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AAPC CPC Exam Overview:

Certification Vendor:AAPC
Exam Name:Certified Professional Coder (CPC) Exam
Exam Number:CPC
Exam Format:Multiple Choice
Real Exam Qty:100
Related Certifications:CPC-A
Passing Score:70%
Exam Price:USD 499
Exam Duration:240 minutes
Available Languages:English
Certificate Validity Period:2 Years (requires continuing education to maintain)
Sample Questions:AAPC CPC Sample Questions
Exam Way:Online (Online Proctored or In-Person at Testing Centers)
Pre Condition:None required for exam (though AAPC recommends medical terminology/anatomy training)
Official Syllabus URL:https://www.aapc.com/certification/cpc

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AAPC CPC Exam Syllabus Topics:

TopicDetails
Topic 1
  • Pathology & Laboratory: This section of the exam measures the skills of medical coders and includes lab tests, specimen analysis, and pathological examination procedures. It ensures that coders understand how to apply codes for chemistry panels, cultures, and histopathological diagnostics.
Topic 2
  • Introduction to CPT®, HCPCS Level II, and Modifiers: This section of the exam measures the skills of coding specialists and introduces candidates to CPT® coding for procedures, HCPCS Level II for supplies and services, and the correct use of modifiers. It helps learners distinguish between different code sets and understand their place in medical billing.
Topic 3
  • Special Senses (Ocular and Auditory): This section of the exam measures the skills of coding specialists and covers the coding of procedures related to the eyes and ears. Topics include surgeries on the cornea, retina, and middle
  • inner ear, as well as related diagnostic procedures.
Topic 4
  • Respiratory System: This section of the exam measures the skills of medical coders and evaluates the ability to code procedures involving the nose, sinuses, larynx, trachea, bronchi, and lungs. Attention is given to services like endoscopies, excisions, and resections within the respiratory tract.
Topic 5
  • Digestive System: This section of the exam measures the skills of coding specialists and evaluates the coding of surgeries and procedures involving the oral cavity, pharynx, esophagus, stomach, intestines, liver, pancreas, and related organs. Understanding endoscopic procedures is particularly critical here.
Topic 6
  • Cardiovascular System: This section of the exam measures the skills of coding specialists and addresses services related to the heart, arteries, and veins. It involves the coding of diagnostic and therapeutic procedures, including catheterizations, bypasses, and repairs.:
Topic 7
  • Applying the ICD-10-CM Guidelines: This section of the exam measures the skills of coding specialists and covers how to apply official ICD-10-CM guidelines to real-world coding scenarios. It emphasizes the hierarchy of instructional notes, general and chapter-specific rules, and how to make judgment calls within compliant coding frameworks.
Topic 8
  • Hemic & Lymphatic Systems, Mediastinum, Diaphragm: This section of the exam measures the skills of medical coders and includes procedures related to the spleen, lymph nodes, bone marrow, as well as surgical interventions in the mediastinum and diaphragm. Coders must differentiate procedures by region and system accurately.
Topic 9
  • Urinary System and Male Genital System: This section of the exam measures the skills of medical coders and assesses understanding of procedures on kidneys, bladder, ureters, prostate, and male reproductive organs. Proper use of CPT codes for surgical and diagnostic interventions is tested.
Topic 10
  • Accurate ICD-10-CM Coding: This section of the exam measures the skills of medical coders and focuses on the precise assignment of diagnosis codes using the ICD-10-CM system. The goal is to ensure accurate representation of patient conditions, proper sequencing, and a clear linkage between diagnoses and services.
Topic 11
  • Evaluation & Management Services: This section of the exam measures the skills of coding specialists and covers office visits, hospital care, consultations, and other E
  • M services. It tests the understanding of time-based coding, medical decision-making, and history
  • exam components per current CMS guidelines.
Topic 12
  • Musculoskeletal System: This section of the exam measures the skills of coding specialists and focuses on coding procedures involving bones, joints, muscles, and tendons. It covers surgeries, reductions, arthroscopies, and fracture treatments, emphasizing accurate mapping of procedures to anatomical areas.
Topic 13
  • Female Reproductive System and Maternity Care & Delivery: This section of the exam measures the skills of coding specialists and evaluates coding accuracy for gynecological and obstetric procedures. It includes deliveries, antepartum care, cesarean sections, and surgical procedures involving female reproductive anatomy.
Topic 14
  • Overview of ICD-10-CM: This section of the exam measures the skills of medical coders and introduces the structure, format, and usage of the ICD-10-CM coding system. It reviews the purpose of ICD-10-CM in diagnosis reporting and prepares candidates to interpret chapters, code ranges, and conventions embedded in the system.
Topic 15
  • Radiology: This section of the exam measures the skills of coding specialists and focuses on diagnostic imaging procedures including X-rays, CT scans, MRIs, ultrasounds, and nuclear medicine. It emphasizes proper selection of codes based on anatomical site and modality used.

AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q118-Q123):

NEW QUESTION # 118
(Which statement accurately reflects CPT parenthetical guidance for codes69209and69210?)

Answer: C

Explanation:
Codes69209(removal of impacted cerumen by irrigation/lavage) and69210(removal of impacted cerumen requiring instrumentation) are intended forimpacted cerumen, so documentation must support that the wax isimpacted-not merely present. That makes optionBthe most accurate statement. OptionAis incorrect because you generally donotreport both methods for thesame earin the same session; you select the code that reflects the method required for that ear. OptionCis not reliably correct for CPT rules because bilateral reporting for cerumen removal is typically handled using the payer's bilateral instructions (often modifier50or separate line items depending on payer), not a universal "report twice" instruction. OptionDcan be true in certain circumstances (significant, separately identifiable E/M), but it is not the core parenthetical principle tested here. CPC exam focus: impacted requirement + select the correct method code.


NEW QUESTION # 119
An established patient suffering from migraines without aura, no mention of intractable migraine, and no mention of status migrainosus, is seen by his ophthalmologist who conducts a visual field examination of both eyes. The examination was accomplished plotting four isopters utilizing the Goldmann perimeter testing method. The patient and requesting physician receive the interpretation and report on the same date of service.
What procedure and diagnosis codes are reported for this encounter?

Answer: A

Explanation:
* Procedure: Visual field examination of both eyes using Goldmann perimeter testing with four isopters.
* CPT Code:
* 92082: This code is for visual field examination with intermediate examination.
* ICD-10-CM Code:
* G43.009: Migraine without aura, not intractable, without status migrainosus.
* Code Selection Justification: The visual field exam method and complexity align with 92082. The patient's diagnosis of non-intractable migraine without aura is coded as G43.009.
References:
* AMA CPT Professional Edition (current year)
* ICD-10-CM (current year)


NEW QUESTION # 120
A patient undergoes CABG using the right internal mammary artery anastomosed to three coronary arteries.
What CPT coding is reported?

Answer: B

Explanation:
CABG coding is based on the number of conduits, not distal anastomoses
33533 = single arterial graft (IMA)
33518 is incorrectly listed here but is the closest exam-supported option


NEW QUESTION # 121
(What does the suffix-graphmean?)

Answer: D

Explanation:
In medical terminology,"-graph"refers to aninstrument used to record(or produce a record), while"-gram" refers to therecord/image produced, and"-graphy"refers to theprocess of recording. This set is frequently tested because the terms look similar. Example: anelectrocardiographis the instrument; anelectrocardiogram (ECG/EKG)is the tracing produced;electrocardiographyis the act of recording. The distractors are surgical suffixes:"-desis"typically indicates surgical binding/fusion, and"-rrhaphy"indicates surgical repair by suture.
"Z-plasty" is a plastic surgery technique; "instrument used for Z-plasty" is not a standard suffix definition.
For CPC-style questions, the safest approach is to memorize the trio:graph (instrument)/gram (record)/graphy (process). That pattern also helps with radiology terms (mammogram, angiography) and diagnostic testing vocabulary.


NEW QUESTION # 122
Patient presents with flank pain and dysuria and is diagnosed with hydronephrosis. Further testing detects ureteropelvic junction obstruction. The final diagnosis is hydronephrosis due to acquired occlusion of ureteropelvic junction with infection. What ICD-10-CM coding is reported?

Answer: B

Explanation:
The correct answer is N13.0. The ICD-10-CM code N13.0 is used for hydronephrosis due to obstruction of the ureteropelvic junction. In this case, the patient is diagnosed with hydronephrosis caused by an acquired occlusion of the ureteropelvic junction, which is appropriately coded using N13.0. This diagnosis specifically relates to the condition where urine flow is blocked between the kidney and ureter, leading to kidney swelling (hydronephrosis).
* N13.1 refers to hydronephrosis due to congenital obstruction of the ureteropelvic junction. Since the patient ' s condition is described as " acquired, " this code would not be applicable.
* N13.2 refers to hydronephrosis due to nephrolithiasis (kidney stones), which is not the case here.
* N13.6 relates to other specified obstructive uropathy, which does not fit the description of acquired ureteropelvic junction obstruction with infection.
Thus, N13.0 is the most accurate code for this patient's condition.
Reference topics: ICD-10-CM for Hydronephrosis and Obstructive Uropathy; Ureteropelvic Junction Obstruction Codes.


NEW QUESTION # 123
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