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Certified Professional Coder Coding Test
Questions with Detailed Verified Answers
American Academy of Professional Coder
Certified Professional Coder Test for CPC-P
1. Codes and Ethics of Coders
2. Medical Terminology and Anatomy Review (all systems)
3. ICD-9-CM (complete)
4. CPT coding, surgery guidelines, HCPCS, and modifiers
5. Introduction to Integumentary system including ICD-9 and CPT codes
6. Introduction to Musculoskeletal System including ICD-9 and CPT codes
7. Introduction to Respiratory, Hemic, Lymphatic, Mediastinum and Diaphragm
including ICD-9 and CPT codes
8. Introduction to Cardiovascular system including ICD-9 and CPT codes
9. Introduction to Digestive system including ICD-9 and Cpt Codes
10. Introduction to Urinary System and Male Genital System including ICD-9 and CPT
codes
11. Female Reproductive system including ICD-9 and CPT codes
12. Edocrine and Nervous System including ICD-9 and CPT codes
13. Eye and Ocular Adnexa, Auditory System including ICD-9 and CPT codes
14. Anesthesia including ICD-9 and Cpt
15. Radiology including ICD -9 and Cpt
16. Pathology and Laboratory including ICD-9 and CPT
17. Evaluation and Management including ICD-9 and CPT
18. Medicine including ICD-9 and CPT
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Coding is
Ans: the process of translating this written or dictated fmedical record into a series of
numeric or alpha-numeric codes
Proper code assignment is determined by
Ans: content of the medical record and by the unique rules that governs each code set
what are 3 things that Coder must master
Ans: 1. anatomy
2. medical terminology
3. must be detail-oriented
Medical coders assign a code to what
Ans: 1. Each diagnosis
2. service/procedure
3. Supply, using the classification system when applicable
The classification system determines what
Ans: the amount health care providers will be reimbursed if the patient is covered by
Medicare, Medicaid, or other insurance programs using the system
A coder must evaluate the medical record for
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Ans: 1. completeness and accuracy
2. communicate regularly with physicians and othe health care professional to clarify
DX or obtain additonal PT info.
Techicians who speciallize in coding inpatient hospital services are referred as
Ans: 1. Health information coders
2. medical record coders
3. Coder/abstractors
4. Coding Specialist
What is MS-DRGs and what is it
Ans: 1. Medicare Severity-Diagnosis Related Groups
2. Determines the amt the hospital will be reimbursed if the PT is covered by Medicare
or other insurance programs
What is EHR
Ans: Electronic health record
Skill coders may become
Ans: consulatants, educators or medical auditors
What is the difference between Hospital and Physican Services
© Get it right 2025 Getaway - Stuvia US All rights reserved
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Ans: 1. Outpatient coding (physician services)- learning CPT, HCPCS, LEVEL II, ICD-9 CM
codes Volume 1 and 2
2. Inpatient coding (Hospital services)- Learning CPT, ICD-9 CM codes Volumes 1,2,3
and MS-DRGS
What is APC and who uses it
Ans: Ambulatory Payment Classification- outpatient facility coders (physician services
What is the coder role in a physician's office
Ans: Extremely important to proper reimbursement and the livelihood of the physican
What is a physican degree of education
Ans: 4 years of college, 4 years of medical school plus 3 to 5 years of residency.
What is a mid-level providers and who
Ans: 1. Mid-level providers are know as physician extenders
2. Physician assistants (PA) and Nurse Practitioners (NP)
What are the requirement for a PA and what
Ans: 1. 26 1/2 month to complete
2. Lincense to practice medicine with physician supervision
NP must have
© Get it right 2025 Getaway - Stuvia US All rights reserved
Certified Professional Coder Coding Test
Questions with Detailed Verified Answers
American Academy of Professional Coder
Certified Professional Coder Test for CPC-P
1. Codes and Ethics of Coders
2. Medical Terminology and Anatomy Review (all systems)
3. ICD-9-CM (complete)
4. CPT coding, surgery guidelines, HCPCS, and modifiers
5. Introduction to Integumentary system including ICD-9 and CPT codes
6. Introduction to Musculoskeletal System including ICD-9 and CPT codes
7. Introduction to Respiratory, Hemic, Lymphatic, Mediastinum and Diaphragm
including ICD-9 and CPT codes
8. Introduction to Cardiovascular system including ICD-9 and CPT codes
9. Introduction to Digestive system including ICD-9 and Cpt Codes
10. Introduction to Urinary System and Male Genital System including ICD-9 and CPT
codes
11. Female Reproductive system including ICD-9 and CPT codes
12. Edocrine and Nervous System including ICD-9 and CPT codes
13. Eye and Ocular Adnexa, Auditory System including ICD-9 and CPT codes
14. Anesthesia including ICD-9 and Cpt
15. Radiology including ICD -9 and Cpt
16. Pathology and Laboratory including ICD-9 and CPT
17. Evaluation and Management including ICD-9 and CPT
18. Medicine including ICD-9 and CPT
© Get it right 2025 Getaway - Stuvia US All rights reserved
,Click here for more: Scholars nexus
Coding is
Ans: the process of translating this written or dictated fmedical record into a series of
numeric or alpha-numeric codes
Proper code assignment is determined by
Ans: content of the medical record and by the unique rules that governs each code set
what are 3 things that Coder must master
Ans: 1. anatomy
2. medical terminology
3. must be detail-oriented
Medical coders assign a code to what
Ans: 1. Each diagnosis
2. service/procedure
3. Supply, using the classification system when applicable
The classification system determines what
Ans: the amount health care providers will be reimbursed if the patient is covered by
Medicare, Medicaid, or other insurance programs using the system
A coder must evaluate the medical record for
© Get it right 2025 Getaway - Stuvia US All rights reserved
,Click here for more: Scholars nexus
Ans: 1. completeness and accuracy
2. communicate regularly with physicians and othe health care professional to clarify
DX or obtain additonal PT info.
Techicians who speciallize in coding inpatient hospital services are referred as
Ans: 1. Health information coders
2. medical record coders
3. Coder/abstractors
4. Coding Specialist
What is MS-DRGs and what is it
Ans: 1. Medicare Severity-Diagnosis Related Groups
2. Determines the amt the hospital will be reimbursed if the PT is covered by Medicare
or other insurance programs
What is EHR
Ans: Electronic health record
Skill coders may become
Ans: consulatants, educators or medical auditors
What is the difference between Hospital and Physican Services
© Get it right 2025 Getaway - Stuvia US All rights reserved
, Click here for more: Scholars nexus
Ans: 1. Outpatient coding (physician services)- learning CPT, HCPCS, LEVEL II, ICD-9 CM
codes Volume 1 and 2
2. Inpatient coding (Hospital services)- Learning CPT, ICD-9 CM codes Volumes 1,2,3
and MS-DRGS
What is APC and who uses it
Ans: Ambulatory Payment Classification- outpatient facility coders (physician services
What is the coder role in a physician's office
Ans: Extremely important to proper reimbursement and the livelihood of the physican
What is a physican degree of education
Ans: 4 years of college, 4 years of medical school plus 3 to 5 years of residency.
What is a mid-level providers and who
Ans: 1. Mid-level providers are know as physician extenders
2. Physician assistants (PA) and Nurse Practitioners (NP)
What are the requirement for a PA and what
Ans: 1. 26 1/2 month to complete
2. Lincense to practice medicine with physician supervision
NP must have
© Get it right 2025 Getaway - Stuvia US All rights reserved
