Question
New Patient, Straight Forward 15-29 minutes
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Question
New Patient, Low Level 30-44 minutes
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Medical Coding
2022 COC Exam Prep
Question | Answer |
---|---|
E&M Office or Other Outpatient Visit New Patient, Straight Forward 15-29 minutes | 99202 |
E&M Office or Other Outpatient Visit New Patient, Low Level 30-44 minutes | 99203 |
E&M Office or Other Outpatient Visit New Patient, Moderate 45-59 minutes | 99204 |
E&M Office or Other Outpatient Visit New Patient, High 60-74 minutes | 99205 |
E&M Office or Other Outpatient Visit Established Patient, No Doctor or OQHCP Presence Required | 99211 |
E&M Office or Other Outpatient Visit Established Patient, Straight Forward 10-19 minutes | 99212 |
E&M Office or Other Outpatient Visit Established Patient, Low Level 20-29 minutes | 99213 |
E&M Office or Other Outpatient Visit Established Patient, Moderate Level 30-39 minutes | 99214 |
E&M Office or Other Outpatient Visit Established Patient, High Level 40-54 minutes | 99215 |
Emergency Department Visit Level 1 Straight Forward | 99281 |
Emergency Department Visit Level 2 Low Level | 99282 |
Emergency Department Visit Level 3 Moderate Level, Moderate Severity | 99283 |
Emergency Department Visit Level 4 Moderate Level, High Severity | 99284 |
Emergency Department Visit Level 5 Poses Immediate Threat to Life (High Complexity) | 99285 |
Mono-, uni- | One |
bi- | two |
tri- | three |
quadri | four |
hex, sex- | six |
diplo | double |
centesis | puncture a cavity to remove fluid |
ectomy | surgical removal (excision) |
otomy | cutting into (incision) |
orrhaphy | surgical repair, suture |
opexy | surgical fixation |
oplasty | surgical repair |
otripsy | crushing, destroying |
aniso- | unequal |
-algia | pain |
-asthenia | weakness |
-lytic | destroy, breakdown |
-opathy | disease of |
-orrhagia | hemorrhage |
orrhea | flow or discharge |
-paresis | weakness |
ad- | towards |
ipsi- | same |
anterior / ventral | at or near FRONT surface of the body |
posterior / dorsal | at or near BACK surface of the body |
superior | above |
inferior | below |
lateral | side |
distal | farthest from center |
proximal | nearest to center |
medial | middle |
Where is the medial rectus muscle located? | One of 6 extraocular muscles locate near the orbit of the eyeball |
face up or palm up | supine |
face down or palm down | prone |
vertical body plane, divides the body into equal right and left sides | sagittal |
horizontal body plane, divides the body into top and bottom sections | transverse |
vertical body plane, divides the body into front and back sections | coronal |
Surgical repair of a defect in the wall of the vagina | colporrhaphy |
Process of inserting a balloon catheter into a blood vessel | angioplasty |
scan that shows blood flow through arteries or veins, or through the heart, using X-rays, computed tomography angiography (CTA) or magnetic resonance angiography (MRA) | angiography |
joint replacement surgery | arthroplasty |
surgical incision into an artery | arteriotomy |
determine the amount of radiation a patient should receive | dosimetry |
procedure where an instrument is introduced into the body | endoscopic |
surgical removal | excision |
surgical cut | incision |
through the skin | percutaneous |
surgical incision into the abdomen | laparotomy |
beneath the skin | subcutaneous |
used to treat urine retention | uretone |
used to test balance | vestibular function test |
popliteal cyst, fluid filled swelling in the back of the knees | Baker's cyst |
swelling of the glands on both sides of the opening of the vagina | Bartholins's duct cyst |
opacities / other defects in the lens of the eyes | cataracts |
surgical infection of cartilage | chondritis |
S52.53 - Distal Radial Fracture (wrist) | Colles Fracture |
inflammation of the cartilage between the ribs | costochondritis |
abnormal stomach condition | gastrosis |
What is another name for muscle disease? | myopathy |
What is a nontransmural AMI? | Acute Myocardial Infarction that DOES NOT include the full thickness |
What does a subendocardio AMI result in? | Necrosis |
What is a transmural AMI? | Acute Myocardial Infarction that INCLUDES the full thickness |
What is the sac like structure near the cleft of the butt that contains hair and skin? | pilondial cyst |
what is the process of cutting out tissue or parts of an organ? | resection |
what is a birth control procedure where the tubes are tied? | tubal ligation |
what is a radiographic study of the renal pelvis and ureter? | uretopylogram |
what is a surgical repair of a heart valve? | valvoplasty |
what is a word that describes something shaped like a worm? | veriform |
what is the acetabulum? | hip joint |
what is meant by autogenic | generating from WITHIN the body |
what is meant by autologous | you are your OWN donor |
allogenic | replacement of bone marrow from a healthy donor |
Connects bone to bone | ligament |
connects muscle to bone | tendon |
what is the muscle system used for external sensory | somatic muscle system |
what system speeds up the body for fight or flight | sympathetic nervous system |
-ac | pertaining to |
a-, an- | without, lacking |
ab-, abs | away from |
acous, acouso | hearing |
aden, adeno | gland |
adip, adipo | fat |
adren, adreno | gland |
-alge-, algesi | pain |
ambi- | bothsides |
andr-, andro- | male |
angi, angio | blood vessel |
ante- | before, forward |
anti- | against |
arthr-, arthro | joint |
arteri-, aterio | artery |
arthero | fatty |
auto | self |
bi- | two |
bio- | life |
-blast, -blasto, blastic | bud, germ |
blephar- | eyelid |
brady- | slow |
bronch-, bronchi | broncus (large airway leads from trachea to lung) |
bucc, bucco | cheek |
what is a burs or burso? | bursa (small fluid filled sac that acts as a cushion between bones and moving parts |
carcin or carcino | cancer |
cardi, cardio | heart |
-cele | bulge |
-centesis | surgical puncture to remove fluid |
cephal, cephalo | head |
chem, chemo | chemistry |
chlor, chloro | green |
chol | bile |
chondr- | cartilage |
chrom, chromato | color |
circum | around |
contra | against |
coron- | heart |
cost- | rib |
crani, cranio | brain |
cry-, cryo | cold |
cutane | skin |
cyano | blue |
cycl- | circle |
cyst, cysti, cysto | bladder or sac |
cyt, cyto | cell |
cyte, cytic | cell |
dactyl, dactylo | digit (finger or toe) |
de | away from, ending |
derm, dermato | skin |
desis | surgical binding |
dextr, dextro | right side |
dia- | across, through |
diplo- | double |
dis- | separation, taking apart |
duodeno- | duodenum (the first part of the small intestine, right after the stomach) |
-dynia | pain, swelling |
dys- | difficult, abnormal |
-eal, -ial | pertaining to |
ect, ecto, exo | outer, outside |
-ectasis | expansion or dilation |
-ectomy | cut out, remove |
elect | electrical activity |
-emesis | vomiting |
-emia | blood condition |
en | inside |
epi | upon, outside of |
end, endo, ent, enter, entero | within, inner |
erythr, erythro | red |
esis | state or condition |
esthesio | sensation |
eu | good, well |
ex, extra | beyond |
fibr, fibro | fiber |
gastr | stomach |
gloss | tongue |
gluco, glycol | glucose, sugar |
gnath, gnatho | jaw |
gram, graph, graphy | recording, written |
grav | heavy |
gyn, gyno, gynec | female |
hem, hema, hemo, hemato | blood |
hemi | half |
hepat, hepatico, hepato | liver |
hetero | other, different |
hidr, hidro | sweat |
hist, histio, histo | tissue |
homo | same |
hydr, hydro | water |
hyper | above, beyond, excessive |
hypo | under, deficient |
hyster, hysterio | uterus |
-ia | condition |
-iasis | condition, formation of |
idio | self, ones own |
ileo | ileum (lower part of the small intestine) |
infra | beneath, below |
inter | between |
intra | within |
irid, iridio | iris |
ischi, ischio | ischium (the lower and back part of the hip bone) |
ism | condition |
iso | like, equal |
ites, itis | inflammation |
ity | pertaining to |
ium | structure or tissue |
karyo | nucleus |
kerat, kerato | cornea (eye or skin) |
kin, kine, kino, kinesi, kinesio | movement |
kyph, kypho | humped |
lacrim, lacrimo | tear (like from your eyes) |
lact, lacti, lacto | milk |
laryng, laryngo | larynx (voicebox) |
leuk, leuko | white |
lingu, linguo | tongue |
lipo | fat |
lith, litho | stone |
lymph, lympho | lymph |
lysis, lytic, lyso, lys | breakdown, destruction, dissolving |
macro | large, long, big |
mal | bad, abnormal |
malacia | softening |
mamm, mast, masto | breast |
mania | morbid impulse towards an object/thing |
meg, mega, megal, megalo | great, large |
megally, megaly | large |
melan, melano | black |
mening, meningo | meninges (membranes that surround the brain and spinal cord) |
meso | middle |
meta | beyond, change |
meter | device used for measuring |
metry | measurement of |
mic, micro | small |
mon, mono | one |
morph, morpho | shape |
multi | many |
musculo, muscul | muscle |
my, myo | muscle |
myc, myco | fungus |
myel, myelo | spinal cord or bone marrow |
myring, myringo | eardrum |
myx, myxo | mucus |
necro, necr | death |
neo | neo |
nephr, nephro | kidney |
neur, neuri, neuron | nerve |
normo | normal |
oculo | eye |
odont, odonto | tooth |
odyn | pain |
oid | resembling |
olig, oligo | few, little |
onia | tumor |
fatty tumor located just below the skin | lipoma (it is not cancer and is usually harmless) |
a swelling of a part of the body, generally without inflammation, caused by an abnormal growth of tissue (benign or malignant) | tumor |
onco | tumor, bulk, volume |
onych, onycho | finger or toe nail |
oo | egg, ovary |
oophor, oophoro | ovary |
op, opt | vision |
ophthalm, ophthalmo | eye |
opsy | visual examination |
orchid, orchido, orchio | testis |
orth, ortho | straight, normal, correct |
osis | condition, usually abnormal |
osseo | bony |
ossi | bone |
ost, oste, osteo | bone |
ostomy | incision to create an opening (digestive or urinary system) |
ous | pertaining to |
oxy | sharp, acute, oxygen |
ovo, ovi, ovari, ovario | ovary |
pan, pant, panto | all or everywhere |
para | alongside or abnormal |
path, pathy, patho | disease |
penia | deficiency, lack of |
per | through |
peri | around |
pexy | surgical fixation |
phagia, phagy | eating, swallowing |
phalang | phalanx (any bone in the fingers and toes) |
pharmaco | drug, medicine |
pharyng, pharyngo | pharynx, throat |
phasia | speech |
phleb, phlebo | vein |
phob, phobia | fear |
phon, phono | sound |
phos | light |
phot, photo | light |
phren, phreni, phreno, phrenico | diaphram |
plasia, plastic | growth |
plasty | surgical reconstruction |
plegia | paralysis |
pleur, pleura, pleuro | rib, pleura (membrane that wraps outside the chest cavity) |
pnea | breathing |
pneum, pneuma, pneumat, pneumato | air, lung |
pod, podo | foot |
poiesis | production |
poly | many, excessive |
post | behind, after |
praxia | movement |
pre | before, infront |
pro | favoring, supporting |
proct, procto | anus, rectum |
prostat | prostate |
pseudo | false |
psych, psyche, psycho | mind |
ptosis | falling, drooping |
pyel, pyelo | pelvis |
pyo | pus |
pyro | fever |
quadri | four |
rachi | spine |
radio | radiation, radius |
re | again, backward |
rect, recto | rectum |
ren, reno | kidney |
reticule, reticulo | net |
retin | retina (of the eye) |
retro | backward, behind |
rhabd, rhabdo | rod-shaped, striated |
rrhage, rrhagic | bleeding |
rrhea | flow or discharge |
salping, salpingo | tube |
sarco | muscular, fleshlike |
schisto | split, cleft, division |
schiz, schizo | split, cleft |
sclera, sclero | hardness |
sclerosis | hardening |
scoli, scolio | twisted |
scope, scopy | examine, for examining |
semi | half |
sial, sialo | saliva, salivary glands |
sigmoid, sigmoido | sigmoid colon |
sinistr, sinistro | left, leftside |
sis | condition |
somat, somatico, somato | body, bodily |
spasm | muscle condition |
spasmo | spasm |
sperma, permato, spermo | sperm |
spirat | breath |
splanchn, splanchno, splanchini | viscera (internal organ) |
splen, spleno | spleen |
spondyl, spondylo | vertebra |
stasis | level, unchanging |
steno, sten | narrowed, blocked |
stern | sternum |
stom, stoma, stomat, stomato | mouth |
stomy | surgical opening |
sub | under |
super | above |
supra | above, upon |
sy, syl, sym, syn, sys | together |
tachy | fast |
taxis | movement |
tetra | four |
thel, thelo | nipples |
therm, thermo | heat |
thorac, thoracico, thoraco | chest |
thrombo, thromb | blood clot |
thyr, thyro | throid gland |
tomy | cutting, incision |
tono | tone, tension, pressure |
trache, tracheo | trachea |
trans | across, through |
tri | three |
tripsy | crushing |
trophy | growth |
tympan, tympano | eardrum |
uni | one |
ur, uro | urine |
uri, uric, urico | uric acid |
uria | in the urine |
vagin | vagina |
varic, varico | duct, blood vessel |
ven, veno | vein |
vertebr | vertebra spine |
vesic, vesico | vesicic (cyst or pouch) |
xanth, xantho | yellow |
di- | twice, double, twofold |
AMI | acute myocardial infarction |
CABG | coronary artery bypass graph (in patient procedure only) |
IOL | Intraocular Lens (cataract surgery) |
POA | PRESENT ON ADMISSION |
Can you use a path report for the measurement of skin lesions? | No, the measurement must be taken prior to the excision |
occurrence code 32 | beneficiary informs provider of intent to bill for procedures |
phreno | diaphram |
pulmono | lung |
tosis | prolapse, drooping |
ology | study of |
genic | formation, produce |
poly | excessive |
scope | instrument |
Another name for a broken bone | fracture |
diplopia | double vision |
flu | influenza |
pruritus | itching |
erythem | redness |
verruca | wart |
where is the axilla? | armpit |
Where is the femur located | bone in the upper leg |
where is the clavicle located | collar bone |
tympanum, tympanic membrane | eardrum |
calcaneus | heel bone |
lower chamber of the heart | ventricle |
What is the scapula? | shoulder blade |
What is another name for the upper jaw bone | maxilla |
abdominal wall | laparo |
entero | encephalo |
intestine | entero |
lip | cheilo |
nose | rhino |
air in the chest causing a collapse of the lung | pnemothorax |
what is a decubitus ulcer | bed sore |
what is a break in the skin or mucous membrane | ulcer |
what is a term for the drooping of one's eyelids | blepharoptosis |
what is a term for fungus of the nail | onychomycosis |
what is a term for dizziness | vertigo |
inflammation of the joints | arthritis |
myopia | near sightedness |
What is a term for softening of the cartilage | chondromalacia |
What is a term for the hardening of the arteries | arteriosclerosis |
I50.9 | CHF (Congestive Heart Failure) |
Respiratory Failure Due to CHF | J96.90, I50.9 |
Bronchitis | J40 |
chemotherapy | z51.11 |
ankyl/o | crooked or stiff |
kyph/o | hump |
crani/o | cranium, skull |
desis | surgical fixation of bone / joint |
lysis | setting free, loosening |
oss/e/i | bone |
spondyl/o | vertebrae, vertebral column |
lord/o | bent, backward |
scolio | curved |
In the ICD-10-CM code book what 3 digit category code involves certain infectious and parasitic diseases | A00-B99 |
In the ICD-10-CM code book what 3 digit category code involves neoplasms | C00-D49 |
In the ICD-10-CM code book what 3 digit category code involves diseases of the blood/blood forming organs & disorders | D50-D89 |
In the ICD-10-CM code book what 3 digit category code involves the endocrine, nutritional and metabolic disorders | E00-E89 |
In the ICD-10-CM code book what 3 digit category code involves mental, behavioral, and neurodevelopmental conditions | F01-F99 |
In the ICD-10-CM code book what 3 digit category code involves diseases of the nervous of the system | G00-G99 |
In the ICD-10-CM code book what 3 digit category code involves disease of the eye and adnexa | H00-H59 |
In the ICD-10-CM code book what 3 digit category code involves disease of the ear and mastoid process | H60-H95 |
In the ICD-10-CM code book what 3 digit category code involves disease of the circulatory system | I00-I99 |
In the ICD-10-CM code book what 3 digit category code involves disease of the respiratory system | J00-J99 |
In the ICD-10-CM code book what 3 digit category code involves disease of the digestive system | K00-K95 |
In the ICD-10-CM code book what 3 digit category code involves disease of the subcutaneous tissue | L00-L99 |
In the ICD-10-CM code book what 3 digit category code involves disease of the musculoskeletal system | M00-M99 |
In the ICD-10-CM code book what 3 digit category code involves disease of the genitourinary system | N00-N99 |
In the ICD-10-CM code book what 3 digit category code involves pregnancy, childbirth, and puerperium | O00-09A |
In the ICD-10-CM code book what 3 digit category code involves certain conditions originating in the perinatal period | P00-P96 |
In the ICD-10-CM code book what 3 digit category code involves congenital malformations, deformations, and chromosomal abnormalities | Q00-Q99 |
In the ICD-10-CM code book 3 digit category code set involves symptoms, signs, abnormal clinical and laboratory findings | R00-R99 |
In the ICD-10-CM code book 3 digit category code set involves injury, poisoning, and certain other consequences of external causes | S00-T88 |
In the ICD-10-CM code book 3 digit category code set involves external causes of morbidity | V00-Y99 |
In the ICD-10-CM code book what 3 digit category code involves factors influencing health status and contact | Z00-Z99 |
In the ICD-10-CM code book what 3 digit category code that involves the use of codes for special purposes | U00-U85 |
In ICD-10-CM coding, what character is used as a placeholder, i.e. the guideline requires more characters than what the code has | X |
What does the term NEC mean? | Not Elsewhere Classified, meaning the doctor provided an exact diagnosis, but not code exist, i.e. "bubble gum phobia" (think specific documentation but no code matches) |
What does the term NOS mean? | Not Otherwise Specified (think poor or lack of documentation, unspecified) |
What are some of the main components of the appendicular skeleton | (Appendages) shoulder, arms, hands, legs, feet |
What are some of the main components of the axial skeleton | skull, rib cage, vertebral column |
Where is a biventricular pacing device inserted? | in the right and left lower chamber of the heart |
What is the purpose of the cardiac aorta | main artery that carries blood AWAY from your heart to the rest of your body |
Any fine branching blood vessels that form a network between the arterioles and venules | capillary |
what returns deoxygenated blood from the myocardium to the right atrium. The blood then flows to the lungs for reoxygenation and removal of carbon dioxide | cardiac vein |
what is a dense tissue that DOES NOT require a blood supply and is a component of joints | cartilage |
What is the body's message center? | central nervous system |
What is the neck region of your spinal column or backbone | cervical spine |
is movement a feature on the integumentary system | No (the correct answer is protection, moister control, and temperature control) |
What is a heterologous bone marrow transplantation | transplant from a DIFFERENT species |
what SLOWS the body's response down | parasympathetic nervous system |
where is the pituitary gland located | brain |
What carries the blood from the right side of the heart to the lungs | pulmonary artery |
fibrous tissue connecting bone to another bone | ligament |
name 3 muscle types | cardiac, striated, smooth |
A dark cyst with syrupy or chocolate like contents made of a collection of hemosiderin, which occurs after local hemorrhage | sampson's cyst |
what system controls the muscular system and external sensory receptors, such as touch | somatic nervous system |
Sternum | breastbone protects the organs in your torso from injury and serves as a connection point for other bones and muscles |
testis | male's gonads |
what anchors muscle to bone? | tendons |
what is the three areas of the bladder located between the two ureter | trigone |
zygomatic arch | cheek bone |
when coding an adjacent tissue transfer | Code only the tissue transfer (see 11400 - 11446 excision of benign lesion and 11600 - 11646 excision of malignant lesion) |
When is a neoplasm of "uncertain behavior" coded? | when the tumor shows BOTH benign and malignant behavior, based on the PATHOLOGIST'S report. |
When coding for the wrong dose of medication, what is the correct order for the codes? | Code first the poisoning code followed by the signs and symptoms |
what is the time frame for listing a sequela (late effects) code | there is no time limit |
What code is used for the residual effects of a prior ACUTE injury or illness that has terminated | character S for the Sequela effects on the ICD-10-CM code |
Asymptomatic HIV | Z21 |
if admitted for a confirmed case of HIV, which code is primary followed by any related conditions | B20 (confirmed case of HIV) |
Which type of diabetes is an autoimmune disease | type I |
Which type of diabetes requires insulin? | type I |
Can a code described as disease classified elsewhere be listed as a first listed code? | No, they can never be listed as a primary listed code |
When a patient is given oral contrast, the code chosen should indicate? | without contrast |
Who requires the use of ICD-10-CM code sets | HIPPA |
What condition code is used to reported when services are not covered and a patient demands a bill be submitted | Condition Code 20 |
The provider is requesting a denial notice from Medicare to bill Medicaid or other insurer. | Condition Code 21 |
beneficiary informed of provider's intent to bill for the procedure | Occurrence Code 32 |
ABN signed as a requirement for services to be performed | Procedure Code GA |
Patient is informed Medicare will not pay, but the patient insists it will, no ABN signed | Procedure Code GZ |
What code is used for a MRSA (Methicillin Resistant Staphylococcus Aureus) infection when the site is UNSPECIFIED | A49.02 |
What code is used for a MRSA (Methicillin Resistant Staphylococcus Aureus) infection when the site is SPECIFIED | B95.62 |
when hypertension is secondary to an underlying condition, how many codes are required? | 2, one to identify the underlying etiology and one from category I15. The sequence depends on the chief reason for the examination |