradle the tearducts

7. What are the 3 layers of skin?
1. Column 1/ Column 2; identified unbundled codes.2. Mutually Exclusive Edits: Codes that are unlikely to be performed on the same patient in the same day.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Upper roof of the mouth
In front of the temporal bones

8. Lipocyte
1. The provider's usual charge for the service 2. The average charge of all the other providers in the same geographical area 3. The actual charge submitted on the claim The lowest amount is used as basis for the payment.
Fat cell
1. Column 1/ Column 2; identified unbundled codes.2. Mutually Exclusive Edits: Codes that are unlikely to be performed on the same patient in the same day.
Shin

9. What is Employee Liability Insurance?
Lower arm bone in line with the thumb
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
The Axial Skeleton and the Appendicular Skeleton
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

10. hemi
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Half
Stone
Lung

11. How is Usual - Customary and Reasonable pricing calculated?

12. lapar/
Abdomen
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Before - in front of
Bone that forms the wall between the nostrils

13. Hypo
Below - deficient
Surgical Puncture
Upper Back
Interior of the nose

14. neo
Vertical plane dividing the body to the left and the right sides.
Noninvasive - non-spreading - nonmalignant.
A working diagnosis that has not yet been established.
New

15. Lumbar
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Far from the point of attachment of the trunk.
Lower Back
Inflammation

16. -plasty
Discolored - flat lesion
1. The provider's usual charge for the service 2. The average charge of all the other providers in the same geographical area 3. The actual charge submitted on the claim The lowest amount is used as basis for the payment.
Fibrous bands of ligaments
Surgical Repair

17. myo/
Muscle
Lunula
Moving forward
1996

18. What is primary malignancy?
Bones the palm of the hand
Vagina
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Suture

19. colp/
Small collection of clear fluid; blister
Liver
Forms the sides of the cranium
Vagina

20. What is secondary malignancy?
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
3 (ex 311)
Finger Bones
Cancer that has spread to a secondary site.

21. What is the Axial Skeleton comprised of?
Skull - Ribcage and Spine.
Birth
CMS
Muscle

22. gloss/
When a person who is not sick/injured seeks health services for a specific thing (immunizations - organ donors) -When a person with a chronic condition presents for specific treatment of that condition (diabtetes) -When a circumstance influences the
Tongue
Shoulder - collar - pelvic - arms and legs.
False

23. -centisis
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Surgical Puncture
Removal - Excision - Resection
5

24. What is a Qualified Diagnosis
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Abnormal condition
A working diagnosis that has not yet been established.
4. (ex 311.0)

25. What are the 3 classifications of Hypertension?
Coccyx (Tailbone)
Surgical Repair
Forms the sides of the cranium
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

26. Melanin
Major skin pigment
Interior of the nose
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Abnormal condition

27. hyster/
Out - out of
Blood Condition
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Uteris

28. How many digits does an ICD-9 Category code have?
Four
Milk
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
3 (ex 311)

29. Abduction
Head
Four
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Movement away from the midline

30. enter/
Heart
Intestine
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

31. Transverse/Cross Sectional
Fallopian tubes
Lower medial arm bone
A pregnant woman who has had at least one pregnancy.
Horizontal plane dividing the upper and lower parts of the body.

32. oophor
Head
Ovary
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Death of tissue due to loss of blood supply

33. pre
Neck Bones
Before - in front of
Mass
Nose

34. What are synovial joints?
Free moving joints that are surrounded by joint capsules.
Cartilage
Smaller - lateral leg bone
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

35. -tomy
Bone
To cut into
Removal - Excision - Resection
Liver

36. What is in a Medical Record?
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Lower medial arm bone
CMS-1500
26

37. Infra
Bones the palm of the hand
Below
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Through

38. pneum/
Little - scanty
Skull - Ribcage and Spine.
Bones the palm of the hand
Lung

39. What are bursae?
Movement away from the midline
Major skin pigment
Without
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

40. Vesicle
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Small collection of clear fluid; blister
Lower medial arm bone

41. pneum/
Lung
Vertical plane dividing the body into Anterior and Posterior sections.
No.
Free moving joints that are surrounded by joint capsules.

42. inter
Between
Below - deficient
Toe Bones
Against

43. anti
Between
Against
Near the point of attachment to the trunk.
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

44. Collagen
Bones at the corner of each eye that cradle the tearducts
Structural protein found in skin and connective tissue.
1996
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

45. stomat/
Mouth
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Sacrum

46. What is hair made of?
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Bone
Many
Karatin

47. Vomer
Surgical Puncture
Death of tissue due to loss of blood supply
Bone that forms the wall between the nostrils
Treatment

48. What is Fiscal Intermediary?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Horizontal plane dividing the upper and lower parts of the body.
No.
Before - in front of

49. chondro/
Osseous
Smaller - lateral leg bone
Abnormal condition
Cartilage

50. What is Carcinoma in situ?
A working diagnosis that has not yet been established.
Upper Jawbone
Finger Bones
Cancer that has localized and not spread at all.