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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. ex
Out - out of
All
A pregnant woman who has had at least one pregnancy.
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

2. What is primary malignancy?
A change in the code description since the last edition.
5. (ex 311.56)
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
A break at the distal end of the bone - usually when someone tries to break their fall.

3. What are the key components of E/M?
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Lower medial arm bone
Cartilage
Measure

4. What is a Comminuted Fracture?
Noninvasive - non-spreading - nonmalignant.
Within
Vertical plane dividing the body to the left and the right sides.
The bone is crushed or shattered.

5. endo
Horizontal plane dividing the upper and lower parts of the body.
Beside
Turning Inward
Within

6. -pexy
Upper roof of the mouth
Surgical Fixation
Movement toward the midline
5. (ex 311.56)

7. Ethmoid Bone
Turning the palm or foot upward
Within
Forms the roof of the nasal cavity
Below - deficient

8. Radius
Heart
Fat cell
Visual Examination
Lower arm bone in line with the thumb

9. Retraction
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Moving backward
Upper Arm bone
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

10. -pathy
To view
Moving forward
Milk
Disease Condition

11. Abduction
Suture
Disease Condition
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Movement away from the midline

12. Frontal - Coronal
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Upper Arm bone
Under
Vertical plane dividing the body into Anterior and Posterior sections.

13. Collagen
Muscle
Middle of the foot 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
Structural protein found in skin and connective tissue.

14. pan
Movement toward the midline
5
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.
All

15. -stomy
Smaller - lateral leg bone
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Opening

16. When was the Health Information and Accountability Act (HIPAA) created?
Upper Arm bone
Opening
Below - deficient
1996

17. arth/
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Reimbursement is sent directly from payer to the provider.
Cartilage
Inflammation

18. Hypo
Below - deficient
Heart
Vagina
Record

19. hyster/
Abnormal condition
Turning Outward
Uteris
Death of tissue due to loss of blood supply

20. Short Bones
Vulva
In the cause of injury - poisoning - accidents or other adverse effects.
Small with irregular shapes (ie wrist and ankle)
No.

21. What is the Axial Skeleton comprised of?
Cancer that has spread to a secondary site.
Skull - Ribcage and Spine.
Slow
Front part of the body.

22. What is Employee Liability Insurance?
5. (ex 311.56)
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Neck Bones
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

23. Zygoma
Moving forward
A change in the code description since the last edition.
CMS-1500
Cheek Bone

24. Sagittal
Hematopoietic tissue
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Vertical plane dividing the body to the left and the right sides.
Toe Bones

25. -lysis
Moving backward
Separation - Breakdown
Below
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

26. What is CHAMPVA
Enlargement
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
The bone is crushed or shattered.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

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

28. What is the Civil Monetary Penalties Law (CMPL)?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Blood Condition
A change in the code description since the last edition.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

29. 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
CMS-1500
The bone is crushed or shattered.
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

30. -pexy
Ankle
Abdomen
Finger Bones
Surgical Fixation

31. Flat Bones
Forms the front part of the skull and the forehead.
Against
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
A break at the distal end of the bone - usually when someone tries to break their fall.

32. How many regions is the spinal/vertebral column divided into?
Skull - Ribcage and Spine.
5
Treatment
Skull - Ribcage and Spine.

33. gloss/
Shin
Bones the palm of the hand
Abdomen
Tongue

34. -scopy
Visual Examination
Discolored - flat lesion
Moving backward
Turning the palm or foot upward

35. sub
Vertical plane dividing the body into Anterior and Posterior sections.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Under
Breast

36. Sesamoid Bones
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Little - scanty
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Shin

37. -sclerosis
MM/DD/YY
Hardening
Lower arm bone in line with the thumb
Front part of the body.

38. stomat/
To view
Mouth
Lower arm bone in line with the thumb
Between

39. cephal/
Head
Upper roof of the mouth
To view
Breast

40. Phalanx
Toe Bones
Hardening
Above
The bone is broken and pierces an organ.

41. What does a bullet in the CPT code book next to a code mean?
A new procedure or service since the previous edition.
Vertical plane dividing the body into Anterior and Posterior sections.
Fibrous bands of ligaments
Office of Inspector General (OIG)

42. What is hair made of?
Major skin pigment
Karatin
Four
Noninvasive - non-spreading - nonmalignant.

43. How many volumes is the ICD-9 manual divided into?
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Bone
Shin
Measure

44. How many digits does an ICD-9 Subcategory code have?
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
Stomach
Birth
4. (ex 311.0)

45. Frontal Bone
Lower Jawbone
Bacterial inflammatory skin disease with lesions - pustules and vesicles
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Forms the front part of the skull and the forehead.

46. Who developed HCPCs codes?
Milk
4. (ex 311.0)
CMS
Forms the sides of the cranium

47. What is the name of the claim form that is standard for submitting claims?
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Vertical plane dividing the body to the left and the right sides.
Side
CMS-1500

48. Lumbar
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.
Gall bladder
Before
Lower Back

49. What are the 5 regions of the spine?
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
To cut into
Sacrum
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

50. Tarsal
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Opening
Active - retired - survivors and their families of the Armed Forces.
Hind foot bone