Maryland Certified Professional Coder
Exam Practice Questions And Correct
Answers (Verified Answers) Plus
Rationale 2026 Q&A| Instant Download
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1. Which code set is primarily used to report physician procedures and
services in outpatient settings?
A. ICD-10-CM
B. HCPCS Level III
C. CPT
D. DRG
Answer: C. CPT
Rationale: CPT (Current Procedural Terminology) codes are used to report
medical procedures and services performed by physicians and other
healthcare professionals. ICD-10-CM codes describe diagnoses, while
HCPCS supplements CPT for supplies and certain services.
2. What is the primary purpose of ICD-10-CM coding?
A. Reporting medical procedures
B. Reporting diagnoses and conditions
,C. Billing for medical supplies
D. Tracking provider credentials
Answer: B. Reporting diagnoses and conditions
Rationale: ICD-10-CM is used to classify diseases, injuries, symptoms, and
health conditions. It supports medical necessity and explains why services
were provided.
3. HCPCS Level II codes are primarily used to report:
A. Surgical procedures only
B. Hospital inpatient diagnoses
C. Supplies, equipment, and non-physician services
D. Laboratory values
Answer: C. Supplies, equipment, and non-physician services
Rationale: HCPCS Level II codes describe durable medical equipment,
supplies, medications, ambulance services, and other items not found in
CPT.
4. Which modifier indicates a separately identifiable evaluation and
management service on the same day as another procedure?
A. 22
B. 25
C. 51
D. 76
Answer: B. 25
Rationale: Modifier 25 is appended to an E/M service when it is significant
and separately identifiable from another procedure performed on the
same date.
5. The term “ectomy” means:
,A. Repair
B. Removal
C. Visualization
D. Incision
Answer: B. Removal
Rationale: The suffix “-ectomy” refers to surgical removal of a body part,
organ, or tissue.
6. Which body system includes the esophagus, stomach, and intestines?
A. Respiratory
B. Cardiovascular
C. Digestive
D. Nervous
Answer: C. Digestive
Rationale: The digestive system includes organs involved in food digestion
and nutrient absorption, including the esophagus, stomach, and intestines.
7. A patient seen for the first time by a physician is classified as:
A. Established patient
B. Observation patient
C. New patient
D. Inpatient
Answer: C. New patient
Rationale: A new patient has not received professional services from the
physician or another physician of the same specialty in the same group
within the past three years.
8. What does the abbreviation “NCCI” stand for?
, A. National Coding Compliance Initiative
B. National Correct Coding Initiative
C. National Clinical Coding Information
D. National Claims Coding Index
Answer: B. National Correct Coding Initiative
Rationale: NCCI promotes correct coding methodologies and controls
improper coding that could result in inappropriate payment.
9. Which anatomical plane divides the body into right and left portions?
A. Coronal
B. Transverse
C. Sagittal
D. Oblique
Answer: C. Sagittal
Rationale: The sagittal plane separates the body into right and left
sections.
10. The medical term “bradycardia” means:
A. Rapid breathing
B. Slow heart rate
C. Irregular heartbeat
D. Chest pain
Answer: B. Slow heart rate
Rationale: Bradycardia refers to a heart rate that is slower than normal.
11. Which modifier indicates a bilateral procedure?
A. 24
B. 50
Exam Practice Questions And Correct
Answers (Verified Answers) Plus
Rationale 2026 Q&A| Instant Download
1. Which code set is primarily used to report physician procedures and
services in outpatient settings?
A. ICD-10-CM
B. HCPCS Level III
C. CPT
D. DRG
Answer: C. CPT
Rationale: CPT (Current Procedural Terminology) codes are used to report
medical procedures and services performed by physicians and other
healthcare professionals. ICD-10-CM codes describe diagnoses, while
HCPCS supplements CPT for supplies and certain services.
2. What is the primary purpose of ICD-10-CM coding?
A. Reporting medical procedures
B. Reporting diagnoses and conditions
,C. Billing for medical supplies
D. Tracking provider credentials
Answer: B. Reporting diagnoses and conditions
Rationale: ICD-10-CM is used to classify diseases, injuries, symptoms, and
health conditions. It supports medical necessity and explains why services
were provided.
3. HCPCS Level II codes are primarily used to report:
A. Surgical procedures only
B. Hospital inpatient diagnoses
C. Supplies, equipment, and non-physician services
D. Laboratory values
Answer: C. Supplies, equipment, and non-physician services
Rationale: HCPCS Level II codes describe durable medical equipment,
supplies, medications, ambulance services, and other items not found in
CPT.
4. Which modifier indicates a separately identifiable evaluation and
management service on the same day as another procedure?
A. 22
B. 25
C. 51
D. 76
Answer: B. 25
Rationale: Modifier 25 is appended to an E/M service when it is significant
and separately identifiable from another procedure performed on the
same date.
5. The term “ectomy” means:
,A. Repair
B. Removal
C. Visualization
D. Incision
Answer: B. Removal
Rationale: The suffix “-ectomy” refers to surgical removal of a body part,
organ, or tissue.
6. Which body system includes the esophagus, stomach, and intestines?
A. Respiratory
B. Cardiovascular
C. Digestive
D. Nervous
Answer: C. Digestive
Rationale: The digestive system includes organs involved in food digestion
and nutrient absorption, including the esophagus, stomach, and intestines.
7. A patient seen for the first time by a physician is classified as:
A. Established patient
B. Observation patient
C. New patient
D. Inpatient
Answer: C. New patient
Rationale: A new patient has not received professional services from the
physician or another physician of the same specialty in the same group
within the past three years.
8. What does the abbreviation “NCCI” stand for?
, A. National Coding Compliance Initiative
B. National Correct Coding Initiative
C. National Clinical Coding Information
D. National Claims Coding Index
Answer: B. National Correct Coding Initiative
Rationale: NCCI promotes correct coding methodologies and controls
improper coding that could result in inappropriate payment.
9. Which anatomical plane divides the body into right and left portions?
A. Coronal
B. Transverse
C. Sagittal
D. Oblique
Answer: C. Sagittal
Rationale: The sagittal plane separates the body into right and left
sections.
10. The medical term “bradycardia” means:
A. Rapid breathing
B. Slow heart rate
C. Irregular heartbeat
D. Chest pain
Answer: B. Slow heart rate
Rationale: Bradycardia refers to a heart rate that is slower than normal.
11. Which modifier indicates a bilateral procedure?
A. 24
B. 50
