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AAPC CPC Exam Syllabus Topics:

TopicDetails
Topic 1
  • 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 2
  • 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 3
  • 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 4
  • 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 5
  • 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 6
  • 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 7
  • 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 8
  • 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 9
  • 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 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
  • 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 12
  • 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 13
  • Review of Anatomy: This section of the exam measures the skills of coding specialists and covers a high-level understanding of human anatomy. It includes organs, systems, directional terminology, and anatomical locations, enabling coders to link procedures and diagnoses to the correct bodily structures with accuracy and consistency.
Topic 14
  • 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 15
  • 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 16
  • The Business of Medicine: This section of the exam measures the skills of medical coders and covers foundational knowledge regarding the healthcare system, reimbursement models, insurance payers, HIPAA compliance, and the ethical responsibilities coders hold within clinical and billing environments. It establishes the context in which coding decisions directly affect healthcare operations and financial outcomes.
Topic 17
  • 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 18
  • 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.

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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q432-Q437):

NEW QUESTION # 432
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: B

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 # 433
(What does the suffix-graphmean?)

Answer: B

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 # 434
A cardiologist uses the hospital's equipment for a cardiac stress test as he doesn't own equipment for the test.
He supervises the test and provides the interpretation and report of the test.
What CPT codes are reported?

Answer: B

Explanation:
Procedure: Cardiac stress test performed using hospital's equipment with the cardiologist providing supervision, interpretation, and report.
CPT Codes:
93016: This code is for supervision only without provision of the equipment.
93018: This code is for interpretation and report only.
Code Selection Justification: Since the cardiologist does not own the equipment, codes 93016 and 93018 correctly represent the supervision, interpretation, and report of the test.
AMA CPT Professional Edition (current year)


NEW QUESTION # 435
(A 65-year-old male patient passed away due to unknown causes. An autopsy was ordered by the attending physician to determine the cause of death. The pathologist performed agross and microscopic examination autopsy, that includes thebrain and spinal cord. What CPT coding is reported?)

Answer: A

Explanation:
Autopsy CPT coding is based on theextent of the examination(gross only vs gross and microscopic) and whether special anatomic components (such asbrain and spinal cord) are included. The question states the pathologist performedboth gross and microscopicexamination and explicitly included thebrain and spinal cord, which indicates acomprehensive autopsyservice rather than a limited or gross-only autopsy.
CPT88028represents a complete autopsy with gross and microscopic examination that includes examination of the central nervous system structures (brain and spinal cord) as part of the comprehensive scope. The other codes listed represent different autopsy levels or components that do not match the "gross and microscopic" plus CNS inclusion described. CPC exam approach: anchor first ongross + microscopic(not gross-only), then look for wording that indicates acomplete autopsy. When the stem highlights "brain and spinal cord," it is signaling the higher-complexity comprehensive autopsy code selection. Therefore,88028is the correct CPT code.


NEW QUESTION # 436
(Full Case:Pre/Post-op diagnosis:Grade 1 endometrial cancer.Procedure:Radical hysterectomy and pelvic lymph node sampling.Anesthesia:General.EBL:400 mL.Complications:None.Specimens:pelvic washings; uterus; tubes; ovaries; pelvic lymph nodes.Fluids:2 L crystalloid.Operative details:frog-leg position; perineum prepped sterile; Foley placed; midline vertical incision umbilicus to symphysis; exploration shows normal upper abdomen and bowel; no paraaortic adenopathy; pelvis/perineum normal; washings collected; round ligaments transected; retroperitoneal spaces opened; ureters visualized; ovarian vessels isolated/ligated; bladder flap taken down; uterine arteries, uterosacral and cardinal ligaments clamped/ligated; uterus removed; vagina closed; lymph node sampling left then right with removal of lymphatic tissue from external/internal iliac bifurcation to circumflex iliac vein and down to obturator nerve; tumor ~40% endometrial surface with
<50% myometrial invasion; closure in layers; patient tolerated well.Question:What CPT codes are reported?)

Answer: D

Explanation:
The operative note describes anopen radical hysterectomyfor endometrial cancer with removal of theuterus, tubes, and ovaries(specimens listed) and extensive dissection ofuterine arteries, uterosacral and cardinal ligaments, consistent with aradicalprocedure. The approach is clearlyabdominal/open(midline vertical incision and abdominal entry), not laparoscopic, so a laparoscopic radical hysterectomy code (such as 58548) is not appropriate. In the answer set,58210represents aradical abdominal hysterectomy(with appropriate extent for malignancy management). In addition, the surgeon performedpelvic lymph node samplingbilaterally, removing lymphatic tissue along the iliac vessels to the obturator nerve region. The correct code in the choices for pelvic lymphadenectomy/sampling is38770. Pelvic washings and extensive exploration are included in the primary surgical service and do not add separate CPT codes in this scenario. Therefore, the correct coding combination is58210 and 38770.


NEW QUESTION # 437
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