CERTIFIED PROFESSIONAL CODER
(CPC) EXAM 2026 STUDY GUIDE |
PRACTICE QUESTIONS, ANSWERS
& RATIONALES
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SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,What determines fracture treatment coding selection? Type of treatment (open/closed)
Coronary artery bypass graft (CABG) is coded in which 30000 series
CPT range?
What systems are included in the 30000 CPT series? Respiratory and cardiovascular systems
Bronchoscopy examines the ______. Airways/bronchi
Pacemaker insertion is classified under which system? Cardiovascular system
Thoracentesis removes fluid from what area? Pleural cavity
What is the mediastinum involved in coding? Thoracic cavity structures
Appendectomy belongs to which CPT series? 40000 series
What system includes esophagus, stomach, intestines? Digestive system
Colonoscopy evaluates the ______. Large intestine
Cholecystectomy removes which organ? Gallbladder
Hemorrhoidectomy is part of which system? Digestive system
What is key factor in GI coding? Surgical approach (open/laparoscopic/endoscopic)
Hysterectomy is classified under which CPT range? 50000 series
What systems are included in 50000 CPT series? Urinary and reproductive systems
Cystoscopy examines the ______. Urinary bladder
Prostatectomy belongs to which system? Male reproductive system
Dilation and curettage (D&C) is classified under? Female reproductive system
Thyroidectomy is part of which system? Endocrine system
Craniotomy is coded in which CPT range? 60000 series
What system includes brain and spinal cord? Nervous system
Laminectomy involves removal of ______. Vertebral lamina
Spinal fusion is part of which system? Nervous system
Burr hole procedure is used for? Relieving intracranial pressure
, Neurosurgical coding depends heavily on what factor? Level and approach of surgery
E/M coding is based on which three key components? History, exam, MDM
Preventive medicine services fall under which category? E/M services
Prolonged services involve ______. Extended time beyond standard visit
Neonatal and pediatric critical care involves what type of Critical care E/M
service?
Virtual visits are categorized as? Telehealth services
Transitional care management focuses on? Post-discharge coordination and follow-up
What does CPT modifier -24 indicate? Unrelated E/M service during post-op period
What is the purpose of modifier -58? Staged or planned procedure
What does modifier -78 represent? Unplanned return to OR
Modifier -79 indicates ______. Unrelated procedure during post-op
What is the main purpose of modifier usage? Provide additional procedural details
What does modifier -57 indicate? Decision for surgery
What is bundling in medical coding? Combining related services under one code
What is unbundling? Improper separation of services
What is medical necessity? Reason for service based on patient condition
"CCI edits" are used to prevent ______. Improper code combinations
What does APC stand for? Ambulatory Payment Classification
What type of facility uses APCs? Hospital outpatient departments
What is the purpose of RVU? Measure physician work and payment
What are the three components of RVU? Work, practice expense, malpractice
What does POS code indicate? Place of Service
What is POS 11? Physician office
What is POS 22? Outpatient hospital
(CPC) EXAM 2026 STUDY GUIDE |
PRACTICE QUESTIONS, ANSWERS
& RATIONALES
| GRADED A+ | GUARANTEED
SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,What determines fracture treatment coding selection? Type of treatment (open/closed)
Coronary artery bypass graft (CABG) is coded in which 30000 series
CPT range?
What systems are included in the 30000 CPT series? Respiratory and cardiovascular systems
Bronchoscopy examines the ______. Airways/bronchi
Pacemaker insertion is classified under which system? Cardiovascular system
Thoracentesis removes fluid from what area? Pleural cavity
What is the mediastinum involved in coding? Thoracic cavity structures
Appendectomy belongs to which CPT series? 40000 series
What system includes esophagus, stomach, intestines? Digestive system
Colonoscopy evaluates the ______. Large intestine
Cholecystectomy removes which organ? Gallbladder
Hemorrhoidectomy is part of which system? Digestive system
What is key factor in GI coding? Surgical approach (open/laparoscopic/endoscopic)
Hysterectomy is classified under which CPT range? 50000 series
What systems are included in 50000 CPT series? Urinary and reproductive systems
Cystoscopy examines the ______. Urinary bladder
Prostatectomy belongs to which system? Male reproductive system
Dilation and curettage (D&C) is classified under? Female reproductive system
Thyroidectomy is part of which system? Endocrine system
Craniotomy is coded in which CPT range? 60000 series
What system includes brain and spinal cord? Nervous system
Laminectomy involves removal of ______. Vertebral lamina
Spinal fusion is part of which system? Nervous system
Burr hole procedure is used for? Relieving intracranial pressure
, Neurosurgical coding depends heavily on what factor? Level and approach of surgery
E/M coding is based on which three key components? History, exam, MDM
Preventive medicine services fall under which category? E/M services
Prolonged services involve ______. Extended time beyond standard visit
Neonatal and pediatric critical care involves what type of Critical care E/M
service?
Virtual visits are categorized as? Telehealth services
Transitional care management focuses on? Post-discharge coordination and follow-up
What does CPT modifier -24 indicate? Unrelated E/M service during post-op period
What is the purpose of modifier -58? Staged or planned procedure
What does modifier -78 represent? Unplanned return to OR
Modifier -79 indicates ______. Unrelated procedure during post-op
What is the main purpose of modifier usage? Provide additional procedural details
What does modifier -57 indicate? Decision for surgery
What is bundling in medical coding? Combining related services under one code
What is unbundling? Improper separation of services
What is medical necessity? Reason for service based on patient condition
"CCI edits" are used to prevent ______. Improper code combinations
What does APC stand for? Ambulatory Payment Classification
What type of facility uses APCs? Hospital outpatient departments
What is the purpose of RVU? Measure physician work and payment
What are the three components of RVU? Work, practice expense, malpractice
What does POS code indicate? Place of Service
What is POS 11? Physician office
What is POS 22? Outpatient hospital
