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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. Collagen
Structural protein found in skin and connective tissue.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Smaller - lateral leg bone
Four

2. Posterior/Dorsal
Painful - difficult
Back part of the body.
Turning the palm or foot upward
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

3. Melanin
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.
Turning Inward
Hardening
Major skin pigment

4. Inversion
Enlargement
Turning Inward
MM/DD/YY
Interior of the nose

5. When are V codes used?
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
Birth
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Skull - Ribcage and Spine.

6. pan
All
Disease Condition
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
Vagina

7. nat/
Wrist bones
1996
Birth
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

8. Frontal Bone
Upper roof of the mouth
No.
Forms the front part of the skull and the forehead.
Abdomen

9. stomat/
Mouth
Half
Structural protein found in skin and connective tissue.
Turning Outward

10. tetra
Lower Jawbone
Four
Hematopoietic tissue
CMS

11. Transverse/Cross Sectional
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Horizontal plane dividing the upper and lower parts of the body.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Vertical plane dividing the body into Anterior and Posterior sections.

12. Vesicle
Small collection of clear fluid; blister
Before - in front of
Bacterial inflammatory skin disease with lesions - pustules and vesicles
To view

13. cardi/
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Heart
Mass
Far from the point of attachment of the trunk.

14. Ulna
Forms the front part of the skull and the forehead.
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Lower medial arm bone
Shin

15. What are bones connected together with?
Vulva
Abnormal condition
Hematopoietic tissue
Fibrous bands of ligaments

16. What is primary malignancy?
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
1. Insurance Reform 2. Administrative Simplification
Noninvasive - non-spreading - nonmalignant.
Turning Inward

17. Malleolus
Cartilage
Cancer that has spread to a secondary site.
Major skin pigment
Ankle

18. Inferior nasal conchae
Interior of the nose
Intestine
Upper Arm bone
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

19. pre
Epinephrine and Steriods
Before - in front of
Osseous
Before

20. What is a Comminuted Fracture?
Vulva
Vertical plane dividing the body to the left and the right sides.
Coccyx (Tailbone)
The bone is crushed or shattered.

21. lapar/
Discolored - flat lesion
Abdomen
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Under

22. What is the Appendicular Skeleton comprised of?
Hardening
Reimbursement is sent directly from payer to the provider.
Shoulder - collar - pelvic - arms and legs.
Suture

23. What are the 3 layers of skin?
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Enlargement
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Discharge - Flow

24. What is Benign?
Ankle
Before
Structural protein found in skin and connective tissue.
Noninvasive - non-spreading - nonmalignant.

25. Protraction
Fat cell
Cancer that has localized and not spread at all.
Moving forward
Vertical plane dividing the body into Anterior and Posterior sections.

26. -emia
Standards of conduct based on moral principals.
Uteris
Blood Condition
Liver

27. What is Assignment of Benefits?
Reimbursement is sent directly from payer to the provider.
Neck Bones
Skin
Under

28. Can you have TRICARE and CHAMPVA at the same time?
Major skin pigment
No.
Upper roof of the mouth
Visual Examination

29. What is Carcinoma in situ?
Back part of the body.
New
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
Cancer that has localized and not spread at all.

30. What is a Colles Fracture?
Hardening
A break at the distal end of the bone - usually when someone tries to break their fall.
The Axial Skeleton and the Appendicular Skeleton
False

31. -oma
Free moving joints that are surrounded by joint capsules.
Forms the back of the skull
Hind foot bone
Mass

32. -stomy
Without
Bone
Disease Condition
Opening

33. arth/
CMS-1500
Cartilage
Little - scanty
4. (ex 311.0)

34. derm/
Skin
Visual Examination
Upper Arm bone
Below - deficient

35. Sagittal
Small collection of clear fluid; blister
Vertical plane dividing the body to the left and the right sides.
Vagina
Cancer that has spread to a secondary site.

36. Who developed HCPCs codes?
Pain
Forms the sides of the cranium
Middle of the body.
CMS

37. Sesamoid Bones
Bone
A new procedure or service since the previous edition.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

38. What are the key components of E/M?
Measure
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Front part of the body.
The bone is crushed or shattered.

39. enter/
Intestine
Front part of the body.
Cancer that has spread to a secondary site.
Above

40. supra
Above
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
26
Neck Bones

41. How many volumes is the ICD-9 manual divided into?
Shoulder - collar - pelvic - arms and legs.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Discolored - flat lesion
False

42. Anterior/Ventral
Front part of the body.
New
1. For treatment (discussing the case with another professional)2.Payment (When providers submit claims on the patient's behalf).3. Operations: Staff training and Quality Improvement.
1996

43. -megaly
Upper Back
In the cause of injury - poisoning - accidents or other adverse effects.
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
Enlargement

44. Sagittal
Vertical plane dividing the body to the left and the right sides.
To view
Skin
Movement toward the midline

45. What is the Appendicular Skeleton comprised of?
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Intestine
Shoulder - collar - pelvic - arms and legs.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

46. Maxilla
Osseous
Small collection of clear fluid; blister
Finger Bones
Upper Jawbone

47. -emia
Cheek Bone
Blood Condition
To cut into
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.

48. Thoracic
Upper Back
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Hind foot bone

49. What are bones made of?
Mass
Moving backward
Fibrous bands of ligaments
Osseous

50. cardi/
Interior of the nose
Fallopian tubes
Heart
Painful - difficult