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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.
Under
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
The bone is broken and pierces an organ.

2. Sacral
Far from the point of attachment of the trunk.
Sacrum
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Head

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

4. What does a triangle in the CPT book next to a code mean?
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Enlargement
Measure
A change in the code description since the last edition.

5. What are bursae?
Side
Middle of the body.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Skull - Ribcage and Spine.

6. colp/
4. (ex 311.0)
Upper Back
Vagina
Hematopoietic tissue

7. derm/
Skin
New
Birth
Forms the roof of the nasal cavity

8. What are the 2 types of glands on the skin?
New
Opening
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Slow

9. -scopy
Painful - difficult
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
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
To view

10. Vomer
Opening
Bone that forms the wall between the nostrils
Separation - Breakdown
A working diagnosis that has not yet been established.

11. What does a Surgical Package (aka Global Surgery) include?
Forms the back of the skull
CMS-1500
Upper Arm bone
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

12. Who developed HCPCs codes?
CMS-1500
CMS
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

13. Humerus
Upper Jawbone
Upper Arm bone
Four
Smaller - lateral leg bone

14. What are the two types of edits that the NCCI implements?
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.
Lunula
A working diagnosis that has not yet been established.
Hematopoietic tissue

15. -sclerosis
The Axial Skeleton and the Appendicular Skeleton
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Hardening
Inflammation

16. enter/
Below
Intestine
Inflammation
Forms the two lower sides of the cranium

17. When was the Health Information and Accountability Act (HIPAA) created?
Above
Sacrum
1996
Middle of the foot bone

18. epi
Against
Bone that forms the wall between the nostrils
Above
The bone is crushed or shattered.

19. Tarsal
Hind foot bone
Birth
Bones the palm of the hand
Forms the sides of the cranium

20. Phalanges
Far from the point of attachment of the trunk.
Finger Bones
Cancer that has spread to a secondary site.
Enlargement

21. brady
Slow
Structural protein found in skin and connective tissue.
Measure
Abnormal condition

22. Abduction
A pregnant woman who has had at least one pregnancy.
Movement away from the midline
Ovary
Beside

23. What is the Civil Monetary Penalties Law (CMPL)?
CMS
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
A law passed by the Federal Government to prosecute cases of Medicaid fraud.

24. What hormones do the adrenal glands secrete?
Above
Within
Epinephrine and Steriods
Mass

25. Retraction
Heart
Ovary
Abnormal condition
Moving backward

26. pseudo
False
Interior of the nose
Painful - difficult
Forms the two lower sides of the cranium

27. What is hair made of?
Cancer that has spread to a secondary site.
Karatin
Nose
Horizontal plane dividing the upper and lower parts of the body.

28. Protraction
Through
Surgical Puncture
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Moving forward

29. cephal/
Stone
Head
Far from the point of attachment of 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.

30. How many bones are in the spine?
Vagina
26
Little - scanty
Gall bladder

31. Anterior/Ventral
Front part of the body.
Below - deficient
Above
Strong - broad and have large surfaces for muscles to attach to.

32. oste/
Shin
Bone
Painful - difficult
Suture

33. salping/
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
Toe Bones
A new procedure or service since the previous edition.

34. -algia
Pain
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
MM/DD/YY
A working diagnosis that has not yet been established.

35. cephal/
Head
Nose
Skin
To view

36. What is Employer Liability?

37. lith/
Neck Bones
To view
Surgical Fixation
Stone

38. Gangrene
To cut into
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Cancer that has spread to a secondary site.
Death of tissue due to loss of blood supply

39. episi/
Osseous
Vulva
5
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

40. Malleolus
Shin
Upper roof of the mouth
Ankle
Mouth

41. Macule
Blood Condition
Uteris
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Discolored - flat lesion

42. Lacrimal Bones
Lower arm bone in line with the thumb
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
CMS
Bones at the corner of each eye that cradle the tearducts

43. What is a Comminuted Fracture?
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
The bone is crushed or shattered.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Treatment

44. pneum/
Cheek Bone
Upper Back
Shoulder - collar - pelvic - arms and legs.
Lung

45. pseudo
False
Between
Enlargement
Interior of the nose

46. How many digits does an ICD-9 Category code have?
3 (ex 311)
A pregnant woman who has had at least one pregnancy.
Under
4. (ex 311.0)

47. Frontal - Coronal
Karatin
Upper Arm bone
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Vertical plane dividing the body into Anterior and Posterior sections.

48. What are Medical Ethics?
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.
Heart
Front part of the body.
Standards of conduct based on moral principals.

49. Eversion
Far from the point of attachment of the trunk.
Before - in front of
Surgical Repair
Turning Outward

50. lapar/
Shoulder - collar - pelvic - arms and legs.
Abdomen
Side
Smaller - lateral leg bone