CPC Exam 2025/2026 – Reimbursement and Billing| Approved Questions and Answers
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Course
AAPC CPC
Institution
AAPC CPC
CPC Exam 2025/2026 – Reimbursement
and Billing| Approved Questions and
Answers
What does the term "medically necessary" mean in healthcare coding and billing?
A service or procedure that is required to diagnose or treat a medical condition according to
accepted standards of practice
Wh...
CPC Exam 2025/2026 – Reimbursement
and Billing| Approved Questions and
Answers
What does the term "medically necessary" mean in healthcare coding and billing?
A service or procedure that is required to diagnose or treat a medical condition according to
accepted standards of practice
Which HCPCS Level II code would be used for a diagnostic mammogram?
G0202
A physician performs an arthroscopy on a patient. Which anatomical system is primarily
involved in this procedure?
Musculoskeletal system
What modifier should be used to indicate that a procedure was performed multiple times on the
same day?
Modifier 76
Which HCPCS Level II code would a coding specialist use for an external wheelchair?
E1035
1
,A patient undergoes an electroencephalogram (EEG) to diagnose neurological conditions. What
body system is being evaluated?
Nervous system
What is the primary purpose of the endocrine system?
To produce hormones that regulate various bodily functions
A patient is admitted for outpatient surgery. Which coding system would be used to report this
encounter?
CPT (Current Procedural Terminology)
A patient has been referred for physical therapy. Which HCPCS Level II code might be used for
billing this service?
G0283
What does the term “capitation” refer to in healthcare reimbursement?
A payment arrangement where a healthcare provider receives a set fee per patient regardless
of the number or nature of services provided
Which modifier would be used to indicate that a procedure was performed on the same day as
another procedure by the same provider?
Modifier 51
2
, A coding specialist needs to submit a claim for a procedure involving suturing a laceration on the
arm. What is the CPT code for this service?
12001
What HCPCS Level II code is appropriate for billing a pair of eyeglasses prescribed for a patient
with vision loss?
V2020
Which anatomical system includes the heart and blood vessels?
Circulatory system
A physician orders an MRI scan to assess a suspected neurological disorder. What body system
does the MRI primarily evaluate?
Nervous system
What does the term “bundled payment” refer to in the context of reimbursement?
A single payment that covers all services provided in a treatment episode
What modifier is used to indicate a repeat procedure performed by a different provider on the
same day?
Modifier 77
3
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