ARIZONA MEDICAL BILLING & CODING
SPECIALIST EXAM QUESTIONS WITH
CORRECT ANSWERS AND RATIONALES LATEST
2026 UPDATE
1.
What is the primary purpose of CPT coding?
A. Diagnose diseases
B. Report medical procedures
C. Track insurance payments
D. Identify medications
Answer: B
Rationale: CPT codes describe medical, surgical, and diagnostic
procedures.
2.
ICD-10-CM is used to:
A. Code procedures
B. Code diagnoses
C. Code drugs
D. Code billing errors
Answer: B
Rationale: ICD-10-CM classifies diseases and conditions.
3.
,Which modifier indicates a bilateral procedure?
A. -25
B. -50
C. -59
D. -76
Answer: B
Rationale: Modifier -50 identifies bilateral procedures.
4.
What does HIPAA primarily protect?
A. Insurance companies
B. Patient privacy
C. Billing systems
D. Hospital profits
Answer: B
Rationale: HIPAA protects patient health information.
5.
What is the first step in medical billing?
A. Claim submission
B. Patient registration
C. Coding diagnosis
D. Payment posting
Answer: B
Rationale: Patient demographic registration starts the billing cycle.
, 6.
Which form is used for outpatient claims?
A. UB-04
B. CMS-1500
C. W-2
D. ADA form
Answer: B
Rationale: CMS-1500 is used for outpatient/physician billing.
7.
What does “deductible” mean?
A. Amount insurer pays
B. Fixed copay
C. Amount patient pays before insurance
D. Denied claim
Answer: C
Rationale: Deductible is the patient’s out-of-pocket threshold.
8.
Which coding system is used for hospital inpatient procedures?
A. CPT
B. ICD-10-PCS
C. HCPCS Level II
D. DSM-5
Answer: B
Rationale: ICD-10-PCS is used for inpatient hospital procedures.
SPECIALIST EXAM QUESTIONS WITH
CORRECT ANSWERS AND RATIONALES LATEST
2026 UPDATE
1.
What is the primary purpose of CPT coding?
A. Diagnose diseases
B. Report medical procedures
C. Track insurance payments
D. Identify medications
Answer: B
Rationale: CPT codes describe medical, surgical, and diagnostic
procedures.
2.
ICD-10-CM is used to:
A. Code procedures
B. Code diagnoses
C. Code drugs
D. Code billing errors
Answer: B
Rationale: ICD-10-CM classifies diseases and conditions.
3.
,Which modifier indicates a bilateral procedure?
A. -25
B. -50
C. -59
D. -76
Answer: B
Rationale: Modifier -50 identifies bilateral procedures.
4.
What does HIPAA primarily protect?
A. Insurance companies
B. Patient privacy
C. Billing systems
D. Hospital profits
Answer: B
Rationale: HIPAA protects patient health information.
5.
What is the first step in medical billing?
A. Claim submission
B. Patient registration
C. Coding diagnosis
D. Payment posting
Answer: B
Rationale: Patient demographic registration starts the billing cycle.
, 6.
Which form is used for outpatient claims?
A. UB-04
B. CMS-1500
C. W-2
D. ADA form
Answer: B
Rationale: CMS-1500 is used for outpatient/physician billing.
7.
What does “deductible” mean?
A. Amount insurer pays
B. Fixed copay
C. Amount patient pays before insurance
D. Denied claim
Answer: C
Rationale: Deductible is the patient’s out-of-pocket threshold.
8.
Which coding system is used for hospital inpatient procedures?
A. CPT
B. ICD-10-PCS
C. HCPCS Level II
D. DSM-5
Answer: B
Rationale: ICD-10-PCS is used for inpatient hospital procedures.
