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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. What are bones made of?
Osseous
A break at the distal end of the bone - usually when someone tries to break their fall.
Toe Bones
Finger Bones

2. pseudo
False
Smaller - lateral leg bone
Free moving joints that are surrounded by joint capsules.
Surgical Repair

3. gastro/
Suture
Turning Outward
The Axial Skeleton and the Appendicular Skeleton
Stomach

4. Metatarsal
Measure
Mass
Middle of the foot bone
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)

5. oophor
Movement toward the midline
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.
Ovary
Epinephrine and Steriods

6. What does a triangle in the CPT book next to a code mean?
1. Volume 1; Tabular List 2. Volume 2; Diseases - Alphabetic Index 3. Volume 3; Procedures - tabular list and index
A change in the code description since the last edition.
Breast
Upper roof of the mouth

7. What are bones connected together with?
An insurance company that bids for a contract with CMS to handle the Medicare program in a specific area.
Fibrous bands of ligaments
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.
Moving backward

8. -oma
Mass
Turning the palm or foot upward
Removal - Excision - Resection
Above

9. What are the key components of E/M?
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
Bursting forth blood
The Axial Skeleton and the Appendicular Skeleton

10. Ulna
Record
Small collection of clear fluid; blister
Lower medial arm bone
Discolored - flat lesion

11. Tarsal
Vagina
Below
Hind foot bone
Bacterial inflammatory skin disease with lesions - pustules and vesicles

12. Abduction
Office of Inspector General (OIG)
Movement away from the midline
Strong - broad and have large surfaces for muscles to attach to.
Stone

13. cholecyst/
Bone that forms the wall between the nostrils
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
Gall bladder
Cartilage

14. What does a Surgical Package (aka Global Surgery) include?
Above
Removal - Excision - Resection
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
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

15. poly
Inflammation
Fibrous bands of ligaments
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.
Many

16. Radius
Stomach
Upper roof of the mouth
Birth
Lower arm bone in line with the thumb

17. What is the Axial Skeleton comprised of?
Lower Jawbone
Bones covering body parts (ie shoulder blades - ribs - pelvic bones)
Skull - Ribcage and Spine.
A change in the code description since the last edition.

18. Alopecia
Turning Outward
The fractured area of the bone collapses on itself.
Absence of hair
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)

19. What are the 5 regions of the spine?
Bacterial inflammatory skin disease with lesions - pustules and vesicles
1. Cervical 2. Thoracic 3.Lumbar 4. Sacral 5. Coccygeal
Heart
No.

20. Phalanx
Removal - Excision - Resection
Toe Bones
5. (ex 311.56)
Heart

21. pseudo
A change in the code description since the last edition.
Skin
False
Above

22. anti
In front of the temporal bones
Against
A pregnant woman who has had at least one pregnancy.
Ankle

23. lact/
Lung
Skin
Milk
Karatin

24. ante
Lunula
Lower Jawbone
Before
Inflammation

25. -scopy
Below - deficient
Back part of the body.
Visual Examination
Smaller - lateral leg bone

26. How many digits does an ICD-9 Category code have?
Fat cell
Below - deficient
3 (ex 311)
Movement toward the midline

27. Inferior nasal conchae
Hardening
Stone
Interior of the nose
Bacterial inflammatory skin disease with lesions - pustules and vesicles

28. Maxilla
Upper Jawbone
Vertical plane dividing the body to the left and the right sides.
Below
Nose

29. Transverse/Cross Sectional
Horizontal plane dividing the upper and lower parts of the body.
In front of the temporal bones
Cancer that has localized and not spread at all.
Painful - difficult

30. -gram
Record
Cheek Bone
Vertical plane dividing the body into Anterior and Posterior sections.
Shoulder - collar - pelvic - arms and legs.

31. How many bones are in the spine?
Painful - difficult
26
Middle of the foot bone
Major skin pigment

32. Who developed HCPCs codes?
CMS
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
Without
Forms the front part of the skull and the forehead.

33. brady
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.
Date of Service (DOS) -Place of Service (POS) -Type of Service (TOS) -Diagnosis -Procedure(s)
Near the point of attachment to the trunk.
Slow

34. neo
In the cause of injury - poisoning - accidents or other adverse effects.
New
Lunula
Milk

35. Collagen
Measure
Forms the two lower sides of the cranium
Liver
Structural protein found in skin and connective tissue.

36. lith/
Forms the back of the skull
Stone
Lower medial arm bone
Opening

37. What are the two types of edits that the NCCI implements?
Turning the palm or foot upward
Physicians are legally responsible for their actions and their employee's actions. a.k.a Respondant Superior. (Let the master answer.)
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.
Below - deficient

38. What is in a Medical Record?
Moving forward
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient
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 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

39. -megaly
Enlargement
A working diagnosis that has not yet been established.
CMS
MM/DD/YY

40. -sclerosis
Hardening
Vertical plane dividing the body into Anterior and Posterior sections.
Skull - Ribcage and Spine.
Painful - difficult

41. brady
Slow
Protection against loss of money caused by failure through error or unintentional omission of the individual or service submitting the claim.
1. Sebaceous (oil) glands 2. Suddiferous (sweat) glands
Nose

42. Wheal
Smooth - slightly elevated swollen area that is redder or paler than the surrounding skin
Smaller - lateral leg bone
Strong - broad and have large surfaces for muscles to attach to.
Above

43. Adduction
Movement toward the midline
1. Insurance Reform 2. Administrative Simplification
Shin
Middle of the foot bone

44. What is in a Medical Record?
Toe Bones
Measure
Cancer that has localized and not spread at all.
Social and Medical History -Family History -Physical Exam Findings -Progress Notes -Lab/Rad Results -Consultation Reports -Correspondence to the patient

45. How many digits does an ICD-9 Subclassification code have?
Moving forward
5. (ex 311.56)
Lower medial arm bone
Separation - Breakdown

46. Phalanx
Ovary
Smaller - lateral leg bone
Below
Toe Bones

47. cholecyst/
Bones at the corner of each eye that cradle the tearducts
A pregnant woman who has had at least one pregnancy.
Gall bladder
Milk

48. -itis
Discharge - Flow
26
Inflammation
Death of tissue due to loss of blood supply

49. -plasty
Small - rounded bones that resemble sesame seeds that are found near joints. (ie knee cap)
Cartilage
Surgical Repair
Major skin pigment

50. Inversion
Forms the roof of the nasal cavity
Forms the front part of the skull and the forehead.
Turning Inward
4. (ex 311.0)