1|Page
MEDICAL CODING AND BILLING CERTIFICATION
(MCBC) STUDY GUIDE 1 LATEST 2025 EXAM WITH
QUESTIONS AND ANSWERS WELL QUARANTEED
GRADE A+
The services medically necessary for diagnostic code linkage - (answer)What must
a coder understand in order to determine the correct diagnosis code assignment?
Correctly identifying primary and secondary insurance policies in order to
preserve coordination of benefits - (answer)Avoiding the duplication of benefits
paid by the primary and secondary insurance is achieved by:
Use the combination code - (answer)If a combination code is available, a coder
should:
blue triangle - (answer)When a code is "revised" in the CPT manual, it will be
indicated by:
particular radiology service provided is not described by a specific CPT code -
(answer)A coder should use an "unlisted' radiology CPT code when:
Code blocks - (answer)Major topic headings in the Tabular List of ICD-10-CM are
known as:
, 2|Page
Healthcare Common Procedure Coding System - (answer)Most state Medicaid
programs use what type of system to report professional services, procedures,
supplies, and equipment?
always a letter - (answer)The first character of ICD-10-CM:
Using a fourth, fifth, sixth or seventh digit when required - (answer)Coding to the
highest level of specificity means:
Without - (answer)According to the ICD-10-CM conventions, if the
documentation is unclear or does not state that the complication or comorbidity
listed in the code description is present with the condition, the default is:
E/M service codes - (answer)Reported in addition to the appropriate casting code
when a cast or splint is intended to be the definitive treatment of a fracture
Subsequent Encounter - (answer)Care encounter after the initial care event
Diagnostic codes from encounter form - (answer)What information is needed to
fill out a CMS-1500 claim form?
Billing more than the proper fee for a service - (answer)Upcoding is:
MEDICAL CODING AND BILLING CERTIFICATION
(MCBC) STUDY GUIDE 1 LATEST 2025 EXAM WITH
QUESTIONS AND ANSWERS WELL QUARANTEED
GRADE A+
The services medically necessary for diagnostic code linkage - (answer)What must
a coder understand in order to determine the correct diagnosis code assignment?
Correctly identifying primary and secondary insurance policies in order to
preserve coordination of benefits - (answer)Avoiding the duplication of benefits
paid by the primary and secondary insurance is achieved by:
Use the combination code - (answer)If a combination code is available, a coder
should:
blue triangle - (answer)When a code is "revised" in the CPT manual, it will be
indicated by:
particular radiology service provided is not described by a specific CPT code -
(answer)A coder should use an "unlisted' radiology CPT code when:
Code blocks - (answer)Major topic headings in the Tabular List of ICD-10-CM are
known as:
, 2|Page
Healthcare Common Procedure Coding System - (answer)Most state Medicaid
programs use what type of system to report professional services, procedures,
supplies, and equipment?
always a letter - (answer)The first character of ICD-10-CM:
Using a fourth, fifth, sixth or seventh digit when required - (answer)Coding to the
highest level of specificity means:
Without - (answer)According to the ICD-10-CM conventions, if the
documentation is unclear or does not state that the complication or comorbidity
listed in the code description is present with the condition, the default is:
E/M service codes - (answer)Reported in addition to the appropriate casting code
when a cast or splint is intended to be the definitive treatment of a fracture
Subsequent Encounter - (answer)Care encounter after the initial care event
Diagnostic codes from encounter form - (answer)What information is needed to
fill out a CMS-1500 claim form?
Billing more than the proper fee for a service - (answer)Upcoding is:
