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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. Radius
Half
New
Four
Lower arm bone in line with the thumb

2. What does a Surgical Package (aka Global Surgery) include?
MM/DD/YY
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
Removal - Excision - Resection
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.

3. Melanin
Head
Treatment
Lunula
Major skin pigment

4. para
Noninvasive - non-spreading - nonmalignant.
Beside
Sacrum
Side

5. How is Medicare's RBRVS calculated?
Cancer that has spread to a secondary site.
Fallopian tubes
Visual Examination
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

6. brady
Four
The Axial Skeleton and the Appendicular Skeleton
Slow
3 (ex 311)

7. -pexy
Discolored - flat lesion
Surgical Repair
Surgical Fixation
Toe Bones

8. Tibia
Bursting forth blood
Cartilage
Muscle
Shin

9. oglio
Little - scanty
Osseous
Turning the palm or foot upward
Painful - difficult

10. poly
Abdomen
Before
Active - retired - survivors and their families of the Armed Forces.
Many

11. Adduction
Major skin pigment
Sacrum
Movement toward the midline
Noninvasive - non-spreading - nonmalignant.

12. Protraction
Mass
Middle of the body.
4. (ex 311.0)
Moving forward

13. What is Fiscal Intermediary?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Tongue
Smaller - lateral leg bone
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer

14. supra
Smaller - lateral leg bone
Separation - Breakdown
Within
Above

15. Carpals
Disease Condition
5
Smaller - lateral leg bone
Wrist bones

16. How many digits does an ICD-9 Subclassification code have?
5. (ex 311.56)
Slow
Fibrous bands of ligaments
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

17. What is the National Correct Coding Initiative (NCCI)?
5
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
3 (ex 311)
Middle of the body.

18. What are synovial joints?
Lung
Surgical Puncture
Free moving joints that are surrounded by joint capsules.
1. Insurance Reform 2. Administrative Simplification

19. What is Benign?
Milk
Interior of the nose
Between
Noninvasive - non-spreading - nonmalignant.

20. neo
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Neck Bones
New
Little - scanty

21. Metatarsal
Middle of the foot bone
Back part of the body.
Abdomen
Abdomen

22. What does a Surgical Package (aka Global Surgery) include?
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
Death of tissue due to loss of blood supply
Uteris

23. hepato/
Liver
Measure
Bone
3 (ex 311)

24. -algia
Pain
Active - retired - survivors and their families of the Armed Forces.
Middle of the foot bone
To cut into

25. oste/
Beside
Mouth
Bone
Forms the front part of the skull and the forehead.

26. Temporal Bones
Vertical plane dividing the body into Anterior and Posterior sections.
Moving forward
Forms the two lower sides of the cranium
Fallopian tubes

27. How many regions is the spinal/vertebral column divided into?
Standards of conduct based on moral principals.
Neck Bones
Enlargement
5

28. Inferior nasal conchae
To view
Skull - Ribcage and Spine.
Interior of the nose
Mass

29. What is a Qualified Diagnosis
Shin
1. Malignant (Accelerated and severe) 2. Benign (Mild or controlled) 3. Unspecified (Not specified in the Medical Record)
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
A working diagnosis that has not yet been established.

30. What are the 2 types of glands on the skin?
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Forms the two lower sides of the cranium
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Abnormal condition

31. Frontal - Coronal
Visual Examination
Vertical plane dividing the body into Anterior and Posterior sections.
Wrist bones
Upper Back

32. Collagen
Lunula
Structural protein found in skin and connective tissue.
1. Epidermis (Top layer) 2. Dermis (Middle layer) 3. Subcutaneous Layer
Through

33. What are the 2 types of glands on the skin?
Noninvasive - non-spreading - nonmalignant.
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.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Below

34. pneum/
Lung
1. Insurance Reform 2. Administrative Simplification
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
Lower arm bone in line with the thumb

35. Parietal Bones
Forms the sides of the cranium
Above
To view
A working diagnosis that has not yet been established.

36. What is hair made of?
Karatin
A pregnant woman who has had at least one pregnancy.
Mouth
Middle of the body.

37. colp/
Vagina
Forms the two lower sides of the cranium
Before
Many

38. endo
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Within
Shin
In front of the temporal bones

39. Alopecia
Out - out of
Absence of hair
The fractured area of the bone collapses on itself.
Structural protein found in skin and connective tissue.

40. gastro/
Vulva
Measure
Stomach
Skull - Ribcage and Spine.

41. anti
Bacterial inflammatory skin disease with lesions - pustules and vesicles
Against
Hardening
Above

42. What are synovial joints?
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Vagina
Free moving joints that are surrounded by joint capsules.
Provides medical benefits to spouses and children of veterans with total - permanent - service related disabilities- or have died.

43. Cervical
The bone is broken and pierces an organ.
Movement away from the midline
Neck Bones
Liver

44. episi/
A break at the distal end of the bone - usually when someone tries to break their fall.
A law passed by the Federal Government to prosecute cases of Medicaid fraud.
Turning Outward
Vulva

45. chondro/
Initiative developed by CMS to promote national correct coding methods and control improper coding that leads to wrong payments of Part B health claims.
5
Head
Cartilage

46. Sphenoid Bones
Surgical Repair
Upper Jawbone
Movement toward the midline
In front of the temporal bones

47. -plasty
Tongue
Surgical Repair
Through
Cheek Bone

48. How many bones are in the spine?
The original cancer site. Malignant tumores are considered primary unless documented as secondary or metastatic.
26
Removal - Excision - Resection
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal

49. Mandible
New
Vertical plane dividing the body into Anterior and Posterior sections.
Lower Jawbone
Moving forward

50. Radius
A change in the code description since the last edition.
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.
Lower arm bone in line with the thumb
Within