2026 UPDATED QUESTIONS DOWNLOAD
NURS 5337 Billing and Coding Mastery Quiz | 200 NP-Level Q&A with Rationales | E/M
Guidelines & CPT Mastery | 2026 Updated
This NURS 5337 Billing and Coding Mastery Quiz is a high-yield, 200-question study
resource specifically designed for Nurse Practitioner (NP) students in Advanced
Health Assessment and Clinical Management courses.
As billing and coding become a larger part of the NP certification and daily practice, this
document bridges the gap between clinical knowledge and financial compliance. It
focuses on the latest 2021/2023 E/M Documentation Guidelines, moving away from
"bullet counting" and toward Medical Decision Making (MDM) and Total Time.
What’s Included:
200 High-Yield Questions: Scorable multiple-choice questions modeled after
graduate-level clinical management exams.
Ready-to-Study Format: Correct answers are bolded for rapid-fire review and
active recall.
Professional Rationales: Every answer includes a detailed explanation of
the CPT/ICD-10 mechanics, reimbursement rules, and compliance
standards.
Key Topics Covered:
E/M Leveling: Mastering 99202–99205 (New) and 99211–99215
(Established) codes.
MDM Components: Deep dives into Problem Complexity, Data Review, and
Risk of Management.
Modifiers: Essential use of -25 (Significant E/M), -50 (Bilateral), and -
95 (Telehealth).
Regulatory Compliance: Understanding "Incident-to" billing, the False
Claims Act, and the NPI system.
Procedural Coding: Common NP procedures like I&D (10060), Simple
Repair (12001), and EKGs (93000).
,2026 UPDATED QUESTIONS DOWNLOAD
Updated for 2025/2026 Standards. This "Mastery Quiz" is the ultimate tool for
ensuring you not only pass your NURS 5337 exam but are fully prepared for the
business side of advanced practice nursing.
NURS 5337 Billing and Coding Quiz
Question 1
Which coding system is primarily used for diagnoses?
A. CPT
B. HCPCS
C. ICD-10-CM
D. NDC
Answer: C
Rationale: ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical
Modification) is used for diagnosing and reporting conditions.
Question 2
Which coding system is used for procedures performed in an outpatient setting?
A. ICD-10-CM
B. CPT (Current Procedural Terminology)
C. NDC
D. HCPCS Level II
Answer: B
Rationale: CPT codes describe medical, surgical, and diagnostic procedures and services.
Question 3
Which of the following is considered a compliance issue in coding?
A. Coding to the highest level of specificity
B. Upcoding services for higher reimbursement
, 2026 UPDATED QUESTIONS DOWNLOAD
C. Using ICD-10 codes accurately
D. Following payer guidelines
Answer: B
Rationale: Upcoding is fraudulent and violates compliance standards.
Question 4
A patient receives evaluation and management (E/M) services. Which coding guideline
applies?
A. ICD-10-CM code selection
B. CPT E/M code selection based on history, exam, and medical decision making
C. HCPCS Level II codes
D. CPT surgical codes
Answer: B
Rationale: E/M codes are determined by complexity and documentation of patient encounter.
Question 5
Which modifier indicates a service was performed more than once?
A. -25
B. -59
C. -76
D. -22
Answer: C
Rationale: Modifier 76 indicates a repeat procedure by the same provider.
Question 6
Which of the following is an example of preventive service coding?
A. Appendectomy
B. Annual wellness visit
C. Physical therapy session
D. Wound debridement
NURS 5337 Billing and Coding Mastery Quiz | 200 NP-Level Q&A with Rationales | E/M
Guidelines & CPT Mastery | 2026 Updated
This NURS 5337 Billing and Coding Mastery Quiz is a high-yield, 200-question study
resource specifically designed for Nurse Practitioner (NP) students in Advanced
Health Assessment and Clinical Management courses.
As billing and coding become a larger part of the NP certification and daily practice, this
document bridges the gap between clinical knowledge and financial compliance. It
focuses on the latest 2021/2023 E/M Documentation Guidelines, moving away from
"bullet counting" and toward Medical Decision Making (MDM) and Total Time.
What’s Included:
200 High-Yield Questions: Scorable multiple-choice questions modeled after
graduate-level clinical management exams.
Ready-to-Study Format: Correct answers are bolded for rapid-fire review and
active recall.
Professional Rationales: Every answer includes a detailed explanation of
the CPT/ICD-10 mechanics, reimbursement rules, and compliance
standards.
Key Topics Covered:
E/M Leveling: Mastering 99202–99205 (New) and 99211–99215
(Established) codes.
MDM Components: Deep dives into Problem Complexity, Data Review, and
Risk of Management.
Modifiers: Essential use of -25 (Significant E/M), -50 (Bilateral), and -
95 (Telehealth).
Regulatory Compliance: Understanding "Incident-to" billing, the False
Claims Act, and the NPI system.
Procedural Coding: Common NP procedures like I&D (10060), Simple
Repair (12001), and EKGs (93000).
,2026 UPDATED QUESTIONS DOWNLOAD
Updated for 2025/2026 Standards. This "Mastery Quiz" is the ultimate tool for
ensuring you not only pass your NURS 5337 exam but are fully prepared for the
business side of advanced practice nursing.
NURS 5337 Billing and Coding Quiz
Question 1
Which coding system is primarily used for diagnoses?
A. CPT
B. HCPCS
C. ICD-10-CM
D. NDC
Answer: C
Rationale: ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical
Modification) is used for diagnosing and reporting conditions.
Question 2
Which coding system is used for procedures performed in an outpatient setting?
A. ICD-10-CM
B. CPT (Current Procedural Terminology)
C. NDC
D. HCPCS Level II
Answer: B
Rationale: CPT codes describe medical, surgical, and diagnostic procedures and services.
Question 3
Which of the following is considered a compliance issue in coding?
A. Coding to the highest level of specificity
B. Upcoding services for higher reimbursement
, 2026 UPDATED QUESTIONS DOWNLOAD
C. Using ICD-10 codes accurately
D. Following payer guidelines
Answer: B
Rationale: Upcoding is fraudulent and violates compliance standards.
Question 4
A patient receives evaluation and management (E/M) services. Which coding guideline
applies?
A. ICD-10-CM code selection
B. CPT E/M code selection based on history, exam, and medical decision making
C. HCPCS Level II codes
D. CPT surgical codes
Answer: B
Rationale: E/M codes are determined by complexity and documentation of patient encounter.
Question 5
Which modifier indicates a service was performed more than once?
A. -25
B. -59
C. -76
D. -22
Answer: C
Rationale: Modifier 76 indicates a repeat procedure by the same provider.
Question 6
Which of the following is an example of preventive service coding?
A. Appendectomy
B. Annual wellness visit
C. Physical therapy session
D. Wound debridement
