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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. Tarsal
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Near the point of attachment to the trunk.
Lower arm bone in line with the thumb
Hind foot bone

2. -sclerosis
Before
Upper roof of the mouth
Gall bladder
Hardening

3. Infra
Below
Lower Jawbone
Before
Smaller - lateral leg bone

4. Carpals
Wrist bones
Nose
Below
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.

5. What are Medical Ethics?
Standards of conduct based on moral principals.
To cut into
Bones the palm of the hand
Back part of the body.

6. pre
The fractured area of the bone collapses on itself.
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.
Before - in front of
Wrist bones

7. pre
Suture
Vagina
Before - in front of
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.

8. Melanin
A change in the code description since the last edition.
Vertical plane dividing the body to the left and the right sides.
Movement toward the midline
Major skin pigment

9. ante
Before
Below - deficient
Small with irregular shapes (ie wrist and ankle)
4. (ex 311.0)

10. Sacral
Heart
Sacrum
Surgical Repair
Smaller - lateral leg bone

11. hepato/
Liver
Before - in front of
Turning Outward
Skull - Ribcage and Spine.

12. -lysis
Osseous
Separation - Breakdown
Bones the palm of the hand
Lunula

13. Short Bones
Small with irregular shapes (ie wrist and ankle)
A new procedure or service since the previous edition.
Vagina
Ovary

14. What are the 5 regions of the spine?
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
In front of the temporal bones

15. Sphenoid Bones
Wrist bones
In front of the temporal bones
Skin
Suture

16. Who does TRICARE cover?
Active - retired - survivors and their families of the Armed Forces.
Structural protein found in skin and connective tissue.
Between
Little - scanty

17. How many digits does an ICD-9 Subcategory code have?
The bone is broken and pierces an organ.
Stone
Cartilage
4. (ex 311.0)

18. anti
Against
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Turning the palm or foot upward
Painful - difficult

19. What is a Comminuted Fracture?
Against
The bone is crushed or shattered.
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.
Upper Jawbone

20. -osis
Abnormal condition
Muscle
Upper roof of the mouth
Fallopian tubes

21. Sesamoid Bones
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.
A new procedure or service since the previous edition.
Upper roof of the mouth
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)

22. Macule
Discolored - flat lesion
Upper Back
Upper Arm 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.

23. What is primary malignancy?
Fallopian tubes
A pregnant woman who has had at least one pregnancy.
Before
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.

24. -megaly
Enlargement
Forms the sides of the cranium
Lower arm bone in line with the thumb
Birth

25. When are V codes used?
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
Record
Bone
Interior of the nose

26. Humerus
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
To cut into
Upper Arm bone

27. What does a Surgical Package (aka Global Surgery) include?
Small collection of clear fluid; blister
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
Out - out of
Lunula

28. -rrhagia
3 (ex 311)
Bursting forth blood
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Between

29. -meter
Measure
1. Insurance Reform 2. Administrative Simplification
Noninvasive - non-spreading - nonmalignant.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

30. When are E codes used?
Under
In the cause of injury - poisoning - accidents or other adverse effects.
Lung
Nose

31. Proximal
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
Near the point of attachment to the trunk.
Upper Back
Side

32. hyster/
Slow
Middle of the foot bone
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Uteris

33. episi/
The fractured area of the bone collapses on itself.
Small collection of clear fluid; blister
Vulva
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

34. Zygoma
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.
Cheek Bone
Moving forward
Below - deficient

35. Infra
A change in the code description since the last edition.
Below
Suture
Abnormal condition

36. How is the Patients DOB entered on the claim form?
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
Osseous
A new procedure or service since the previous edition.
MM/DD/YY

37. Hypo
Surgical Fixation
Disease Condition
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
Below - deficient

38. -therapy
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Treatment
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
The Axial Skeleton and the Appendicular Skeleton

39. sub
Coccyx (Tailbone)
A break at the distal end of the bone - usually when someone tries to break their fall.
Under
Bursting forth blood

40. What are the 2 types of sweat glands?
The Axial Skeleton and the Appendicular Skeleton
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
1. Eccrine (secrete odor) 2. Apocrine (odorless sweat)
Hardening

41. What are the 2 types of glands on the skin?
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Moving forward
1. Insurance Reform 2. Administrative Simplification
Measure

42. myo/
Muscle
Bone that forms the wall between the nostrils
Measure
3 (ex 311)

43. What does a triangle in the CPT book next to a code mean?
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
A change in the code description since the last edition.
Shin
Measure

44. Supination
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity
Turning the palm or foot upward
Milk
Muscle

45. When billing an insurance company - what information must be included?
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.
To view
Surgical Fixation
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

46. -itis
A new procedure or service since the previous edition.
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
1996
Inflammation

47. How long should Medical Records be retained?
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
1. Insurance Reform 2. Administrative Simplification
In the cause of injury - poisoning - accidents or other adverse effects.
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

48. 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)
Epinephrine and Steriods
A new procedure or service since the previous edition.
Lower Back

49. What is CHAMPVA
Ankle
Suture
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Major skin pigment

50. oophor
To view
Ovary
Forms the front part of the skull and the forehead.
3 (ex 311)