Medical Billing and Coding Practice Test 2026-2027 and Free Sample Questions

A new patient presents to a family practice office for an evaluation and management visit. Office or other outpatient visit CPT codes for a new patient begin with which numeric range?

A provider administers a quantity of a drug supplied by a manufacturer that is reported using a HCPCS Level II J code. What type of items do HCPCS Level II J codes primarily represent?

A medical biller submits a claim and receives an electronic remittance advice showing the claim was denied with a remark indicating the patient was not eligible on the date of service. What is the most appropriate next step?

Under HIPAA, which scenario describes a permitted disclosure of protected health information that does not require the patient's written authorization?

A coder reviews documentation describing an inflammation of the liver. Which medical term correctly describes this condition?

A patient has both a primary and a secondary insurance plan. The primary insurer processes the claim and applies part of the charge to the patient's deductible. What is the typical next step in the billing process?

A patient is seen for a follow-up visit after completing treatment for a urinary tract infection that has resolved. The provider documents the visit as a routine follow-up with no current infection. Which type of ICD-10-CM code is most appropriate?

A surgeon performs a procedure and, due to extenuating circumstances, the procedure is discontinued after anesthesia is administered but before completion. Which CPT modifier best communicates this situation on a physician claim?

The standard electronic claim format used to submit professional physician services to most payers is identified by which designation?

A coding department discovers that a provider routinely reports a higher-level evaluation and management code than the documentation supports. What is this practice called?

A patient sustains a closed displaced fracture of the shaft of the right femur from a fall and presents for initial care. ICD-10-CM fracture codes for this encounter require a seventh character. Which seventh character identifies an initial encounter for a closed fracture?

A Medicare patient receives a service and the provider participates in Medicare. After Medicare pays its approved amount, the remaining patient responsibility for a covered service typically consists of which amounts?

A coder must abstract a procedure described as the surgical removal of the gallbladder. Which term in the operative report corresponds to this procedure?

A provider's office wants to confirm a patient's active coverage and benefits before a scheduled procedure. Which activity describes this process?

In the CPT code book, which section contains codes for laboratory tests such as a basic metabolic panel and a complete blood count?

A medical office must respond to a patient's written request for a copy of their own medical record. Under HIPAA, which statement best describes the patient's right?

When coding an outpatient encounter, the diagnosis code listed first should reflect which condition?

A patient's insurance plan requires the patient to select a primary care physician who manages care and provides referrals to specialists. Which type of managed care plan does this describe?

A claim is submitted with a CPT procedure code but the linked diagnosis code does not support medical necessity for that procedure. What is the likely outcome?