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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. What does a bullet in the CPT code book next to a code mean?
Removal - Excision - Resection
A new procedure or service since the previous edition.
Abdomen
False

2. colp/
Bacterial inflammatory skin disease with lesions - pustules and vesicles
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Vagina
Bursting forth blood

3. What is primary malignancy?
Fallopian tubes
Pain
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Lower Back

4. lact/
New
The bone is broken and pierces an organ.
Milk
Pain

5. -emia
Blood Condition
Small with irregular shapes (ie wrist and ankle)
1. Insurance Reform 2. Administrative Simplification
In the cause of injury - poisoning - accidents or other adverse effects.

6. What does a Surgical Package (aka Global Surgery) include?
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
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
To cut into

7. How many digits does an ICD-9 Subclassification code have?
4. (ex 311.0)
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
5. (ex 311.56)

8. -tomy
No.
Front part of the body.
To cut into
Upper Back

9. Medial
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Fibrous bands of ligaments
Middle of the body.
Surgical Repair

10. sub
Vulva
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Under
A change in the code description since the last edition.

11. -megaly
A new procedure or service since the previous edition.
Skin
Major skin pigment
Enlargement

12. enter/
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Discharge - Flow
Stone
Intestine

13. -pexy
Surgical Puncture
Movement away from the midline
Surgical Fixation
Bone that forms the wall between the nostrils

14. What is Carcinoma in situ?
Moving backward
Free moving joints that are surrounded by joint capsules.
Cancer that has localized and not spread at all.
To view

15. Cervical
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
A new procedure or service since the previous edition.
Neck Bones

16. Posterior/Dorsal
Moving forward
Below - deficient
False
Back part of the body.

17. How many digits does an ICD-9 Subcategory code have?
Slow
Cancer that has spread to a secondary site.
Shin
4. (ex 311.0)

18. -gram
Above
Far from the point of attachment of the trunk.
Record
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.

19. Distal
Turning Inward
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.
Lower arm bone in line with the thumb
Far from the point of attachment of the trunk.

20. -osis
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Reimbursement is sent directly from payer to the provider.
Abnormal condition

21. Who does TRICARE cover?
Active - retired - survivors and their families of the Armed Forces.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Side
Through

22. Metatarsal
Far from the point of attachment of the trunk.
Middle of the foot bone
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Opening

23. hepato/
Major skin pigment
Bursting forth blood
Liver
Separation - Breakdown

24. What does a triangle in the CPT book next to a code mean?
Movement away from the midline
A change in the code description since the last edition.
Fallopian tubes
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

25. ex
Between
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
4. (ex 311.0)
Out - out of

26. oophor
Wrist bones
Ovary
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
Through

27. Phalanges
Finger Bones
Treatment
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Shin

28. How long should Medical Records be retained?
Karatin
Hematopoietic tissue
Bursting forth blood
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

29. Radius
Lower arm bone in line with the thumb
Four
Side
Interior of the nose

30. neo
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
New
Standards of conduct based on moral principals.
Bone that forms the wall between the nostrils

31. Radius
Lower arm bone in line with the thumb
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.
Small with irregular shapes (ie wrist and ankle)
In the cause of injury - poisoning - accidents or other adverse effects.

32. -meter
To cut into
Standards of conduct based on moral principals.
Side
Measure

33. poly
Separation - Breakdown
Many
Karatin
Skull - Ribcage and Spine.

34. Zygoma
Lower medial arm bone
Surgical Puncture
Cheek Bone
Through

35. What hormones do the adrenal glands secrete?
Horizontal plane dividing the upper and lower parts of the body.
Lunula
Shin
Epinephrine and Steriods

36. endo
Within
Discharge - Flow
A break at the distal end of the bone - usually when someone tries to break their fall.
Ankle

37. When was the Health Information and Accountability Act (HIPAA) created?
Birth
In front of the temporal bones
1996
MM/DD/YY

38. lith/
Cartilage
Forms the roof of the nasal cavity
Stone
In the cause of injury - poisoning - accidents or other adverse effects.

39. Lumbar
Vagina
Forms the front part of the skull and the forehead.
Lower Jawbone
Lower Back

40. How many bones are in the spine?
Without
26
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Separation - Breakdown

41. How many regions is the spinal/vertebral column divided into?
Head
5
Toe Bones
The bone is crushed or shattered.

42. pre
To cut into
Visual Examination
Before - in front of
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.

43. What are the insides of bones comprised of?
The Axial Skeleton and the Appendicular Skeleton
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Many
Hematopoietic tissue

44. -stomy
Opening
Vertical plane dividing the body to the left and the right sides.
No.
Front part of the body.

45. Who developed HCPCs codes?
CMS
Treatment
Separation - Breakdown
Ankle

46. lith/
Stone
Blood Condition
Fibrous bands of ligaments
Treatment

47. para
Side
Before
Blood Condition
Beside

48. Protraction
Lunula
Milk
Moving forward
Against

49. per
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Upper Back
Through
3 (ex 311)

50. lact/
Treatment
Milk
Between
A change in the code description since the last edition.