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100+ Free CCS-P Medical Coding Practice Questions

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2026 Statistics

Key Facts: CCS-P Medical Coding Exam

100+

Practice Questions Here

OpenExamPrep CCS-P bank

300/400

Passing Score

AHIMA scaled scoring

3.5h

Exam Duration

AHIMA CCS-P format

AHIMA

Credentialing Body

American Health Information Management Association

2026

Content Refresh

Current code-year prep

Physician

Setting Focus

Outpatient/physician coding

The AHIMA CCS-P exam covers physician-based coding competencies including ICD-10-CM, CPT, HCPCS Level II, E/M coding, modifiers, and compliance. The exam uses a combination of multiple-choice questions and coding scenarios administered over 3.5 hours at Pearson VUE or online. A scaled score of 300 out of 400 is required to pass. AHIMA recommends 2+ years of physician-based coding experience.

About the CCS-P Medical Coding Exam

The CCS-P credential from AHIMA is a nationally recognized coding certification focused on physician-based services. The exam tests proficiency in ICD-10-CM diagnosis coding, CPT procedural coding, HCPCS Level II, E/M level selection, modifier usage, and coding compliance in outpatient physician settings.

Questions

115 scored questions

Time Limit

3 hours 30 minutes

Passing Score

Scaled 300 (100-400)

Exam Fee

$299 members / $399 non-members (AHIMA (Pearson VUE))

CCS-P Medical Coding Exam Content Outline

High

ICD-10-CM Diagnosis Coding

Code assignment, sequencing rules, conventions, and official guidelines for physician encounters

High

CPT Procedural Coding

Surgery, radiology, pathology/lab, medicine, and E/M code selection with modifier logic

Medium

HCPCS Level II and Modifiers

Supply, drug, DME coding and modifier application for NCCI compliance

Medium

Evaluation and Management

MDM and time-based E/M selection, new/established patients, and preventive medicine

Foundation

Compliance, Terminology, and Anatomy

Coding ethics, documentation standards, medical terminology, and anatomy fundamentals

How to Pass the CCS-P Medical Coding Exam

What You Need to Know

  • Passing score: Scaled 300 (100-400)
  • Exam length: 115 questions
  • Time limit: 3 hours 30 minutes
  • Exam fee: $299 members / $399 non-members

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

CCS-P Medical Coding Study Tips from Top Performers

1Master ICD-10-CM Official Guidelines — especially outpatient sections relevant to physician coding
2Practice CPT code selection from operative notes and documentation across all body systems
3Know E/M level selection using MDM and time-based criteria under current guidelines
4Study modifier logic thoroughly: 25, 26, 59, 50, LT/RT, 76, 77, 78, 79 and NCCI modifier indicators
5Complete timed coding scenarios to build speed and accuracy under exam conditions

Frequently Asked Questions

What is the CCS-P exam format?

The CCS-P exam consists of approximately 115-135 questions including multiple-choice and coding scenario items. It is administered by Pearson VUE either at a test center or via online proctoring. The exam lasts 3 hours and 30 minutes. A scaled score of 300 out of 400 is required to pass.

What is the difference between CCS-P and CPC?

CCS-P is administered by AHIMA and tests physician-based coding using coding scenarios and multiple-choice questions. CPC is administered by AAPC and is an open-codebook exam with 100 multiple-choice questions. Both certify physician/outpatient coding competency, but they are from different credentialing organizations with different exam formats.

How should I study for CCS-P in 2026?

Focus on ICD-10-CM official guidelines, CPT procedural coding across all body systems, E/M level selection, HCPCS Level II, and modifier logic. Practice with coding scenarios that require applying guidelines to documentation. AHIMA recommends at least 2 years of coding experience before attempting the exam.

What topics are most heavily tested on CCS-P?

ICD-10-CM diagnosis coding and CPT procedural coding make up the majority of the exam (approximately 30% each). E/M coding, HCPCS Level II, and compliance/regulatory topics round out the remaining content. Coding scenarios test the ability to assign codes from documentation.

Is CCS-P an open-book or closed-book exam?

The CCS-P exam format and reference material policies are defined by AHIMA and may vary. Check the current AHIMA CCS-P Candidate Guide for the most up-to-date exam rules regarding reference materials. The exam does include coding scenarios where practical coding skills are assessed.

How do I maintain my CCS-P certification?

CCS-P certification must be renewed every two years through continuing education units (CEUs). AHIMA requires a specific number of CEUs in coding-related topics. Failure to recertify results in the credential becoming inactive.