AAPC MEDICAL CODING ACTUAL EXAM 2026
QUESTIONS WITH ANSWERS GRADED A+
◉ A medical record contains information on all but what areas? Answer:
Financial records
◉ Technicians who specialize in coding are called: Answer: Coding
specialists
◉ EHR stands for: Answer: Electronic health record
◉ What type of provider goes through approximately 26.5 months of
education and is licensed to practice medicine with the oversight of a
physician? Answer: Physician Assistant (PA)
◉ The Medicare program is made up of several parts. Which part is
most significant to coders working in physician offices and covers
physician fees without the use of a private insurer? Answer: Part B
◉ The Medicare program is made up of several parts. Which part is
affected by the Centers for Medicare and Medicaid Services' - hierarchal
condition categories (CMS-HCC)? Answer: Part C
, ◉ What does CMS-HCC stand for? Answer: Centers for Medicare and
Medicaid Services - Hierarchal Condition Category
◉ When coding an operative report, what action would NOT be
recommended? Answer: Coding from the header without reading the
body of the report
◉ Outpatient coders focus on learning which coding manuals? Answer:
CPT, HCPCS Level II, and ICD-9-CM Volumes 1 and 2
◉ If an NCD doesn't exist for a particular service/procedure performed
on a Medicare patient, who determines coverage? Answer: Medicare
Administrative Contractor (MAC)
◉ The __ describes whether specific medical items, services, treatment
procedures, or technologies are considered medically necessary under
Medicare.. Answer: National Coverage Determinations Manual
◉ National Coverage Determinations serve what purpose? Answer: To
spell out CMS policies on when Medicare will pay for items or services
◉ MAC stands for what? Answer: Medicare Administrative Contractor
◉ Local Coverage Determinations are administered by __? Answer:
Each regional MAC
QUESTIONS WITH ANSWERS GRADED A+
◉ A medical record contains information on all but what areas? Answer:
Financial records
◉ Technicians who specialize in coding are called: Answer: Coding
specialists
◉ EHR stands for: Answer: Electronic health record
◉ What type of provider goes through approximately 26.5 months of
education and is licensed to practice medicine with the oversight of a
physician? Answer: Physician Assistant (PA)
◉ The Medicare program is made up of several parts. Which part is
most significant to coders working in physician offices and covers
physician fees without the use of a private insurer? Answer: Part B
◉ The Medicare program is made up of several parts. Which part is
affected by the Centers for Medicare and Medicaid Services' - hierarchal
condition categories (CMS-HCC)? Answer: Part C
, ◉ What does CMS-HCC stand for? Answer: Centers for Medicare and
Medicaid Services - Hierarchal Condition Category
◉ When coding an operative report, what action would NOT be
recommended? Answer: Coding from the header without reading the
body of the report
◉ Outpatient coders focus on learning which coding manuals? Answer:
CPT, HCPCS Level II, and ICD-9-CM Volumes 1 and 2
◉ If an NCD doesn't exist for a particular service/procedure performed
on a Medicare patient, who determines coverage? Answer: Medicare
Administrative Contractor (MAC)
◉ The __ describes whether specific medical items, services, treatment
procedures, or technologies are considered medically necessary under
Medicare.. Answer: National Coverage Determinations Manual
◉ National Coverage Determinations serve what purpose? Answer: To
spell out CMS policies on when Medicare will pay for items or services
◉ MAC stands for what? Answer: Medicare Administrative Contractor
◉ Local Coverage Determinations are administered by __? Answer:
Each regional MAC
