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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
A working diagnosis that has not yet been established.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Removal - Excision - Resection

2. anti
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
Forms the back of the skull
Bone that forms the wall between the nostrils
Against

3. cephal/
Far from the point of attachment of the trunk.
Bone that forms the wall between the nostrils
Noninvasive - non-spreading - nonmalignant.
Head

4. supra
The Axial Skeleton and the Appendicular Skeleton
Above
A pregnant woman who has had at least one pregnancy.
Uteris

5. Lipocyte
Death of tissue due to loss of blood supply
Lunula
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Fat cell

6. -megaly
Office of Inspector General (OIG)
Enlargement
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Hind foot bone

7. lact/
Office of Inspector General (OIG)
Milk
A change in the code description since the last edition.
Forms the roof of the nasal cavity

8. episi/
Little - scanty
Below
Horizontal plane dividing the upper and lower parts of the body.
Vulva

9. Long Bones
Strong - broad and have large surfaces for muscles to attach to.
Discharge - Flow
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
Head

10. What is the moon like white area at the base of the nail called?
Lunula
Uteris
Ovary
1996

11. Humerus
Cheek Bone
Upper Arm bone
Wrist bones
Milk

12. What hormones do the adrenal glands secrete?
Back part of the body.
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.
Epinephrine and Steriods
Uteris

13. Abduction
Movement away from the midline
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Vulva
Horizontal plane dividing the upper and lower parts of the body.

14. pre
Through
Before - in front of
Structural protein found in skin and connective tissue.
Muscle

15. What are the insides of bones comprised of?
Through
Strong - broad and have large surfaces for muscles to attach to.
Forms the back of the skull
Hematopoietic tissue

16. 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
26
Fibrous bands of ligaments
Standards of conduct based on moral principals.

17. What are the key components of E/M?
The Axial Skeleton and the Appendicular Skeleton
False
Hematopoietic tissue
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

18. Infra
A change in the code description since the last edition.
Karatin
Below
Noninvasive - non-spreading - nonmalignant.

19. What does a triangle in the CPT book next to a code mean?
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
1996
A change in the code description since the last edition.
Front part of the body.

20. inter
Within
Office of Inspector General (OIG)
Between
Far from the point of attachment of the trunk.

21. What are synovial joints?
Within
Fallopian tubes
Free moving joints that are surrounded by joint capsules.
Opening

22. Ethmoid Bone
Forms the roof of the nasal cavity
Liver
Lower Jawbone
Bones at the corner of each eye that cradle the tearducts

23. brady
Finger Bones
Before - in front of
Slow
Mass

24. Hypo
Vertical plane dividing the body to the left and the right sides.
Below - deficient
Bones the palm of the hand
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

25. salping/
Fallopian tubes
Between
Before - in front of
The bone is broken and pierces an organ.

26. Frontal Bone
All
Forms the front part of the skull and the forehead.
Below
Abdomen

27. -algia
Surgical Puncture
Forms the two lower sides of the cranium
Pain
Finger Bones

28. How many digits does an ICD-9 Subclassification code have?
5. (ex 311.56)
The bone is broken and pierces an organ.
Lower Jawbone
Lunula

29. What are the 5 regions of the spine?
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. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
A change in the code description since the last edition.
Turning the palm or foot upward

30. enter/
Intestine
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.
Without
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

31. cephal/
Head
Measure
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
In front of the temporal bones

32. What are bones made of?
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
Smaller - lateral leg bone
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.
Osseous

33. hemi
Half
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Abdomen
Little - scanty

34. -rrhaphy
Suture
Below
Out - out of
CMS-1500

35. How many volumes is the ICD-9 manual divided into?
Opening
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Movement away from the midline

36. Short Bones
Hematopoietic tissue
A change in the code description since the last edition.
Small with irregular shapes (ie wrist and ankle)
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

37. Tarsal
Milk
Active - retired - survivors and their families of the Armed Forces.
Hind foot bone
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.

38. ex
Out - out of
Death of tissue due to loss of blood supply
Under
Record

39. neo
A new procedure or service since the previous edition.
New
1. Insurance Reform 2. Administrative Simplification
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

40. What are bones connected together with?
Fallopian tubes
Hind foot bone
Fibrous bands of ligaments
Separation - Breakdown

41. -centisis
3 (ex 311)
Before - in front of
Skin
Surgical Puncture

42. Lacrimal Bones
Hematopoietic tissue
Bones at the corner of each eye that cradle the tearducts
Shin
Cancer that has spread to a secondary site.

43. Vesicle
Heart
Horizontal plane dividing the upper and lower parts of the body.
Small collection of clear fluid; blister
Cartilage

44. What does a triangle in the CPT book next to a code mean?
Free moving joints that are surrounded by joint capsules.
Coccyx (Tailbone)
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
A change in the code description since the last edition.

45. -therapy
A working diagnosis that has not yet been established.
Above
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
Treatment

46. cholecyst/
Stomach
Painful - difficult
26
Gall bladder

47. Macule
Many
The Axial Skeleton and the Appendicular Skeleton
Birth
Discolored - flat lesion

48. -pathy
Disease Condition
Ovary
Lower arm bone in line with the thumb
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

49. oophor
Ovary
Many
Muscle
Fat cell

50. arth/
Forms the roof of the nasal cavity
New
3 (ex 311)
Cartilage