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AAPC CPC Exam Overview:

Certification Vendor:AAPC
Exam Name:AAPC Certified Professional Coder (CPC) Certification Exam
Exam Number:CPC
Exam Price:$399–$499 USD (varies by membership and region)
Available Languages:English
Exam Format:Open-book (CPT, ICD-10-CM, HCPCS manuals allowed), Multiple Choice Questions
Certificate Validity Period:2 years (renewal via Continuing Education Units - CEUs)
Exam Duration:340 minutes
Related Certifications:Certified Outpatient Coder (COC)
Certified Coding Specialist (CCS)
Certified Inpatient Coder (CIC)
Passing Score:Approximately 70%
Real Exam Qty:150 multiple-choice questions
Recommended Training:AAPC CPC Training Course
AAPC CPC Practice Exams
Exam Registration:AAPC CPC Certification Page
AAPC Exam Registration Portal
Sample Questions:AAPC CPC Sample Questions
Exam Way:Available via online proctored exam or authorized testing centers (in-person).
Pre Condition:No formal prerequisite required. Recommended: 1–2 years of medical coding experience or completion of AAPC CPC training.
Official Syllabus URL:https://www.aapc.com/certification/cpc/

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AAPC CPC Exam Syllabus Topics:

TopicDetails
Topic 1
  • Integumentary System: This section of the exam measures the skills of medical coders and covers procedures related to the skin and related structures. Topics include excisions, biopsies, repairs, and destruction services, focusing on accurate code selection and modifier usage for integumentary interventions.
Topic 2
  • 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 3
  • 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 4
  • 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 5
  • 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.
Topic 6
  • Endocrine System and Nervous System: This section of the exam measures the skills of medical coders and assesses the ability to assign codes for surgeries involving glands, the brain, spinal cord, and peripheral nerves. Procedures like resections and electrical stimulation are part of the evaluated content.
Topic 7
  • Anesthesia: This section of the exam measures the skills of medical coders and involves coding anesthesia services based on surgical site, complexity, and time. It tests the understanding of anesthesia modifiers and the importance of linking anesthesia codes with the correct primary procedures.
Topic 8
  • 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 9
  • 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 10
  • 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 11
  • 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.

AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q412-Q417):

NEW QUESTION # 412
A 3-day-old died in her sleep. The pediatrician determined this was the result of crib death syndrome. The parents give permission to refer the newborn for a necropsy. The pathologist receives the newborn with her brain and performs a gross and microscopic examination. The physician issues the findings and reports they are consistent with a normal female newborn.
What CPT code is reported?

Answer: D

Explanation:
Procedure: Gross and microscopic examination of a newborn autopsy.
CPT Code:
88028: This code is for the autopsy, gross and microscopic examination of a stillborn or newborn.
Code Selection Justification: The procedure described matches the comprehensive postmortem examination of a newborn.
AMA CPT Professional Edition (current year)
ICD-10-CM (current year)
HCPCS Level II (current year)


NEW QUESTION # 413
A retinal specialist diagnoses type 2 diabetic mild nonproliferative retinopathy with macular edema, bilateral.
Diabetes is secondary to Cushing's syndrome and controlled with oral hypoglycemics. What ICD-10-CM codes are reported?

Answer: A

Explanation:
E08.3213 = Diabetes due to underlying condition with mild NPDR with macular edema, bilateral E24.9 = Cushing's syndrome (underlying condition) Z79.84 = Long-term use of oral hypoglycemic drugs Sequencing follows ICD-10-CM guidelines for secondary diabetes.


NEW QUESTION # 414
A 42-year-old male is diagnosed with a left renal mass. Patient is placed under general anesthesia and in prone position. A periumbilical incision is made and a trocar inserted. A laparoscope is inserted and advanced to the operative site. The left kidney is removed, along with part of the left ureter. What CPT code is reported for this procedure?

Answer: D

Explanation:
Laparoscopic nephrectomy: A minimally invasive surgical procedure to remove a kidney.
Part of the ureter: Removal includes part of the ureter.
50220: Nephrectomy (open procedure), which doesn't apply since the procedure was laparoscopic.
50548: Nephrectomy, partial, laparoscopic, which doesn't match the full nephrectomy performed.
50543: Laparoscopy, surgical; nephrectomy with total ureterectomy.
50543 is the correct CPT code for the laparoscopic removal of the kidney along with part of the ureter, fitting the scenario described.
Reference:
AMA's CPT Professional Edition (current year)
ICD-10-CM (current year), HCPCS Level II (current year)


NEW QUESTION # 415
A healthy 35-year-old undergoes EP study and ablation under general anesthesia.
What anesthesia coding is correct?

Answer: A

Explanation:
00537 = Anesthesia for EP procedures
P1 = Normal healthy patient


NEW QUESTION # 416
(A dermatologist excises abasal celllesion from an area of thescalp, measuring3.7 cm. This is closed with alayered repair. What CPT and ICD-10-CM codes are reported?)

Answer: A

Explanation:
Basal cell carcinoma is amalignantskin neoplasm, so the excision is coded from11600-11646(malignant lesion excision), not11400-11446(benign lesion excision). The scalp is in the anatomic group that includesscalp/neck/hands/feet/genitalia, and the excised diameterincluding marginsdetermines the malignant excision code range. A size of3.7 cmfalls into the3.1-4.0 cmcategory, which corresponds to11624for malignant excision in that location group. Closure is separately reportable when it is anintermediate (layered) repair, so you add12032(intermediate repair, scalp/axillae/trunk/extremities;2.6-7.5 cm) when documentation supports layered closure beyond simple repair. Diagnosis coding should reflectbasal cell carcinoma of scalp
/neck, which isC44.41. Options that use benign excision or benign diagnosis codes are incorrect for basal cell carcinoma.


NEW QUESTION # 417
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