140+ Free CCS-P Medical Coding Practice Questions
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Key Facts: CCS-P Medical Coding Exam
140
Practice Questions Here
OpenExamPrep CCS-P bank
300/400
Passing Score
AHIMA scaled scoring
4h
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 diagnosis coding, procedure coding, research, compliance, revenue cycle work, and E/M, Surgery, and Medicine scenarios. It contains 121 questions (97 scored and 24 pretest) in a four-hour Pearson VUE test-center appointment. The passing scaled score is 300; AHIMA's experience pathways are recommended, not required.
Sample CCS-P Medical Coding Practice Questions
Try these sample questions to test your CCS-P Medical Coding exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 140+ question experience with AI tutoring.
1A patient presents to a physician office with a chief complaint of right knee pain. The documentation states the patient has primary osteoarthritis of the right knee. Which ICD-10-CM code is most appropriate?
2When coding an established patient office visit where the physician documents a level of medical decision making (MDM) that is moderate, which E/M code is correct?
3A physician performs a diagnostic colonoscopy and discovers a polyp during the procedure. The polyp is removed by snare technique. Which CPT code should be reported?
4Which modifier indicates that a procedure was performed on the left side of the body?
5A patient is seen for a follow-up visit for type 2 diabetes mellitus with diabetic chronic kidney disease, stage 3. Which code(s) should be sequenced first?
6What is the purpose of HCPCS Level II codes in physician-based coding?
7A physician performs an excision of a 2.5 cm benign lesion from the trunk with a 0.5 cm margin. What is the correct measurement to determine the CPT code?
8Which coding guideline applies when a patient presents with symptoms but no definitive diagnosis has been established in the physician office?
9A patient undergoes a screening mammography that reveals a suspicious mass. The radiologist performs an additional diagnostic mammography during the same encounter. How should this be reported?
10What does modifier 25 indicate when appended to an E/M service code?
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
121 scored questions
Time Limit
4 hours total appointment time
Passing Score
Scaled 300 (100-400)
Exam Fee
$299 members / $399 non-members (AHIMA (Pearson VUE))
CCS-P Medical Coding Exam Content Outline
Diagnosis Coding
Code assignment, sequencing rules, conventions, and official guidelines for physician encounters
Procedure Coding
Surgery, radiology, pathology/lab, medicine, and E/M code selection with modifier logic
Research
Coding rules, authoritative sources, and natural language processing
Compliance
Ethical queries, documentation, auditing, HIPAA, incident-to billing, and ABNs
Revenue Cycle
Claims, payer responses, RBRVS, diagnosis linkage, HCCs, risk adjustment, and denials
How to Pass the CCS-P Medical Coding Exam
What You Need to Know
- Passing score: Scaled 300 (100-400)
- Exam length: 121 questions
- Time limit: 4 hours total appointment time
- 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
Frequently Asked Questions
What is the CCS-P exam format?
The CCS-P exam has 121 questions: 97 scored and 24 unscored pretest items. The four-hour appointment is delivered at a Pearson VUE test center, and the passing scaled score is 300.
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?
The current five-domain outline is Diagnosis Coding 24-26%, Procedure Coding 28-32%, Research 6-10%, Compliance 18-22%, and Revenue Cycle 14-18%. Medical scenarios cover E/M, Surgery, and Medicine equally.
Is CCS-P an open-book or closed-book exam?
Candidates must bring the exact current physical codebooks on AHIMA's codebook list. For exams on or after May 1, 2026, the required books are the listed 2026 editions.
How do I maintain my CCS-P certification?
CCS-P has a two-year recertification cycle. A holder maintaining one AHIMA credential must earn 20 CEUs and meet AHIMA's recertification requirements before the cycle ends.