FINAL NEWEST 2026 ACTUAL EXAM TEST
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1. Which character in an ICD-10-CM code indicates the highest level of
specificity?
A) First character
B) Third character
C) Seventh character
D) Decimal character
Answer: B (Third character)
2. In ICD-10-PCS, the "Root Operation" is located in which character
position?
A) 1st
B) 2nd
C) 3rd
D) 4th
,Answer: C (3rd character)
3. A patient is seen for a routine prenatal visit at 28 weeks gestation. No
abnormalities. Which ICD-10-CM chapter is primarily used?
A) Chapter 15 (Pregnancy, childbirth and puerperium)
B) Chapter 21 (Factors influencing health status)
C) Chapter 18 (Symptoms and signs)
D) Chapter 9 (Circulatory system)
Answer: A
4. Which CPT appendix lists modifiers that are exempt from the use of
modifier -51?
A) Appendix A
B) Appendix B
C) Appendix D
D) Appendix E
Answer: D (Appendix E)
5. A coder assigns code J44.9 for COPD, unspecified. This code belongs to
which ICD-10-CM chapter?
A) Diseases of the respiratory system
B) Endocrine, nutritional and metabolic diseases
C) Certain infectious and parasitic diseases
D) Diseases of the circulatory system
Answer: A
6. HCPCS Level II codes begin with:
A) A number 0–9
, B) A letter A–V
C) A letter followed by a number
D) Only letters S through Z
Answer: B (A single letter A–V, then 4 digits)
7. In SNOMED CT, a "finding" is considered a type of:
A) Procedure
B) Clinical finding
C) Morphologic abnormality
D) Observable entity
Answer: B (Clinical finding)
8. The seventh character in ICD-10-CM is used for:
A) Laterality
B) Episode of care (initial, subsequent, sequela)
C) Root operation extension
D) Place of occurrence
Answer: B
9. Modifier -25 indicates:
A) Distinct procedural service
B) Significant, separately identifiable E/M service on same day as
procedure
C) Increased procedural services
D) Staged or related procedure
Answer: B
, 10. Which of the following is NOT an ICD-10-CM official guideline for
outpatient coding?
A) Signs and symptoms that are routinely associated with a confirmed
diagnosis may be coded separately
B) Do not code diagnoses documented as "probable," "suspected,"
"likely," or "questionable"
C) Chronic conditions may be coded even if no specific treatment is
given
D) Use the lowest level of specificity available
Answer: D (Use highest level of specificity)
11. An excision of a breast tumor with margins is coded to which ICD-10-
PCS root operation?
A) Resection
B) Excision
C) Destruction
D) Extraction
Answer: B (Excision – cutting out a portion without full organ removal)
12. Which CPT code range is reserved for Anesthesia services?
A) 10000–19999
B) 20000–29999
C) 30000–39999
D) 00100–01999
Answer: D
13. A patient with Type 2 diabetes with diabetic chronic kidney disease
stage 3. What ICD-10-CM coding guideline applies?