Recent Exam 2026-2027 Actual Complete Real Exam
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A lab report cannot be used for coding purposes because:
a. they are not reviewed by a physician before inclusion in the
record
b. Pathologists are not physicians
c. They are not part of the health record
d. They are diagnostic tests - ANSWER-A
Which one of the following instructional notes suggests that a
second code may be required?
a. Code also
b. Includes
c. See also
d. See - ANSWER-A
Which CPT modifier should the billing and coding specialist
attach to a consultation code when the service performed is
required by a third party-payer r governmental regulatory
body?
a. -59 (Distinct Procedural Services)
b. -32 (Mandated Services)
c. -22 (Unusual Procedural Services)
,d. -26 (Professional Component) - ANSWER-B
What do the letters NOS (not otherwise
specified) indicate?
a. Equals
unspecified
b. Encloses synonyms, alternative words or
explanatory phrases
c. Indicated terns that are to be codes
elsewhere
d. Appears under a code to further define or explain the
content - ANSWER-A
What do the letters NEC (not elsewhere classified) indicate?
a. Encloses synonyms, alternative words, or explanatory
phrases
b. Appears under a code to further define or explain the content
c. Indicates the use of code assignment for "other" when a
more specific code does not exist
d. Indicates terms that are to be coded elsewhere - ANSWER-C
An established patient presents to the clinic complaining of a
sore throat, cough, and a stuffy nose. This is a patient with
known diabetes and hypertension. The physician documents
diabetes, hypertension, and upper respiratory infection. Which
of the following is the first listed diagnosis. a. Hypertension
b. Sore throat
c. Diabetes
d. Upper respiratory infection - ANSWER-D
,A new patient presents to the office complaining of shortness
of breath, cough, and pain in the chest. The physician performs
a history and medical exam. The patient has a history of
diabetes and hypertension. She suspects the patient is
suffering from pneumonia and performs a sputum culture. The
physician asks the patient to return in three days to discuss the
results. Which of the following diagnosis would be coded if
there were no further documentation?
a. Diabetes, hypertension
b. Shortness of breath, cough, pain, diabetes, hypertension
c. Pneumonia, diabetes, hypertension
d. Pneumonia, diabetes, hypertension shortness of breath
cough, pain -
ANSWER-B
In the following question, identify the term for the first-listed
diagnosis in the following encounter or visit.
Established patient presented to clinic with exacerbation of
Crohn's disease. Patient's rheumatoid arthritis stable. a.
Arthritis
b. Crohn's disease
c. Rheumatoid arthritis
d. Established patient - ANSWER-B
Identify the term for first-listed diagnosis in the following
encounter or visit.
Initial office visit fir patient requiring management of
COPD and CHF.
, a. Established
patient
b. Initial
visit
c. COPD and
CHF
d. Pain management -
ANSWER-C
The UB-04 is used for primarily what type of
patient visit?
a.
Clinic
b. Hospital
inpatient
c. Urgent
care
d. Emergency room -
ANSWER-B
The term malignant refers to:
a. Site of origin or where the tumor originated
b. Site to which a malignant tumor has spread
c. Used to describe a cancerous tumor that grows worse over
time
d. Malignancy that is located within the original site if
development - ANSWERC