Test your basic knowledge |

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. How many digits does an ICD-9 Category code have?
Under
CMS
3 (ex 311)
Half

2. Multigravida
Lunula
A pregnant woman who has had at least one pregnancy.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Skin

3. Zygoma
Interior of the nose
Vertical plane dividing the body into Anterior and Posterior sections.
Lower Back
Cheek Bone

4. What are the insides of bones comprised of?
Hematopoietic tissue
Sacrum
Pain
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.

5. hepato/
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
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
Discharge - Flow
Liver

6. -lysis
Separation - Breakdown
In front of the temporal bones
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
To view

7. hin/
In front of the temporal bones
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Head
Nose

8. What are the 2 types of glands on the skin?
The bone is crushed or shattered.
Vagina
Breast
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands

9. Maxilla
Slow
Many
A new procedure or service since the previous edition.
Upper Jawbone

10. How many digits does an ICD-9 Subcategory code have?
4. (ex 311.0)
Skull - Ribcage and Spine.
Painful - difficult
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

11. What are the two types of edits that the NCCI implements?
Karatin
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.
The Axial Skeleton and the Appendicular Skeleton
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

12. -osis
Fat cell
Abnormal condition
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
MM/DD/YY

13. epi
Neck Bones
Above
Office of Inspector General (OIG)
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

14. How is Medicare's RBRVS calculated?
1. The amount of time - intensity of effort and medical skill required for the service 2.Overhead; the practice costs related to performing the service 3. Cost of Medical Malpractice insurance
Absence of hair
New
Forms the roof of the nasal cavity

15. What is in a Medical Record?
Interior of the nose
5. (ex 311.56)
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

16. When was the Health Information and Accountability Act (HIPAA) created?
Many
1996
Structural protein found in skin and connective tissue.
Many

17. Flat Bones
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Between
Before - in front of
A new procedure or service since the previous edition.

18. mast/
Breast
Osseous
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Milk

19. What is Benign?
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Noninvasive - non-spreading - nonmalignant.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
New

20. -sclerosis
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Hardening
Cancer that has localized and not spread at all.
Removal - Excision - Resection

21. What is secondary malignancy?
Suture
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Cancer that has spread to a secondary site.
Movement toward the midline

22. Wheal
Hind foot bone
Head
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

23. What is Carcinoma in situ?
Cancer that has localized and not spread at all.
Hematopoietic tissue
MM/DD/YY
Vagina

24. Coccygeal
The fractured area of the bone collapses on itself.
Little - scanty
Coccyx (Tailbone)
Hardening

25. -centisis
A break at the distal end of the bone - usually when someone tries to break their fall.
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Surgical Puncture
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

26. How are bones categorized?
The Axial Skeleton and the Appendicular Skeleton
Finger Bones
Intestine
Turning the palm or foot upward

27. -scopy
4. (ex 311.0)
Visual Examination
Upper roof of the mouth
Painful - difficult

28. What are the two provisions of HIPPA?
Movement away from the midline
1. Insurance Reform 2. Administrative Simplification
Middle of the foot bone
Bacterial inflammatory skin disease with lesions - pustules and vesicles

29. oophor
Stone
Muscle
Ovary
Skull - Ribcage and Spine.

30. Carpals
Bursting forth blood
Wrist bones
Lunula
Bones at the corner of each eye that cradle the tearducts

31. What are the 2 types of sweat glands?
Cancer that has localized and not spread at all.
Small with irregular shapes (ie wrist and ankle)
Fat cell
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)

32. How many bones are in the spine?
Abnormal condition
26
Osseous
Nose

33. What is secondary malignancy?
Skull - Ribcage and Spine.
To cut into
Cancer that has spread to a secondary site.
Above

34. Humerus
Upper Arm bone
New
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.
Below - deficient

35. Metacarpals
1. Insurance Reform 2. Administrative Simplification
Bones the palm of the hand
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
5

36. Hypo
CMS
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Below - deficient

37. hemi
Half
Treatment
Milk
The bone is broken and pierces an organ.

38. Who developed HCPCs codes?
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Blood Condition
CMS
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

39. pneum/
Above
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Lung
Forms the sides of the cranium

40. Thoracic
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Standards of conduct based on moral principals.
Upper Back
Bone that forms the wall between the nostrils

41. colp/
Vagina
Visual Examination
Forms the sides of the cranium
MM/DD/YY

42. -meter
Before - in front of
Vagina
Above
Measure

43. -pathy
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.
Disease Condition
Back part of the body.
Between

44. arth/
Cartilage
Finger Bones
Forms the sides of the cranium
Movement toward the midline

45. What is primary malignancy?
Coccyx (Tailbone)
Movement away from the midline
Within
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

46. pneum/
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Lung
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Toe Bones

47. -therapy
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.
Treatment
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Beside

48. colp/
Vagina
In the cause of injury - poisoning - accidents or other adverse effects.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Through

49. How many digits does an ICD-9 Subclassification code have?
Toe Bones
A break at the distal end of the bone - usually when someone tries to break their fall.
5. (ex 311.56)
Below - deficient

50. tetra
MM/DD/YY
Suture
Four
Lunula