CBCS Exam FAQ (2026)

All your CBCS questions answered: exam format, passing score (390), ICD-10 coding tips, registration, and how to prepare with Unlimited Practice Guide.

What is the CBCS exam?

The Certified Billing & Coding Specialist (CBCS) is awarded by the NHA. It tests competency in medical coding (ICD-10-CM, CPT, HCPCS), insurance billing, claims processing, compliance, and revenue cycle management.

What is the passing score for the CBCS?

NHA uses a scaled scoring system from 200 to 500. The passing score is 390. Raw accuracy of approximately 70–75% typically corresponds to a passing scaled score.

How many questions are on the CBCS?

The CBCS consists of 100 scored questions plus up to 20 unscored pretest items (up to 120 total). The exam is 2 hours long.

What content areas does the CBCS cover?

Medical Coding (35%), Billing & Reimbursement (30%), Compliance & Regulations (20%), and Healthcare System & Practice Management (15%).

Do I need to memorize all ICD-10-CM and CPT codes?

No. The exam provides ICD-10-CM and CPT code books as references. The tested skill is navigating these resources accurately and applying coding conventions.

How do I register for the CBCS?

Register at nhanow.com. Create an account, select CBCS, choose your testing format, and pay the fee (~$155–$175). You'll receive an ATT and schedule via Pearson VUE.

How do I renew my CBCS credential?

CBCS certification is valid for 2 years. Renewal requires 10 CEUs from NHA-approved sources and a renewal fee. You may also retest before expiration.

How long should I study for the CBCS?

Most candidates spend 6–10 weeks. Focus on Medical Coding (35%) and Billing & Reimbursement (30%) — together 65% of the exam.

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