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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. Metacarpals
Milk
Smaller - lateral leg bone
Bones the palm of the hand
Discolored - flat lesion

2. Adduction
Tongue
Movement toward the midline
Fat cell
Removal - Excision - Resection

3. Long Bones
Treatment
Under
Strong - broad and have large surfaces for muscles to attach to.
Mass

4. Proximal
Intestine
Cancer that has localized and not spread at all.
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.
Near the point of attachment to the trunk.

5. What is a Comminuted Fracture?
Below
Disease Condition
Without
The bone is crushed or shattered.

6. What is a compression fracture?
Visual Examination
26
Finger Bones
The fractured area of the bone collapses on itself.

7. Wheal
3 (ex 311)
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Hardening
Bones the palm of the hand

8. Tarsal
Liver
Mass
Cheek Bone
Hind foot bone

9. Frontal Bone
Mass
Gall bladder
Forms the front part of the skull and the forehead.
Vagina

10. Parietal Bones
Opening
A new procedure or service since the previous edition.
Forms the sides of the cranium
Below - deficient

11. What are the 5 regions of the spine?
Muscle
Before
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Milk

12. What is a Colles Fracture?
A break at the distal end of the bone - usually when someone tries to break their fall.
Noninvasive - non-spreading - nonmalignant.
Forms the back of the skull
Cancer that has localized and not spread at all.

13. Palatine Bones
Free moving joints that are surrounded by joint capsules.
Upper roof of the mouth
Surgical Repair
Cartilage

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

15. -lysis
New
Separation - Breakdown
Lung
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

16. Sagittal
To view
Upper roof of the mouth
Vertical plane dividing the body to the left and the right sides.
Upper Jawbone

17. Eversion
Below
Birth
Wrist bones
Turning Outward

18. Melanin
A break at the distal end of the bone - usually when someone tries to break their fall.
Major skin pigment
Active - retired - survivors and their families of the Armed Forces.
Toe Bones

19. How many digits does an ICD-9 Subclassification code have?
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
5. (ex 311.56)
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

20. cephal/
To view
Head
Discolored - flat lesion
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.

21. Coccygeal
To view
Coccyx (Tailbone)
Turning the palm or foot upward
1. Insurance Reform 2. Administrative Simplification

22. per
Middle of the foot bone
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Head
Through

23. Sesamoid Bones
Uteris
Between
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Between

24. stomat/
A pregnant woman who has had at least one pregnancy.
Mouth
Shoulder - collar - pelvic - arms and legs.
Office of Inspector General (OIG)

25. Lacrimal Bones
Bones at the corner of each eye that cradle the tearducts
Bone that forms the wall between the nostrils
Without
Breast

26. gastro/
Uteris
Treatment
Half
Stomach

27. Occipital Bone
Forms the back of the skull
Horizontal plane dividing the upper and lower parts of the body.
Upper Jawbone
Beside

28. hemi
Milk
Between
Hardening
Half

29. Occipital Bone
Forms the back of the skull
Front part of the body.
Measure
Middle of the foot bone

30. When are E codes used?
Vulva
In the cause of injury - poisoning - accidents or other adverse effects.
No.
Cancer that has localized and not spread at all.

31. Gangrene
To cut into
Death of tissue due to loss of blood supply
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Horizontal plane dividing the upper and lower parts of the body.

32. Short Bones
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Small with irregular shapes (ie wrist and ankle)
Out - out of
Abnormal condition

33. oglio
Ankle
Little - scanty
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
Forms the two lower sides of the cranium

34. What are the 2 types of sweat glands?
Lunula
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Muscle
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

35. anti
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
Removal - Excision - Resection
Against
Above

36. How many regions is the spinal/vertebral column divided into?
Record
5
Skull - Ribcage and Spine.
Disease Condition

37. -sclerosis
Cancer that has localized and not spread at all.
Vertical plane dividing the body into Anterior and Posterior sections.
Hardening
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.

38. What is a Complicated Fracture?
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
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Cartilage
The bone is broken and pierces an organ.

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

40. -therapy
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Treatment
CMS
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

41. enter/
CMS
Intestine
Upper Back
The bone is broken and pierces an organ.

42. Temporal Bones
Far from the point of attachment of the trunk.
Forms the two lower sides of the cranium
Middle of the foot bone
Before

43. lith/
Within
Painful - difficult
A working diagnosis that has not yet been established.
Stone

44. What is a Complicated Fracture?
The bone is broken and pierces an organ.
The fractured area of the bone collapses on itself.
Moving backward
1. Insurance Reform 2. Administrative Simplification

45. mast/
In the cause of injury - poisoning - accidents or other adverse effects.
Beside
Visual Examination
Breast

46. What are Medical Ethics?
A Federal law that prohibits submitting a false claim or making a false statement or representation in connection with a claim.
Middle of the foot bone
Four
Standards of conduct based on moral principals.

47. neo
Strong - broad and have large surfaces for muscles to attach to.
New
Beside
CMS

48. Mandible
Lower Jawbone
Cartilage
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Between

49. tetra
Inflammation
5. (ex 311.56)
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Four

50. What does a Surgical Package (aka Global Surgery) include?
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
Reimbursement is sent directly from payer to the provider.
Lower arm bone in line with the thumb
A change in the code description since the last edition.