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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 |