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About National Certified Insurance and Coding Specialist

National Certified Insurance and Coding Specialist · US

Key exam facts

Provider
National Center for Competency Testing (NCCT) develops and administers the examination; its Board of Testing oversees examination development and certification decisions.
Format
Computer-based examination in English; 92% standard four-option multiple-choice and 8% alternative scored items (e.g., drag-and-drop, multi-select and hotspot).
Exam questions
Total questions: 125; Scored questions: 100; Unscored questions: 25; The total includes the scored and unscored questions.
Time limit
3 hours to complete the examination.
Passing score
575 or higher on NCCT's scaled-score range of 200–720; this is not a percentage.
Exam fee
US$119 base examination fee; remote testing adds US$44. Some public test sites may charge a separate sitting fee.

Topics covered

  • Medical Benefits and Eligibility (16%)

  • Medical Coding (30%)

    • ICD
    • CPT
    • HCPCS
  • Medical Claims Submission (23%)

  • Payments and Collection Management (15%)

  • Law and Ethics (16%)

How to prepare

Work through the topics, read the explanation after each answer, and revisit the areas where you miss questions. Use the official outline and reference materials below to guide your study.

These independent practice questions are not actual exam items and do not guarantee a passing result.

Frequently asked questions

What is the exam format?

Computer-based examination in English; 92% standard four-option multiple-choice and 8% alternative scored items (e.g., drag-and-drop, multi-select and hotspot).

How many questions are on the exam?

Total questions: 125; Scored questions: 100; Unscored questions: 25; The total includes the scored and unscored questions.

How long is the exam?

3 hours to complete the examination.

What is the passing score?

575 or higher on NCCT's scaled-score range of 200–720; this is not a percentage.

How much does the exam cost?

US$119 base examination fee; remote testing adds US$44. Some public test sites may charge a separate sitting fee.

Official sources and references

Confirm current exam arrangements with the exam provider.