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Medical Coding Basics

Instructions:

Answer 50 questions in 15 minutes.
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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 Subclassification code have?
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
5. (ex 311.56)
Major skin pigment

2. Coccygeal
Cheek Bone
Karatin
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
Coccyx (Tailbone)

3. Alopecia
Above
Standards of conduct based on moral principals.
Absence of hair
A change in the code description since the last edition.

4. Alopecia
Enlargement
Surgical Fixation
Moving backward
Absence of hair

5. cholecyst/
Fat cell
Gall bladder
Nose
Blood Condition

6. What is the Axial Skeleton comprised of?
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
A new procedure or service since the previous edition.
Skull - Ribcage and Spine.
The bone is broken and pierces an organ.

7. arth/
Slow
Cartilage
Within
Vagina

8. supra
Out - out of
Discharge - Flow
To view
Above

9. What is hair made of?
Karatin
Stone
A working diagnosis that has not yet been established.
Vertical plane dividing the body into Anterior and Posterior sections.

10. Carpals
Wrist bones
Above
Small collection of clear fluid; blister
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

11. Metacarpals
Stomach
Out - out of
Bones the palm of the hand
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

12. Vesicle
Toe Bones
Small collection of clear fluid; blister
Stone
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

13. derm/
Head
Skin
1. Insurance Reform 2. Administrative Simplification
Half

14. What are the 3 classifications of Hypertension?
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
The bone is broken and pierces an organ.
Osseous
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

15. How many volumes is the ICD-9 manual divided into?
Cartilage
Near the point of attachment to the trunk.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Front part of the body.

16. -oma
Cancer that has spread to a secondary site.
Mass
Removal - Excision - Resection
Lower Back

17. pre
To cut into
Before - in front of
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.
Vertical plane dividing the body to the left and the right sides.

18. What are bones made of?
Enlargement
Hind foot bone
Osseous
Far from the point of attachment of the trunk.

19. Eversion
Breast
Turning Outward
Ankle
Small collection of clear fluid; blister

20. What are bones made of?
Turning the palm or foot upward
Osseous
Before
Upper Back

21. Posterior/Dorsal
Bones the palm of the hand
Back part of the body.
Visual Examination
Cancer that has localized and not spread at all.

22. -pexy
Cartilage
Surgical Fixation
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Standards of conduct based on moral principals.

23. hepato/
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
1996
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Liver

24. Phalanges
The bone is broken and pierces an organ.
Finger Bones
Ovary
Movement away from the midline

25. How many digits does an ICD-9 Category code have?
Reimbursement is sent directly from payer to the provider.
3 (ex 311)
Forms the two lower sides of the cranium
Upper Back

26. Melanin
1996
Major skin pigment
Gall bladder
Mass

27. oophor
Ovary
CMS
Movement toward the midline
Major skin pigment

28. Radius
Lower arm bone in line with the thumb
Lower Jawbone
The bone is broken and pierces an organ.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

29. Palatine Bones
Vagina
Mouth
Upper roof of the mouth
Office of Inspector General (OIG)

30. Can you have TRICARE and CHAMPVA at the same time?
26
No.
False
Through

31. Infra
Lower arm bone in line with the thumb
Below
Turning Inward
Little - scanty

32. What are the 3 layers of skin?
Suture
Movement toward the midline
A new procedure or service since the previous edition.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

33. Thoracic
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Upper Back
Above
Side

34. Adduction
1996
A break at the distal end of the bone - usually when someone tries to break their fall.
Bone
Movement toward the midline

35. epi
Hind foot bone
In the cause of injury - poisoning - accidents or other adverse effects.
Inflammation
Above

36. -pexy
Smaller - lateral leg bone
Tongue
Surgical Fixation
Separation - Breakdown

37. What does a bullet in the CPT code book next to a code mean?
Nose
Discolored - flat lesion
A new procedure or service since the previous edition.
Cheek Bone

38. pre
A working diagnosis that has not yet been established.
Before - in front of
Interior of the nose
Disease Condition

39. -tomy
Many
The bone is crushed or shattered.
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.

40. -scopy
In front of the temporal bones
Small collection of clear fluid; blister
Visual Examination
Side

41. Frontal Bone
Forms the front part of the skull and the forehead.
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
Breast
Hind foot bone

42. How many bones are in the spine?
Hematopoietic tissue
Smaller - lateral leg bone
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
26

43. episi/
Shoulder - collar - pelvic - arms and legs.
Vulva
Above
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

44. Wheal
26
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
5
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin

45. chondro/
Cartilage
Turning the palm or foot upward
Movement away from the midline
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

46. What is CHAMPVA
Middle of the foot bone
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Slow

47. Anterior/Ventral
Front part of the body.
Finger Bones
Movement toward the midline
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

48. How many regions is the spinal/vertebral column divided into?
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Beside
5
Fibrous bands of ligaments

49. How many bones are in the spine?
Forms the two lower sides of the cranium
Shin
26
Skin

50. Sphenoid Bones
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
Mass
In front of the temporal bones
Wrist bones