Pass Guaranteed 2026 AAPC CPC: Certified Professional Coder (CPC) Exam–Professional New Exam Questions

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AAPC CPC Exam Syllabus Topics:

TopicDetails
Topic 1
  • 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 2
  • 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 3
  • 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 4
  • 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 5
  • 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 6
  • 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 7
  • 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 8
  • 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 9
  • 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 10
  • 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 11
  • 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 12
  • 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.

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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q39-Q44):

NEW QUESTION # 39
Refer to the exhibit.

Refer to the supplemental information when answering this question:
View MR 004813
What CPT and ICD-10-CM codes are reported?

Answer: A

Explanation:
CPT Code 43246: Esophagogastroduodenoscopy, with transoral insertion of intra-abdominal tube (e.g., gastrostomy or jejunostomy) This code describes the attempted PEG tube placement.
Modifier -52: Reduced services. This modifier is appended because the procedure was aborted and the PEG tube was not successfully placed.
ICD-10-CM Code K94.29: Other specified disorders of digestive system
This code captures the patient's chronic feeding requirement, which is the reason for the attempted PEG tube placement.
ICD-10-CM Code K44.9: Diaphragmatic hernia without obstruction or gangrene This code reports the small hiatal hernia that was found during the procedure.
Reference:
CPT Code 43246: Esophagogastroduodenoscopy, with transoral insertion of intra-abdominal tube (e.g., gastrostomy or jejunostomy) Modifier 52: Reduced services ICD-10-CM Code K94.29: Other specified disorders of digestive system ICD-10-CM Code K44.9: Diaphragmatic hernia without obstruction or gangrene AAPC Coder's Desk Reference: This resource provides detailed information on coding guidelines and procedures.


NEW QUESTION # 40
An 8-day-old newborn (3 kg) undergoes circumcision using a scalpel (no clamp).
What CPT coding is reported?

Answer: A

Explanation:
54160 = Circumcision using surgical excision other than clamp
Modifier -63 is not appended to circumcision codes (CPT exempt list)
54150 is for clamp technique (not used)


NEW QUESTION # 41
A CRNA independently administers MAC anesthesia for ICD replacement.
What CPT and ICD-10-CM codes are reported?

Answer: B

Explanation:
00534 = Anesthesia for pacemaker/defibrillator procedures
QZ = CRNA without medical direction
QS = MAC anesthesia
I49.01 = Ventricular fibrillation


NEW QUESTION # 42
The documentation states:
"A punch is placed and pushed downward to obtain a tissue sample for a biopsy of the lunula." What anatomical structure is being biopsied?

Answer: B

Explanation:
The lunula is the whitish, crescent-shaped area at the base of the fingernail or toenail.
It is part of the nail anatomy, specifically associated with nail growth.
Therefore, a biopsy of the lunula is a nail biopsy, making B the correct answer.


NEW QUESTION # 43
(Full Case:Chief complaint:Syncope.HPI:68-year-old male arrives to ED inrespiratory distressafter sudden syncope/collapse while shopping; unresponsive; EMS: weak pulse, labored respirations, unresponsive.
History:CABG 5 years ago, no chest pain since.ROS:unobtainable (unconscious).Allergies:none.Meds:
Coumadin.PMH:HTN.Social:lives with wife.Exam/Vitals:BP 82/62, pulse 79, RR 12 shallow, O2 sat 90% on high flow O2; monitor shows right bundle branch block. Neuro: initially eyes closed, opens to questions, responds to some questions, later unresponsive. HEENT pupils sluggish equal; unable EOM/fundus. Neck supple, no JVD/bruits. Lungs mild rhonchi. Heart regular without murmurs. Abdomen benign. Extremities symmetric, no edema/cyanosis. Skin no rash. Neuro no focal deficits.Hospital course:IV x2; NS 1000 cc bolus with little response; dopamine drip 10 # 20 mcg/kg/min; O2 sat drops, respirations slow; becomes unresponsive; progresses tocardiac arrest; CPR; multiple adrenaline/atropine; defibrillation; ABG pH 7.1 etc; bicarbonate x2; no effect; pronounced dead 13:32.Critical care time:77 minutes continuous.Diagnosis:
Cardiorespiratory arrest.Question:What is the E/M coding reported for this encounter?)

Answer: D

Explanation:
The patient was critically ill withhemodynamic instability, respiratory failure progression, and cardiac arrest, requiring intensive interventions (multiple IVs, large bolus,vasopressor infusion, resuscitation with CPR
/defibrillation/medications, ABG management). The provider documents77 minutes of continuous critical care time. Critical care is reported with99291for thefirst 30-74 minuteson a date of service, and99292foreach additional 30 minutesbeyond that threshold. Because77 minutesexceeds 74 minutes, you report99291 + 99292 (one unit of 99292 covers the additional time beyond the initial critical care window). You donotadditionally report an ED E/M code (e.g., 99285) on the same date for the same provider when critical care encompasses the ED evaluation and management during that time period; the critical care service is the appropriate E/M reporting. The scenario supports that critical care criteria are met: high probability of life-threatening deterioration and active physician management. Therefore, the correct E/M coding is99291, 99292.


NEW QUESTION # 44
......

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