CPC & CCS Medical Coding Practice Exam
2026-2027: 120 Real-World Questions with
Answers & Explanations | ICD-10-CM, CPT,
HCPCS, E/M, Modifiers, Cardiology,
Orthopedics, Surgery, Radiology
Description:
Pass your CPC, CCS, or RHIT certification exam in 2026-2027 with this comprehensive 120-
question practice test featuring real operative reports, detailed answer rationales, and current
coding guidelines. Master ICD-10-CM diagnosis coding, CPT procedures, E/M levels,
modifiers, and multi-code surgical scenarios. Created for medical coding students,
professionals, and educators.
Download the complete 2026-2027 examination paper with answer key today and boost your
certification pass rate!
, 2026 Medical Coding Practice Exam | CPC & CCS 120 Qs
Instructions:
This examination consists of multiple-choice questions based on the provided clinical vignettes.
Select the single best answer for each question.
Each question is worth 2 points unless otherwise indicated.
Answers must be marked on the provided answer sheet.
Clinical documentation reflects current best practices and 2026/2027 coding guidelines.
Section 1: Musculoskeletal System and Orthopedics
1. A 26-year-old male undergoes an open reduction internal fixation (ORIF) of a displaced
left lateral malleolus fracture with syndesmosis disruption. The surgeon uses a 6-hole plate
and places two syndesmotic screws. Which CPT code(s) accurately represent this
procedure?
A. 27829-LT
B. 27792-LT
C. 27792-LT, 27829-LT
D. 27814-LT
Answer: C
Explanation: The operative report describes an ORIF of the lateral malleolus (fibula, CPT
27792) and a separate, distinct procedure for the syndesmosis repair (CPT 27829). Both codes
are supported by the documentation and should be reported with the -LT modifier.
2. A 16-year-old female has a closed reduction and percutaneous pin fixation of a left fifth
metacarpal base fracture under fluoroscopic guidance. What is the correct CPT code for
this procedure?
A. 26600-LT
B. 26605-LT
C. 26608-LT
D. 26750-LT
,Answer: C
Explanation: CPT 26608 specifically describes the closed treatment of a metacarpal fracture
with manipulation, percutaneous skeletal fixation. The documentation explicitly states “closed
reduction pin fixation” and the use of a K-wire.
3. A 41-year-old male undergoes an L4-L5 arthroplasty (ProDisc) via an anterior
retroperitoneal flank incision. What is the primary CPT code for this service?
A. 22558
B. 22857
C. 63055
D. 22630
Answer: B
Explanation: CPT 22857 is the specific code for total disc arthroplasty (artificial disc) in the
lumbar spine, anterior approach. The documentation clearly states “ProDisc arthroplasty” at L4-
L5.
4. A 54-year-old male with a right L5-S1 herniated nucleus pulposus undergoes a
microdiscectomy with foraminotomy using fluoroscopic guidance. What is the correct CPT
code?
A. 63030-RT
B. 63047-RT
C. 63056-RT
D. 63042-RT
Answer: A
Explanation: CPT 63030 describes a lumbar laminotomy (hemilaminectomy) with discectomy,
including decompression of nerve root(s) for a herniated intervertebral disc, one interspace. The
procedure is performed on the right side.
, Section 2: Cardiovascular System
5. An 80-year-old female undergoes left heart catheterization, ventriculography, and
coronary angiography. What CPT code is used for the professional component (-26) of this
service?
A. 93458-26
B. 93460-26
C. 93459-26
D. 93451-26
Answer: C
Explanation: CPT 93459 describes left heart catheterization, coronary angiography, and left
ventriculography. The -26 modifier indicates the professional component for the interpreting
physician.
6. A 70-year-old female with a history of nonischemic cardiomyopathy and an AICD
undergoes a transthoracic echocardiogram (complete study with 2D, M-mode, spectral
Doppler, and color Doppler). What is the correct CPT code?
A. 93306-26
B. 93308-26
C. 93312-26
D. 93351-26
Answer: A
Explanation: CPT 93306 is the correct code for a complete transthoracic echocardiography
(TTE) study, which includes 2D, M-mode, spectral Doppler, and color Doppler. The -26
modifier represents the professional component.
7. A 27-year-old female with endocarditis undergoes a transesophageal echocardiogram
(TEE) including 2D, spectral Doppler, and color Doppler. What is the correct CPT code(s)
for the professional component?
A. 93312-26, 93320-26, 93325-26
B. 93312-26
2026-2027: 120 Real-World Questions with
Answers & Explanations | ICD-10-CM, CPT,
HCPCS, E/M, Modifiers, Cardiology,
Orthopedics, Surgery, Radiology
Description:
Pass your CPC, CCS, or RHIT certification exam in 2026-2027 with this comprehensive 120-
question practice test featuring real operative reports, detailed answer rationales, and current
coding guidelines. Master ICD-10-CM diagnosis coding, CPT procedures, E/M levels,
modifiers, and multi-code surgical scenarios. Created for medical coding students,
professionals, and educators.
Download the complete 2026-2027 examination paper with answer key today and boost your
certification pass rate!
, 2026 Medical Coding Practice Exam | CPC & CCS 120 Qs
Instructions:
This examination consists of multiple-choice questions based on the provided clinical vignettes.
Select the single best answer for each question.
Each question is worth 2 points unless otherwise indicated.
Answers must be marked on the provided answer sheet.
Clinical documentation reflects current best practices and 2026/2027 coding guidelines.
Section 1: Musculoskeletal System and Orthopedics
1. A 26-year-old male undergoes an open reduction internal fixation (ORIF) of a displaced
left lateral malleolus fracture with syndesmosis disruption. The surgeon uses a 6-hole plate
and places two syndesmotic screws. Which CPT code(s) accurately represent this
procedure?
A. 27829-LT
B. 27792-LT
C. 27792-LT, 27829-LT
D. 27814-LT
Answer: C
Explanation: The operative report describes an ORIF of the lateral malleolus (fibula, CPT
27792) and a separate, distinct procedure for the syndesmosis repair (CPT 27829). Both codes
are supported by the documentation and should be reported with the -LT modifier.
2. A 16-year-old female has a closed reduction and percutaneous pin fixation of a left fifth
metacarpal base fracture under fluoroscopic guidance. What is the correct CPT code for
this procedure?
A. 26600-LT
B. 26605-LT
C. 26608-LT
D. 26750-LT
,Answer: C
Explanation: CPT 26608 specifically describes the closed treatment of a metacarpal fracture
with manipulation, percutaneous skeletal fixation. The documentation explicitly states “closed
reduction pin fixation” and the use of a K-wire.
3. A 41-year-old male undergoes an L4-L5 arthroplasty (ProDisc) via an anterior
retroperitoneal flank incision. What is the primary CPT code for this service?
A. 22558
B. 22857
C. 63055
D. 22630
Answer: B
Explanation: CPT 22857 is the specific code for total disc arthroplasty (artificial disc) in the
lumbar spine, anterior approach. The documentation clearly states “ProDisc arthroplasty” at L4-
L5.
4. A 54-year-old male with a right L5-S1 herniated nucleus pulposus undergoes a
microdiscectomy with foraminotomy using fluoroscopic guidance. What is the correct CPT
code?
A. 63030-RT
B. 63047-RT
C. 63056-RT
D. 63042-RT
Answer: A
Explanation: CPT 63030 describes a lumbar laminotomy (hemilaminectomy) with discectomy,
including decompression of nerve root(s) for a herniated intervertebral disc, one interspace. The
procedure is performed on the right side.
, Section 2: Cardiovascular System
5. An 80-year-old female undergoes left heart catheterization, ventriculography, and
coronary angiography. What CPT code is used for the professional component (-26) of this
service?
A. 93458-26
B. 93460-26
C. 93459-26
D. 93451-26
Answer: C
Explanation: CPT 93459 describes left heart catheterization, coronary angiography, and left
ventriculography. The -26 modifier indicates the professional component for the interpreting
physician.
6. A 70-year-old female with a history of nonischemic cardiomyopathy and an AICD
undergoes a transthoracic echocardiogram (complete study with 2D, M-mode, spectral
Doppler, and color Doppler). What is the correct CPT code?
A. 93306-26
B. 93308-26
C. 93312-26
D. 93351-26
Answer: A
Explanation: CPT 93306 is the correct code for a complete transthoracic echocardiography
(TTE) study, which includes 2D, M-mode, spectral Doppler, and color Doppler. The -26
modifier represents the professional component.
7. A 27-year-old female with endocarditis undergoes a transesophageal echocardiogram
(TEE) including 2D, spectral Doppler, and color Doppler. What is the correct CPT code(s)
for the professional component?
A. 93312-26, 93320-26, 93325-26
B. 93312-26
