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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. lact/
Many
Milk
Epinephrine and Steriods
Bones the palm of the hand

2. Long Bones
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Strong - broad and have large surfaces for muscles to attach to.
5. (ex 311.56)
Abnormal condition

3. Humerus
Lower Jawbone
Skull - Ribcage and Spine.
Upper Arm bone
Lower Back

4. Tibia
To view
Cartilage
Finger Bones
Shin

5. Parietal Bones
Forms the sides of the cranium
Ovary
Beside
Reimbursement is sent directly from payer to the provider.

6. Transverse/Cross Sectional
A change in the code description since the last edition.
Horizontal plane dividing the upper and lower parts of the body.
Death of tissue due to loss of blood supply
Bones the palm of the hand

7. What does a bullet in the CPT code book next to a code mean?
Bone that forms the wall between the nostrils
Small with irregular shapes (ie wrist and ankle)
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
A new procedure or service since the previous edition.

8. What does a triangle in the CPT book next to a code mean?
No.
A change in the code description since the last edition.
The fractured area of the bone collapses on itself.
Vertical plane dividing the body into Anterior and Posterior sections.

9. Protraction
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Mass
Moving forward
Bursting forth blood

10. Distal
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Within
Record
Far from the point of attachment of the trunk.

11. Sesamoid Bones
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Out - out of
Bursting forth blood
Opening

12. Coccygeal
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Epinephrine and Steriods
Coccyx (Tailbone)
Near the point of attachment to the trunk.

13. Wheal
Smaller - lateral leg bone
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
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
CMS-1500

14. What is the name of the claim form that is standard for submitting claims?
Through
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
CMS-1500

15. What are Medical Ethics?
Standards of conduct based on moral principals.
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
Many
Abdomen

16. How many bones are in the spine?
Abdomen
26
Discharge - Flow
A break at the distal end of the bone - usually when someone tries to break their fall.

17. arth/
Under
Cartilage
Forms the front part of the skull and the forehead.
Milk

18. tetra
1996
4. (ex 311.0)
Four
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

19. -pexy
Fat cell
False
Office of Inspector General (OIG)
Surgical Fixation

20. oste/
Hind foot bone
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Bone
Hematopoietic tissue

21. lapar/
Abdomen
Record
Lower Jawbone
Neck Bones

22. What is Carcinoma in situ?
Birth
Cancer that has localized and not spread at all.
CMS
Vertical plane dividing the body to the left and the right sides.

23. pneum/
Removal - Excision - Resection
Bone that forms the wall between the nostrils
Lung
Bones at the corner of each eye that cradle the tearducts

24. How are bones categorized?
The Axial Skeleton and the Appendicular Skeleton
Vulva
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
To cut into

25. anti
Above
Against
Bone
Breast

26. Abduction
Movement away from the midline
Free moving joints that are surrounded by joint capsules.
Pain
Ovary

27. What are the 3 layers of skin?
Four
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Fibrous bands of ligaments
Moving backward

28. How is Usual - Customary and Reasonable pricing calculated?

29. cephal/
Head
Moving forward
Above
Surgical Fixation

30. -sclerosis
Middle of the body.
Hardening
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Within

31. -rrhaphy
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Suture
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Ovary

32. -megaly
Enlargement
Moving backward
Movement away from the midline
3 (ex 311)

33. Lateral
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Through
In front of the temporal bones
Side

34. What is primary malignancy?
Upper Back
Abnormal condition
Skull - Ribcage and Spine.
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

35. Vesicle
Little - scanty
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.
Small collection of clear fluid; blister
Bursting forth blood

36. Phalanx
Half
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Toe Bones

37. -rrhagia
Above
Movement away from the midline
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Bursting forth blood

38. What is a Colles Fracture?
5. (ex 311.56)
Gall bladder
Neck Bones
A break at the distal end of the bone - usually when someone tries to break their fall.

39. When can a provider share PHI without specific permission from the patient?

40. derm/
Above
1996
Skin
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

41. Parietal Bones
Discolored - flat lesion
Above
Lung
Forms the sides of the cranium

42. Eversion
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Moving backward
Mass
Turning Outward

43. Carpals
Wrist bones
5
The bone is crushed or shattered.
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

44. Coccygeal
Breast
Lunula
1. Insurance Reform 2. Administrative Simplification
Coccyx (Tailbone)

45. When can a provider share PHI without specific permission from the patient?

46. What is the moon like white area at the base of the nail called?
Mouth
Lunula
Movement away from the midline
Inflammation

47. -gram
Inflammation
Record
Vulva
Breast

48. dys
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Painful - difficult

49. -plasty
Sacrum
Surgical Repair
Far from the point of attachment of the trunk.
Vulva

50. gloss/
False
Tongue
Sacrum
Enlargement