Certified Professional Coder Coding Test
2025/2026| Verified Q&A
Which entity is responsible for developing and updating the ICD-10-PCS code set?
Centers for Medicare and Medicaid Services (CMS)
In the Medicare Physician Fee Schedule, what is the purpose of the Relative Value Unit (RVU)?
To determine the value of services provided by physicians
Which ICD-10-CM chapter covers diseases of the digestive system?
Chapter 11
What is the primary purpose of the ICD-10-CM code set?
To classify diagnoses and reasons for patient visits
In CPT coding, what does a modifier 59 indicate?
Distinct procedural service
When should CPT modifier 25 be appended?
When a significant, separately identifiable E/M service is provided on the same day as
another service or procedure
Which ICD-10-CM code set character indicates laterality?
1
, The sixth character
What does the term "upcoding" refer to?
Assigning a code for a higher level of service than was actually provided
In the CPT coding manual, Category II codes are primarily used for what purpose?
Tracking performance measurements
What is the function of an E/M code?
To describe the evaluation and management of a patient's condition
Which modifier should be used when a bilateral procedure is performed?
Modifier 50
If a diagnostic test is performed to confirm a physician's suspicion of a condition, how should it
be coded?
Code the sign or symptom prompting the test unless the condition is confirmed
What does the CPT symbol of a circle with a line through it indicate?
A code exempt from modifier 51
When reporting anesthesia services, what additional information is often required?
2
, Physical status modifiers
In CPT coding, how are add-on codes identified?
By a plus sign (+) before the code
What does the term “bundling” in coding mean?
Combining multiple procedures into a single code
What is a “code linkage” and why is it important in coding?
Linking diagnosis codes to procedure codes to support medical necessity
When is modifier 24 appropriate for use?
When an unrelated E/M service is provided by the same physician during a postoperative
period
Which document is essential for coding the diagnosis from an operative procedure?
Operative report
What is the purpose of an advance beneficiary notice (ABN)?
To inform Medicare beneficiaries of potential out-of-pocket costs for a service not covered
by Medicare
3
, What is the CPT code range for anesthesia services?
00100-01999
When using an unlisted procedure code, what documentation is crucial to include?
Detailed explanation of the procedure performed
What does CPT code 99080 cover?
Special reports such as insurance forms and documentation preparation
Which modifier is used to report an assistant surgeon's participation?
Modifier 80
For CPT coding, what does “global period” refer to?
The time period during which related follow-up care is included in the surgical package
Which CPT code symbol signifies a telemedicine service?
A star symbol (*)
What is the CPT code range for pathology and laboratory procedures?
80047-89398
What should you code if the final diagnosis is documented as “probable” in an inpatient setting?
4
2025/2026| Verified Q&A
Which entity is responsible for developing and updating the ICD-10-PCS code set?
Centers for Medicare and Medicaid Services (CMS)
In the Medicare Physician Fee Schedule, what is the purpose of the Relative Value Unit (RVU)?
To determine the value of services provided by physicians
Which ICD-10-CM chapter covers diseases of the digestive system?
Chapter 11
What is the primary purpose of the ICD-10-CM code set?
To classify diagnoses and reasons for patient visits
In CPT coding, what does a modifier 59 indicate?
Distinct procedural service
When should CPT modifier 25 be appended?
When a significant, separately identifiable E/M service is provided on the same day as
another service or procedure
Which ICD-10-CM code set character indicates laterality?
1
, The sixth character
What does the term "upcoding" refer to?
Assigning a code for a higher level of service than was actually provided
In the CPT coding manual, Category II codes are primarily used for what purpose?
Tracking performance measurements
What is the function of an E/M code?
To describe the evaluation and management of a patient's condition
Which modifier should be used when a bilateral procedure is performed?
Modifier 50
If a diagnostic test is performed to confirm a physician's suspicion of a condition, how should it
be coded?
Code the sign or symptom prompting the test unless the condition is confirmed
What does the CPT symbol of a circle with a line through it indicate?
A code exempt from modifier 51
When reporting anesthesia services, what additional information is often required?
2
, Physical status modifiers
In CPT coding, how are add-on codes identified?
By a plus sign (+) before the code
What does the term “bundling” in coding mean?
Combining multiple procedures into a single code
What is a “code linkage” and why is it important in coding?
Linking diagnosis codes to procedure codes to support medical necessity
When is modifier 24 appropriate for use?
When an unrelated E/M service is provided by the same physician during a postoperative
period
Which document is essential for coding the diagnosis from an operative procedure?
Operative report
What is the purpose of an advance beneficiary notice (ABN)?
To inform Medicare beneficiaries of potential out-of-pocket costs for a service not covered
by Medicare
3
, What is the CPT code range for anesthesia services?
00100-01999
When using an unlisted procedure code, what documentation is crucial to include?
Detailed explanation of the procedure performed
What does CPT code 99080 cover?
Special reports such as insurance forms and documentation preparation
Which modifier is used to report an assistant surgeon's participation?
Modifier 80
For CPT coding, what does “global period” refer to?
The time period during which related follow-up care is included in the surgical package
Which CPT code symbol signifies a telemedicine service?
A star symbol (*)
What is the CPT code range for pathology and laboratory procedures?
80047-89398
What should you code if the final diagnosis is documented as “probable” in an inpatient setting?
4
