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Medical Coding Basics

Instructions:

Answer 50 questions in 15 minutes.
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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. When are E codes used?
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
In the cause of injury - poisoning - accidents or other adverse effects.
Upper roof of the mouth
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

2. Inferior nasal conchae
Above
Lower medial arm bone
Interior of the nose
All

3. Zygoma
Cheek Bone
Liver
Discolored - flat lesion
The bone is crushed or shattered.

4. Impetigo
The bone is crushed or shattered.
Bacterial inflammatory skin disease with lesions - pustules and vesicles
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Breast

5. pneum/
Mass
Lung
Gall bladder
A new procedure or service since the previous edition.

6. Transverse/Cross Sectional
Hardening
Horizontal plane dividing the upper and lower parts of the body.
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.

7. neo
3 (ex 311)
New
26
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.

8. Lacrimal Bones
Many
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Before - in front of
Bones at the corner of each eye that cradle the tearducts

9. -pathy
Abdomen
Disease Condition
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.

10. -stomy
Opening
Coccyx (Tailbone)
Governed by State and Local laws; should be retained indefinitely. For deceased patients - they should be kept at least 5 years.
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.

11. hin/
3 (ex 311)
Moving backward
Nose
Lower Back

12. mast/
Breast
In the cause of injury - poisoning - accidents or other adverse effects.
1996
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

13. stomat/
Beside
Forms the sides of the cranium
Mouth
Under

14. anti
Nose
Absence of hair
The fractured area of the bone collapses on itself.
Against

15. What are Medical Ethics?
Coccyx (Tailbone)
Standards of conduct based on moral principals.
Bursting forth blood
Lower medial arm bone

16. How are bones categorized?
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Structural protein found in skin and connective tissue.
The Axial Skeleton and the Appendicular Skeleton
Intestine

17. What are bursae?
26
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.
Forms the two lower sides of the cranium
Cancer that has spread to a secondary site.

18. Thoracic
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
Movement toward the midline
Upper Back
Stomach

19. nat/
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Birth
Turning Inward

20. Phalanges
Finger Bones
Discharge - Flow
A break at the distal end of the bone - usually when someone tries to break their fall.
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index

21. -meter
Measure
Lung
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Shin

22. Protraction
Moving forward
Far from the point of attachment of the trunk.
Record
Reimbursement is sent directly from payer to the provider.

23. cholecyst/
Beside
Through
Heart
Gall bladder

24. Vesicle
Measure
Interior of the nose
Lower Back
Small collection of clear fluid; blister

25. Sesamoid Bones
Separation - Breakdown
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Stomach
Mass

26. What are the 3 classifications of Hypertension?
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
Surgical Puncture
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Out - out of

27. How many regions is the spinal/vertebral column divided into?
5
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
CMS
In front of the temporal bones

28. How is the Patients DOB entered on the claim form?
Middle of the foot bone
Active - retired - survivors and their families of the Armed Forces.
A working diagnosis that has not yet been established.
MM/DD/YY

29. arth/
Cartilage
Record
Disease Condition
4. (ex 311.0)

30. -megaly
Surgical Repair
Removal - Excision - Resection
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
Enlargement

31. Multigravida
MM/DD/YY
A pregnant woman who has had at least one pregnancy.
Beside
Mass

32. pseudo
False
The bone is crushed or shattered.
Lower Jawbone
Hematopoietic tissue

33. Distal
Birth
Removal - Excision - Resection
Far from the point of attachment of the trunk.
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

34. Lipocyte
All
Fat cell
5
Pain

35. Carpals
Visual Examination
Beside
Wrist bones
Four

36. Fibula
In the cause of injury - poisoning - accidents or other adverse effects.
Removal - Excision - Resection
Smaller - lateral leg bone
Milk

37. When billing an insurance company - what information must be included?
Skin
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
1. History -Chief complaint -History of Present illness -Review of Symptoms -Past - Family and Social History 2. Physical Exam 3.Medical Decision Making Complexity

38. What is CHAMPVA
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.
Front part of the body.
A working diagnosis that has not yet been established.
Interior of the nose

39. a - an
Without
Skin
1996
Sacrum

40. Vomer
Upper roof of the mouth
Bone that forms the wall between the nostrils
In front of the temporal bones
Sacs of fluid located in-between the bones of the joint and tendons that hold the muscles into place.

41. What is Carcinoma in situ?
Stone
Cancer that has localized and not spread at all.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
Milk

42. -rrhaphy
Fallopian tubes
Suture
Heart
Active - retired - survivors and their families of the Armed Forces.

43. -centisis
Bone
Above
Surgical Puncture
Below - deficient

44. How many regions is the spinal/vertebral column divided into?
Reimbursement is sent directly from payer to the provider.
Under
Major skin pigment
5

45. Palatine Bones
Milk
Upper roof of the mouth
A break at the distal end of the bone - usually when someone tries to break their fall.
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)

46. Lipocyte
26
Lower Back
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Fat cell

47. When are V codes used?
Discharge - Flow
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
Before
Uteris

48. Hypo
Beside
Middle of the foot bone
Below - deficient
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

49. Short Bones
CMS-1500
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Small with irregular shapes (ie wrist and ankle)
5

50. Ethmoid Bone
Forms the roof of the nasal cavity
Liver
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
Suture