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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. Sesamoid Bones
Horizontal plane dividing the upper and lower parts of the body.
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Before - in front of
Osseous

2. gastro/
Stomach
Record
Before
Disease Condition

3. When are E codes used?
Active - retired - survivors and their families of the Armed Forces.
Hind foot bone
In the cause of injury - poisoning - accidents or other adverse effects.
Blood Condition

4. Lacrimal Bones
Shoulder - collar - pelvic - arms and legs.
Bones at the corner of each eye that cradle the tearducts
Bones the palm of the hand
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

5. -itis
Liver
Inflammation
Side
Major skin pigment

6. Tarsal
Lunula
Hind foot bone
Moving forward
Shin

7. -osis
Turning Inward
Abnormal condition
1. Insurance Reform 2. Administrative Simplification
Stone

8. -oma
Treatment
Surgical Puncture
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Mass

9. Who developed HCPCs codes?
CMS
A working diagnosis that has not yet been established.
Heart
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

10. para
Beside
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Enlargement
Lung

11. Lumbar
Lower Back
The bone is crushed or shattered.
Before - in front of
A change in the code description since the last edition.

12. Maxilla
Upper Jawbone
Intestine
Gall bladder
Karatin

13. What are bones connected together with?
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Major skin pigment
Far from the point of attachment of the trunk.
Fibrous bands of ligaments

14. What does a triangle in the CPT book next to a code mean?
Separation - Breakdown
Moving backward
A change in the code description since the last edition.
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

15. What is CHAMPVA
Discharge - Flow
To cut into
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Tongue

16. How many volumes is the ICD-9 manual divided into?
Liver
Forms the back of the skull
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

17. Ethmoid Bone
Blood Condition
Osseous
Forms the roof of the nasal cavity
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.

18. ante
Before
No.
Sacrum
Many

19. -rrhaphy
Major skin pigment
Suture
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

20. Metatarsal
Abdomen
Coccyx (Tailbone)
Pain
Middle of the foot bone

21. Can you have TRICARE and CHAMPVA at the same time?
Lung
A working diagnosis that has not yet been established.
No.
5. (ex 311.56)

22. Palatine Bones
Stomach
Cartilage
Upper roof of the mouth
Forms the two lower sides of the cranium

23. What is Assignment of Benefits?
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Reimbursement is sent directly from payer to the provider.
Record
Death of tissue due to loss of blood supply

24. What are the 3 classifications of Hypertension?
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
In the cause of injury - poisoning - accidents or other adverse effects.
Inflammation
Lower medial arm bone

25. salping/
Toe Bones
Karatin
Fallopian tubes
Record

26. Metacarpals
Bones the palm of the hand
Finger Bones
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

27. tetra
Slow
Standards of conduct based on moral principals.
Four
Suture

28. -ectomy
Removal - Excision - Resection
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Coccyx (Tailbone)
Without

29. anti
Against
In front of the temporal bones
1996
The bone is broken and pierces an organ.

30. How many digits does an ICD-9 Subclassification code have?
Above
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
5. (ex 311.56)
Turning Inward

31. -gram
Hardening
Record
Major skin pigment
Before - in front of

32. -sclerosis
Suture
Above
Heart
Hardening

33. What is hair made of?
Karatin
Mass
Hematopoietic tissue
Above

34. -rrhea
The fractured area of the bone collapses on itself.
Removal - Excision - Resection
Discharge - Flow
Vertical plane dividing the body into Anterior and Posterior sections.

35. What is a Complicated Fracture?
The bone is broken and pierces an organ.
Removal - Excision - Resection
1. Insurance Reform 2. Administrative Simplification
Near the point of attachment to the trunk.

36. What is primary malignancy?
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Surgical Puncture
Disease Condition
Above

37. Ethmoid Bone
Forms the roof of the nasal cavity
In front of the temporal bones
1996
Discolored - flat lesion

38. epi
In the cause of injury - poisoning - accidents or other adverse effects.
Above
Removal - Excision - Resection
Below - deficient

39. Hypo
Below - deficient
Side
Abnormal condition
To cut into

40. -centisis
Head
Vertical plane dividing the body to the left and the right sides.
Surgical Puncture
Gall bladder

41. What are bones made of?
Reimbursement is sent directly from payer to the provider.
Osseous
Toe Bones
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

42. What are bones made of?
Discolored - flat lesion
Surgical Repair
Cancer that has localized and not spread at all.
Osseous

43. What are the insides of bones comprised of?
Lower medial arm bone
Lower Back
Hematopoietic tissue
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

44. How many digits does an ICD-9 Subcategory code have?
Measure
Moving forward
4. (ex 311.0)
Bone

45. Metacarpals
Bones the palm of the hand
Hind foot bone
Against
Upper roof of the mouth

46. -oma
Side
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Forms the sides of the cranium
Mass

47. What is the Civil Monetary Penalties Law (CMPL)?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Forms the two lower sides of the cranium
Disease Condition
In front of the temporal bones

48. What does a Surgical Package (aka Global Surgery) include?
Absence of hair
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
Forms the roof of the nasal cavity
Free moving joints that are surrounded by joint capsules.

49. ante
Before
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Movement away from the midline

50. hin/
All
5
Upper Jawbone
Nose