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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. -therapy
Treatment
To cut into
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.
Forms the front part of the skull and the forehead.

2. anti
Against
Fat cell
Muscle
Active - retired - survivors and their families of the Armed Forces.

3. derm/
Skin
Far from the point of attachment of the trunk.
Interior of the nose
Without

4. Lateral
In the cause of injury - poisoning - accidents or other adverse effects.
5. (ex 311.56)
Small with irregular shapes (ie wrist and ankle)
Side

5. -stomy
Discharge - Flow
Interior of the nose
Cheek Bone
Opening

6. ex
Gall bladder
Wrist bones
Out - out of
Office of Inspector General (OIG)

7. Flat Bones
Under
Surgical Repair
Head
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)

8. Occipital Bone
The bone is broken and pierces an organ.
Forms the back of the skull
Separation - Breakdown
Osseous

9. -emia
Above
Blood Condition
New
Skull - Ribcage and Spine.

10. Metatarsal
Bones at the corner of each eye that cradle the tearducts
Middle of the foot bone
Blood Condition
Against

11. supra
Slow
Above
Surgical Repair
Small collection of clear fluid; blister

12. oste/
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
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 fractured area of the bone collapses on itself.
Bone

13. -oma
Within
False
Forms the roof of the nasal cavity
Mass

14. What are the 3 layers of skin?
Turning Inward
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Removal - Excision - Resection
Lung

15. Frontal Bone
Death of tissue due to loss of blood supply
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Before
Forms the front part of the skull and the forehead.

16. What are the two types of edits that the NCCI implements?
1996
Hematopoietic tissue
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.
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

17. hyster/
Above
Record
Osseous
Uteris

18. What is the Appendicular Skeleton comprised of?
Lower Jawbone
Shoulder - collar - pelvic - arms and legs.
Near the point of attachment to the trunk.
New

19. para
Beside
Little - scanty
Painful - difficult
Reimbursement is sent directly from payer to the provider.

20. ex
Reimbursement is sent directly from payer to the provider.
Out - out of
Measure
Middle of the foot bone

21. Gangrene
Death of tissue due to loss of blood supply
Forms the front part of the skull and the forehead.
Coccyx (Tailbone)
Many

22. What is a Comminuted Fracture?
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.
Slow
The bone is crushed or shattered.
26

23. Distal
Abnormal condition
Far from the point of attachment of the trunk.
Smaller - lateral leg bone
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

24. oglio
Standards of conduct based on moral principals.
Ankle
Half
Little - scanty

25. -algia
Birth
Pain
The Axial Skeleton and the Appendicular Skeleton
Heart

26. -meter
Measure
Half
Near the point of attachment to the trunk.
Skull - Ribcage and Spine.

27. -itis
Inflammation
5. (ex 311.56)
Coccyx (Tailbone)
Below

28. 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
Noninvasive - non-spreading - nonmalignant.
Bones at the corner of each eye that cradle the tearducts
Half

29. -pexy
Surgical Fixation
Back part of the body.
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
A change in the code description since the last edition.

30. chondro/
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
Bone

31. brady
Record
Visual Examination
Slow
Front part of the body.

32. Lumbar
Lower Back
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Upper Arm bone
A break at the distal end of the bone - usually when someone tries to break their fall.

33. What are synovial joints?
Bones the palm of the hand
4. (ex 311.0)
Free moving joints that are surrounded by joint capsules.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

34. Carpals
Wrist bones
In front of the temporal bones
Skull - Ribcage and Spine.
Small collection of clear fluid; blister

35. myo/
Before
Muscle
Bursting forth blood
Hind foot bone

36. What is secondary malignancy?
Cancer that has spread to a secondary site.
Disease Condition
Heart
Nose

37. -rrhagia
Bones the palm of the hand
Middle of the foot bone
Bursting forth blood
Structural protein found in skin and connective tissue.

38. What are bones made of?
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
Turning Inward
Osseous
1996

39. What is the name of the claim form that is standard for submitting claims?
Osseous
Turning Outward
Lower medial arm bone
CMS-1500

40. -algia
Inflammation
CMS
Strong - broad and have large surfaces for muscles to attach to.
Pain

41. Eversion
Forms the sides of the cranium
Smaller - lateral leg bone
Turning Outward
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

42. Impetigo
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Milk
Bone that forms the wall between the nostrils

43. What does a bullet in the CPT code book next to a code mean?
A new procedure or service since the previous edition.
Enlargement
Through
Liver

44. Adduction
1. Insurance Reform 2. Administrative Simplification
Surgical Fixation
Movement toward the midline
Mass

45. neo
New
Stone
Back part of the body.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

46. -lysis
5. (ex 311.56)
Surgical Fixation
Measure
Separation - Breakdown

47. Inferior nasal conchae
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
Interior of the nose
A working diagnosis that has not yet been established.
Hardening

48. lact/
Small with irregular shapes (ie wrist and ankle)
Cartilage
Surgical Puncture
Milk

49. Long Bones
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
Strong - broad and have large surfaces for muscles to attach to.
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.
Sacrum

50. What are the two provisions of HIPPA?
1. Insurance Reform 2. Administrative Simplification
Enlargement
Disease Condition
Slow