Certified Professional Coder Coding
Test Exam Actual Questions and
Answers 2026
Coding is -
correct answer ✅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 -
correct answer ✅content of the medical record and by the unique
rules that governs each code set
what are 3 things that Coder must master -
correct answer ✅1. anatomy
2. medical terminology
3. must be detail-oriented
Medical coders assign a code to what -
correct answer ✅1. Each diagnosis
2. service/procedure
3. Supply, using the classification system when applicable
The classification system determines what -
correct answer ✅the amount health care providers will be
,Certified Professional Coder Coding
Test Exam Actual Questions and
Answers 2026
reimbursed if the patient is covered by Medicare, Medicaid, or
other insurance programs using the system
A coder must evaluate the medical record for -
correct answer ✅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 -
correct answer ✅1. Health information coders
2. medical record coders
3. Coder/abstractors
4. Coding Specialist
What is MS-DRGs and what is it -
correct answer ✅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
,Certified Professional Coder Coding
Test Exam Actual Questions and
Answers 2026
What is EHR -
correct answer ✅Electronic health record
Skill coders may become -
correct answer ✅consulatants, educators or medical auditors
What is the difference between Hospital and Physican Services -
correct answer ✅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 -
correct answer ✅Ambulatory Payment Classification- outpatient
facility coders (physician services
What is the coder role in a physician's office -
correct answer ✅Extremely important to proper reimbursement
and the livelihood of the physican
, Certified Professional Coder Coding
Test Exam Actual Questions and
Answers 2026
What is a physican degree of education -
correct answer ✅4 years of college, 4 years of medical school plus
3 to 5 years of residency.
What is a mid-level providers and who -
correct answer ✅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 -
correct answer ✅1. 26 1/2 month to complete
2. Lincense to practice medicine with physician supervision
NP must have -
correct answer ✅A Master Degree in Nursing
How many payers in the most simplest form? -
correct answer ✅2
Private insurance plans and government insurance plans
Test Exam Actual Questions and
Answers 2026
Coding is -
correct answer ✅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 -
correct answer ✅content of the medical record and by the unique
rules that governs each code set
what are 3 things that Coder must master -
correct answer ✅1. anatomy
2. medical terminology
3. must be detail-oriented
Medical coders assign a code to what -
correct answer ✅1. Each diagnosis
2. service/procedure
3. Supply, using the classification system when applicable
The classification system determines what -
correct answer ✅the amount health care providers will be
,Certified Professional Coder Coding
Test Exam Actual Questions and
Answers 2026
reimbursed if the patient is covered by Medicare, Medicaid, or
other insurance programs using the system
A coder must evaluate the medical record for -
correct answer ✅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 -
correct answer ✅1. Health information coders
2. medical record coders
3. Coder/abstractors
4. Coding Specialist
What is MS-DRGs and what is it -
correct answer ✅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
,Certified Professional Coder Coding
Test Exam Actual Questions and
Answers 2026
What is EHR -
correct answer ✅Electronic health record
Skill coders may become -
correct answer ✅consulatants, educators or medical auditors
What is the difference between Hospital and Physican Services -
correct answer ✅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 -
correct answer ✅Ambulatory Payment Classification- outpatient
facility coders (physician services
What is the coder role in a physician's office -
correct answer ✅Extremely important to proper reimbursement
and the livelihood of the physican
, Certified Professional Coder Coding
Test Exam Actual Questions and
Answers 2026
What is a physican degree of education -
correct answer ✅4 years of college, 4 years of medical school plus
3 to 5 years of residency.
What is a mid-level providers and who -
correct answer ✅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 -
correct answer ✅1. 26 1/2 month to complete
2. Lincense to practice medicine with physician supervision
NP must have -
correct answer ✅A Master Degree in Nursing
How many payers in the most simplest form? -
correct answer ✅2
Private insurance plans and government insurance plans
