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AAPC CPC Exam Overview:
| Certification Vendor: | AAPC |
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| Exam Name: | Certified Professional Coder (CPC) Exam |
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| Exam Number: | CPC |
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| Certificate Validity Period: | 2 Years (requires continuing education to maintain) |
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| Exam Price: | USD 499 |
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| Exam Format: | Multiple Choice |
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| Passing Score: | 70% |
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| Available Languages: | English |
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| Real Exam Qty: | 100 |
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| Exam Duration: | 240 minutes |
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| Related Certifications: | CPC-A |
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| Sample Questions: | AAPC CPC Sample Questions |
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| Exam Way: | Online (Online Proctored or In-Person at Testing Centers) |
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| Pre Condition: | None required for exam (though AAPC recommends medical terminology/anatomy training) |
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| Official Syllabus URL: | https://www.aapc.com/certification/cpc |
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| Topic | Details |
|---|
| Topic 1 | - 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 2 | - 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 3 | - 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 4 | - 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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| 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 | - 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 7 | - 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.
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| 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.
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| 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.:
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| Topic 10 | - 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 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.
|
AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q94-Q99):
NEW QUESTION # 94
The provider orders a bilirubin test for a patient with bowel flora disturbance. The lab determines the presence of bilirubin in a fecal sample.
What CPT code is reported for the test?
Answer: C
Explanation:
82252 = Bilirubin, feces
82247/82248 = Serum bilirubin
82239 = Fecal fat
NEW QUESTION # 95
A patient underwent a cystourethroscopy with a pyeloscopy using lithotripsy to break up the ureteral calculus.
An indwelling stent was also inserted during the same operative session on the same side. This service was performed in the outpatient hospital surgery center.
What CPT coding reported?
- A. 52353, 52332-51
- B. 0
- C. 52325, 52332-51
- D. 52352, 52332-51
Answer: B
Explanation:
* Cystourethroscopy: This is a procedure that involves the use of a cystoscope to look inside the urethra and bladder.
* Pyeloscopy: Involves the examination of the upper urinary tract, typically done through the cystoscope.
* Lithotripsy: A procedure that uses shock waves or a laser to break up stones in the kidney, bladder, or ureter.
* Indwelling stent insertion: A procedure to place a stent in the ureter to help urine flow from the kidney to the bladder.
* 52356: Cystourethroscopy with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization and/or ureteral stent placement).
The code 52356 includes all components mentioned: cystourethroscopy, pyeloscopy, lithotripsy, and stent insertion performed in the same operative session.
References:
* AMA's CPT Professional Edition (current year)
* ICD-10-CM (current year), HCPCS Level II (current year)
NEW QUESTION # 96
Which is an anesthesia physical status modifier?
Answer: B
Explanation:
P1-P6 = ASA Physical Status modifiers
AA, QS are anesthesia service modifiers
NEW QUESTION # 97
An established patient presents with fever and sore throat. Rapid strep test is positive.
What CPT and ICD-10-CM codes are reported?
- A. 99213-25, 87880, J02.0, R50.9, J02.9
- B. 99213-25, 87880, J02.0
- C. 99212-25, 87880, R50.9, J02.9
- D. 99212-25, 87880, J02.0, R50.9, J02.9
Answer: B
Explanation:
99213-25 = E/M with separate procedure
87880 = Rapid strep test
J02.0 = Streptococcal pharyngitis
Symptoms are not reported with definitive diagnosis
NEW QUESTION # 98
A pediatric patient with a congenital double inlet ventricle undergoes corrective cardiac surgery. The surgeon performs a modified Fontan procedure to redirect systemic venous blood flow directly to the pulmonary arteries as part of staged repair for a single-ventricle physiology.
What CPT and ICD-10-CM codes are reported?
- A. 33617, Q20.1, Q20.2
- B. 33617, Q20.4
- C. 33615, Q20.2
- D. 33615, Q20.1, Q20.2
Answer: C
Explanation:
The procedure documented is a modified Fontan procedure → 33615 (Fontan-type single-ventricle repair per the choices given).
The congenital diagnosis documented is double inlet ventricle → Q20.2.
Why the other options are incorrect based on the statements provided:
Q20.4 is not "double inlet ventricle" as stated in the question.
Adding Q20.1 is not supported by the documentation (the question only states double inlet ventricle).
Therefore, the best match is 33615, Q20.2 → A.
NEW QUESTION # 99
......
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