CPB PRACTICE EXAM SCRIPT 2026 FULL
QUESTIONS AND CORRECT ANSWERS
DETAILED SOLVED QUESTIONS GRADED
A+
⩥ G code HCPCS. Answer: If a procedure is performed on a 72-year-old
Medicare patient which code category is preferred for reporting?
⩥ annually. Answer: The NCCI policy manual is updated:
⩥ MUE. Answer: The part of National Correct Coding Initiative (NCCI)
that places frequency limitations on codes that can be billed on a single
date of service by a single provider is called:
⩥ MUE. Answer: provide limitations of frequency on codes that can be
billed in a single day by a single provider for a beneficiary.
⩥ quarterly. Answer: NCCI edits are updated by CMS and released
⩥ mod not allowed. Answer: When using the Practitioner PTP Edits
table, an NCCI tool, the modifier indicator of 0 (zero) tells the user:
,⩥ NCCI file. Answer: Indicates specific CPT code pairs that can be
reported on the same day for the same beneficiary by the same provider.
⩥ 4. Answer: The Medicaid NCCI program consists of six
methodologies. Each methodology is composed of ___ components
⩥ fraud. Answer: Medicare states that reporting bundled codes in
addition to the major procedural code is considered to be unbundling,
and if repeated with frequency it is considered to be:
⩥ not payable without mod. Answer: When looking at the NCCI Edit
tables, Column 1 codes are indicated as payable. Column 2 codes
contain the codes that are:
⩥ 25. Answer: What modifier is required when a procedure is performed
on the same day as an E/M service and both should be paid and not
considered bundled?
⩥ 59. Answer: What modifier is used to indicate two procedures are
performed on the same day and should not be bundled?
⩥ CMS. Answer: NCDs are released by which of the following entities:
, ⩥ experimental procedures. Answer: Reporting a service based on an
LCD requires the CPB to look at coverage guidance for the procedure
being performed. Coverage guidance would NOT include:
⩥ 76, 77. Answer: Which of the following modifiers are not used to
bypass NCCI edits?
⩥ medical necessity. Answer: Services that are performed for treatment
or diagnosis of an injury, illness, or disease in accordance with generally
accepted standards of medical practice defines:
⩥ NCCI. Answer: Codes that are considered to be bundled are based on
Centers for Medicare & Medicaid (CMS) standards called:
⩥ 24. Answer: An E/M service that is performed during a post-operative
period, but is not related to the surgical procedure that was performed,
can be billed with which modifier?
⩥ MSP Manual. Answer: Medicare provides a list of questions to ask
beneficiaries that helps determine if Medicare is primary or secondary.
Where can this information be found?
⩥ occurrence codes. Answer: What type of code reports the event(s)
related to the billing period on the UB-04 claim form?
QUESTIONS AND CORRECT ANSWERS
DETAILED SOLVED QUESTIONS GRADED
A+
⩥ G code HCPCS. Answer: If a procedure is performed on a 72-year-old
Medicare patient which code category is preferred for reporting?
⩥ annually. Answer: The NCCI policy manual is updated:
⩥ MUE. Answer: The part of National Correct Coding Initiative (NCCI)
that places frequency limitations on codes that can be billed on a single
date of service by a single provider is called:
⩥ MUE. Answer: provide limitations of frequency on codes that can be
billed in a single day by a single provider for a beneficiary.
⩥ quarterly. Answer: NCCI edits are updated by CMS and released
⩥ mod not allowed. Answer: When using the Practitioner PTP Edits
table, an NCCI tool, the modifier indicator of 0 (zero) tells the user:
,⩥ NCCI file. Answer: Indicates specific CPT code pairs that can be
reported on the same day for the same beneficiary by the same provider.
⩥ 4. Answer: The Medicaid NCCI program consists of six
methodologies. Each methodology is composed of ___ components
⩥ fraud. Answer: Medicare states that reporting bundled codes in
addition to the major procedural code is considered to be unbundling,
and if repeated with frequency it is considered to be:
⩥ not payable without mod. Answer: When looking at the NCCI Edit
tables, Column 1 codes are indicated as payable. Column 2 codes
contain the codes that are:
⩥ 25. Answer: What modifier is required when a procedure is performed
on the same day as an E/M service and both should be paid and not
considered bundled?
⩥ 59. Answer: What modifier is used to indicate two procedures are
performed on the same day and should not be bundled?
⩥ CMS. Answer: NCDs are released by which of the following entities:
, ⩥ experimental procedures. Answer: Reporting a service based on an
LCD requires the CPB to look at coverage guidance for the procedure
being performed. Coverage guidance would NOT include:
⩥ 76, 77. Answer: Which of the following modifiers are not used to
bypass NCCI edits?
⩥ medical necessity. Answer: Services that are performed for treatment
or diagnosis of an injury, illness, or disease in accordance with generally
accepted standards of medical practice defines:
⩥ NCCI. Answer: Codes that are considered to be bundled are based on
Centers for Medicare & Medicaid (CMS) standards called:
⩥ 24. Answer: An E/M service that is performed during a post-operative
period, but is not related to the surgical procedure that was performed,
can be billed with which modifier?
⩥ MSP Manual. Answer: Medicare provides a list of questions to ask
beneficiaries that helps determine if Medicare is primary or secondary.
Where can this information be found?
⩥ occurrence codes. Answer: What type of code reports the event(s)
related to the billing period on the UB-04 claim form?
