CPC MEDICAL CODING EXAM 2026 |
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EXAM UPDATE
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SECTION ONE: QUESTIONS 1–100
Question 1. Which coding system is primarily used to report physician and other qualified
healthcare professional procedures and services in the United States?
A. ICD-10-CM
B. CPT®
C. ICD-10-PCS
D. DSM-5-TR
Correct Answer: B. CPT®
Explanation: CPT® is the primary code set used to report professional services, procedures,
and services performed by physicians and other qualified healthcare professionals. ICD-10-
CM is primarily used for diagnosis reporting, while ICD-10-PCS is used for inpatient hospital
procedures.
Question 2. Which term describes the study of body structures and their relationships?
A. Physiology
B. Pathology
C. Anatomy
D. Etiology
Correct Answer: C. Anatomy
,Explanation: Anatomy is the study of body structures and their relationships. Physiology
focuses on how those structures function, pathology concerns disease processes, and
etiology concerns causes.
Question 3. In medical terminology, the suffix “-itis” generally indicates:
A. Inflammation
B. Removal
C. Enlargement
D. Incision
Correct Answer: A. Inflammation
Explanation: The suffix “-itis” means inflammation, as in appendicitis, dermatitis, or arthritis.
Question 4. Which plane divides the body into right and left portions?
A. Transverse
B. Frontal
C. Sagittal
D. Oblique
Correct Answer: C. Sagittal
Explanation: A sagittal plane divides the body into right and left portions. A midsagittal plane
creates equal right and left halves.
Question 5. Which chamber of the heart pumps oxygenated blood into the systemic
circulation?
A. Right atrium
B. Right ventricle
C. Left atrium
D. Left ventricle
Correct Answer: D. Left ventricle
Explanation: The left ventricle pumps oxygenated blood through the aorta into systemic
circulation. The right ventricle pumps deoxygenated blood to the lungs.
Question 6. Which ICD-10-CM convention indicates that additional information may be
required to make a code more specific?
A. Excludes1
B. Code also
C. Placeholder character
D. Use additional code
Correct Answer: C. Placeholder character
, Explanation: The placeholder character X may be required in certain ICD-10-CM codes so
that a seventh character can be placed correctly. It maintains the required structure of the
code.
Question 7. What is the primary purpose of the ICD-10-CM Alphabetic Index?
A. To provide the final code description only
B. To locate diagnoses and direct the coder to appropriate codes
C. To determine physician reimbursement
D. To identify CPT® modifiers
Correct Answer: B. To locate diagnoses and direct the coder to appropriate codes
Explanation: The Alphabetic Index is the starting point for locating diagnostic terms. The
coder must then verify the code in the Tabular List and follow all applicable instructions.
Question 8. Which ICD-10-CM resource should be consulted to verify whether a code is valid
and to review inclusion and exclusion instructions?
A. Tabular List
B. CPT® Index
C. HCPCS Level II Index
D. RVU table
Correct Answer: A. Tabular List
Explanation: The Tabular List contains the complete code descriptions and important
instructional notes such as Includes, Excludes1, Excludes2, Code First, Use Additional Code,
and other conventions.
Question 9. An Excludes1 note generally means:
A. The two conditions may always be reported together
B. The excluded condition is included in the code
C. The excluded condition should not be coded with the code above it when the conditions
are mutually exclusive
D. An additional code is mandatory
Correct Answer: C. The excluded condition should not be coded with the code above it when
the conditions are mutually exclusive
Explanation: An Excludes1 note indicates that the excluded condition should not be reported
with the code to which the note applies, except where a specific guideline permits
otherwise.
Question 10. An Excludes2 note indicates that:
COMPREHENSIVE TEST BANK | QUESTIONS AND
ANSWERS – COMPREHENSIVE QUESTIONS AND
ANSWERS | VERIFIED AND WELLDETAILED
ANSWERS | DETAILED EXPLANATIONS AND
RATIONALES | COMPLETE EXAM PREPARATION
STUDY GUIDE | PRACTICE QUESTIONS | LATEST
EXAM UPDATE
.
SECTION ONE: QUESTIONS 1–100
Question 1. Which coding system is primarily used to report physician and other qualified
healthcare professional procedures and services in the United States?
A. ICD-10-CM
B. CPT®
C. ICD-10-PCS
D. DSM-5-TR
Correct Answer: B. CPT®
Explanation: CPT® is the primary code set used to report professional services, procedures,
and services performed by physicians and other qualified healthcare professionals. ICD-10-
CM is primarily used for diagnosis reporting, while ICD-10-PCS is used for inpatient hospital
procedures.
Question 2. Which term describes the study of body structures and their relationships?
A. Physiology
B. Pathology
C. Anatomy
D. Etiology
Correct Answer: C. Anatomy
,Explanation: Anatomy is the study of body structures and their relationships. Physiology
focuses on how those structures function, pathology concerns disease processes, and
etiology concerns causes.
Question 3. In medical terminology, the suffix “-itis” generally indicates:
A. Inflammation
B. Removal
C. Enlargement
D. Incision
Correct Answer: A. Inflammation
Explanation: The suffix “-itis” means inflammation, as in appendicitis, dermatitis, or arthritis.
Question 4. Which plane divides the body into right and left portions?
A. Transverse
B. Frontal
C. Sagittal
D. Oblique
Correct Answer: C. Sagittal
Explanation: A sagittal plane divides the body into right and left portions. A midsagittal plane
creates equal right and left halves.
Question 5. Which chamber of the heart pumps oxygenated blood into the systemic
circulation?
A. Right atrium
B. Right ventricle
C. Left atrium
D. Left ventricle
Correct Answer: D. Left ventricle
Explanation: The left ventricle pumps oxygenated blood through the aorta into systemic
circulation. The right ventricle pumps deoxygenated blood to the lungs.
Question 6. Which ICD-10-CM convention indicates that additional information may be
required to make a code more specific?
A. Excludes1
B. Code also
C. Placeholder character
D. Use additional code
Correct Answer: C. Placeholder character
, Explanation: The placeholder character X may be required in certain ICD-10-CM codes so
that a seventh character can be placed correctly. It maintains the required structure of the
code.
Question 7. What is the primary purpose of the ICD-10-CM Alphabetic Index?
A. To provide the final code description only
B. To locate diagnoses and direct the coder to appropriate codes
C. To determine physician reimbursement
D. To identify CPT® modifiers
Correct Answer: B. To locate diagnoses and direct the coder to appropriate codes
Explanation: The Alphabetic Index is the starting point for locating diagnostic terms. The
coder must then verify the code in the Tabular List and follow all applicable instructions.
Question 8. Which ICD-10-CM resource should be consulted to verify whether a code is valid
and to review inclusion and exclusion instructions?
A. Tabular List
B. CPT® Index
C. HCPCS Level II Index
D. RVU table
Correct Answer: A. Tabular List
Explanation: The Tabular List contains the complete code descriptions and important
instructional notes such as Includes, Excludes1, Excludes2, Code First, Use Additional Code,
and other conventions.
Question 9. An Excludes1 note generally means:
A. The two conditions may always be reported together
B. The excluded condition is included in the code
C. The excluded condition should not be coded with the code above it when the conditions
are mutually exclusive
D. An additional code is mandatory
Correct Answer: C. The excluded condition should not be coded with the code above it when
the conditions are mutually exclusive
Explanation: An Excludes1 note indicates that the excluded condition should not be reported
with the code to which the note applies, except where a specific guideline permits
otherwise.
Question 10. An Excludes2 note indicates that:
