CERTIFIED PROFESSIONAL CODER CODING TEST
EXAM 2025 COMPLETE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
DESCRIPTION
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
1|Page
,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
Coding is - 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 - ANSWER ✔✔- content of the medical record and by
the unique rules that governs each code set
what are 3 things that Coder must master - ANSWER ✔✔- 1. anatomy
2. medical terminology
3. must be detail-oriented
Medical coders assign a code to what - ANSWER ✔✔- 1. Each diagnosis
2. service/procedure
3. Supply, using the classification system when applicable
The classification system determines what - ANSWER ✔✔- 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 - ANSWER ✔✔- 1. completeness and accuracy
2|Page
,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 - ANSWER ✔✔-
1. Health information coders
2. medical record coders
3. Coder/abstractors
4. Coding Specialist
What is MS-DRGs and what is it - 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
What is EHR - ANSWER ✔✔- Electronic health record
Skill coders may become - ANSWER ✔✔- consulatants, educators or medical auditors
What is the difference between Hospital and Physican Services - 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 - ANSWER ✔✔- Ambulatory Payment Classification- outpatient
facility coders (physician services
What is the coder role in a physician's office - ANSWER ✔✔- Extremely important to proper
reimbursement and the livelihood of the physican
3|Page
, What is a physican degree of education - 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 - 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 - ANSWER ✔✔- 1. 26 1/2 month to complete
2. Lincense to practice medicine with physician supervision
NP must have - ANSWER ✔✔- A Master Degree in Nursing
How many payers in the most simplest form? - ANSWER ✔✔- 2
Private insurance plans and government insurance plans
Commerical carriers are considered what - ANSWER ✔✔- Private payers that offer both group
and individual plans.
Private Payers contracts may - ANSWER ✔✔- Vary but may include hospitalization, basic and
major medical coverage.
What is the most significant government insurer - ANSWER ✔✔- Medicare
What is Medicare - ANSWER ✔✔- Federal health insurance program- Administerd by the Center
for Medicare &Medicaid Services (CMS)
What is CMS and what does it provide - ANSWER ✔✔- Center for Medicare & Medicaid Services
(CMS) provides coverage for people over the age of 65, blind, or disabled individuals, people
with end -stage renal disease
4|Page
EXAM 2025 COMPLETE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
DESCRIPTION
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
1|Page
,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
Coding is - 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 - ANSWER ✔✔- content of the medical record and by
the unique rules that governs each code set
what are 3 things that Coder must master - ANSWER ✔✔- 1. anatomy
2. medical terminology
3. must be detail-oriented
Medical coders assign a code to what - ANSWER ✔✔- 1. Each diagnosis
2. service/procedure
3. Supply, using the classification system when applicable
The classification system determines what - ANSWER ✔✔- 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 - ANSWER ✔✔- 1. completeness and accuracy
2|Page
,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 - ANSWER ✔✔-
1. Health information coders
2. medical record coders
3. Coder/abstractors
4. Coding Specialist
What is MS-DRGs and what is it - 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
What is EHR - ANSWER ✔✔- Electronic health record
Skill coders may become - ANSWER ✔✔- consulatants, educators or medical auditors
What is the difference between Hospital and Physican Services - 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 - ANSWER ✔✔- Ambulatory Payment Classification- outpatient
facility coders (physician services
What is the coder role in a physician's office - ANSWER ✔✔- Extremely important to proper
reimbursement and the livelihood of the physican
3|Page
, What is a physican degree of education - 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 - 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 - ANSWER ✔✔- 1. 26 1/2 month to complete
2. Lincense to practice medicine with physician supervision
NP must have - ANSWER ✔✔- A Master Degree in Nursing
How many payers in the most simplest form? - ANSWER ✔✔- 2
Private insurance plans and government insurance plans
Commerical carriers are considered what - ANSWER ✔✔- Private payers that offer both group
and individual plans.
Private Payers contracts may - ANSWER ✔✔- Vary but may include hospitalization, basic and
major medical coverage.
What is the most significant government insurer - ANSWER ✔✔- Medicare
What is Medicare - ANSWER ✔✔- Federal health insurance program- Administerd by the Center
for Medicare &Medicaid Services (CMS)
What is CMS and what does it provide - ANSWER ✔✔- Center for Medicare & Medicaid Services
(CMS) provides coverage for people over the age of 65, blind, or disabled individuals, people
with end -stage renal disease
4|Page
