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Our Certified Professional Coder (CPC) Exam (CPC) PDF format is user-friendly and accessible on any smart device, allowing applicants to study from anywhere at any time. We have included actual and updated AAPC CPC questions in this Certified Professional Coder (CPC) Exam (CPC) Dumps PDF file. Our Certified Professional Coder (CPC) Exam (CPC) exam dumps PDF format is designed to help individuals acquire the knowledge necessary to succeed in the test.
AAPC CPC Exam Overview:
| Certification Vendor: | AAPC |
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| Exam Name: | AAPC Certified Professional Coder (CPC) Certification Exam |
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| Exam Number: | CPC |
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| Exam Duration: | 340 minutes |
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| Certificate Validity Period: | 2 years (renewal via Continuing Education Units - CEUs) |
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| Real Exam Qty: | 150 multiple-choice questions |
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| Related Certifications: | Certified Inpatient Coder (CIC) Certified Outpatient Coder (COC) Certified Coding Specialist (CCS) |
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| Available Languages: | English |
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| Passing Score: | Approximately 70% |
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| Exam Price: | $399–$499 USD (varies by membership and region) |
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| Exam Format: | Multiple Choice Questions, Open-book (CPT, ICD-10-CM, HCPCS manuals allowed) |
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| Recommended Training: | AAPC CPC Training Course AAPC CPC Practice Exams |
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| Exam Registration: | AAPC CPC Certification Page AAPC Exam Registration Portal |
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| Sample Questions: | AAPC CPC Sample Questions |
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| Exam Way: | Available via online proctored exam or authorized testing centers (in-person). |
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| Pre Condition: | No formal prerequisite required. Recommended: 1–2 years of medical coding experience or completion of AAPC CPC training. |
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| Official Syllabus URL: | https://www.aapc.com/certification/cpc/ |
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| Topic | Details |
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| Topic 1 | - 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 2 | - 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 3 | - 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.
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| Topic 4 | - 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.
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| Topic 5 | - 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.
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| Topic 6 | - 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.
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| Topic 7 | - 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.
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| Topic 8 | - 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.
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| Topic 9 | - 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.
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| Topic 10 | - 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.
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| 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.
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| Topic 12 | - 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.
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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q127-Q132):
NEW QUESTION # 127
During a laparoscopic hemicolectomy, the left kidney is accidentally perforated. A nephrologist performs open repair of the kidney laceration and places a JP drain.
What CPT and ICD-10-CM coding is reported by the nephrologist?
- A. 50500, N99.72
- B. 50500, 44206-80, S37.062A
- C. 50500, S37.062A
- D. 50500, 44206-80, N99.72
Answer: A
Explanation:
50500 = Repair of kidney laceration
N99.72 = Accidental puncture/laceration of genitourinary system during a procedure S37.062A (traumatic kidney injury) is not used for intraoperative complications The nephrologist does not report the colectomy, nor modifier -80
NEW QUESTION # 128
View MR 001394
MR 001394
Operative Report
Procedure: Excision of 11 cm back lesion with rotation flap repair.
Preoperative Diagnosis: Basal cell carcinoma
Postoperative Diagnosis: Same
Anesthesia: 1% Xylocaine solution with epinephrine warmed and buffered and injected slowly through a
30-gauge needle for the patient's comfort.
Location: Back
Size of Excision: 11 cm
Estimated Blood Loss: Minimal
Complications: None
Specimen: Sent to the lab in saline for frozen section margin control.
Procedure: The patient was taken to our surgical suite, placed in a comfortable position, prepped and draped, and locally anesthetized in the usual sterile fashion. A #15 scalpel blade was used to excise the basal cell carcinoma plus a margin of normal skin in a circular fashion in the natural relaxed skin tension lines as much as possible The lesion was removed full thickness including epidermis, dermis, and partial thickness subcutaneous tissues. The wound was then spot electro desiccated for hemorrhage control. The specimen was sent to the lab on saline for frozen section.
Rotation flap repair of defect created by foil thickness frozen section excision of basal cell carcinoma of the back. We were able to devise a 12 sq cm flap and advance it using rotation flap closure technique. This will prevent infection, dehiscence, and help reconstruct the area to approximate the situation as it was prior to surgical excision diminishing the risk of significant pain and distortion of the anatomy in the area. This was advanced medially to close the defect with 5 0 Vicryl and 6-0 Prolene stitches.
What CPT coding is reported for this case?
- A. 14001, 11606-51
- B. 14001, 11606-51, 12034-51
- C. 0
- D. 1
Answer: A
Explanation:
For the excision of an 11 cm lesion with a rotation flap repair, the appropriate CPT codes are 14001 for the adjacent tissue transfer or rearrangement (12 sq cm flap) and 11606-51 for the excision of a malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm. Modifier 51 indicates multiple procedures. The detailed operative report specifies the lesion size and the technique used, justifying these codes.References: CPT Professional Edition (current year), AMA.
NEW QUESTION # 129
(A 42-year-old female is in the operative room to repair azone 2 flexor digitorum profundus (FDP) tendonlaceration involving her index finger with an associatedradial digital nerveinjury. The dorsal side of the FDP tendon was sutured. Next, themicroscopewas brought into place and the radial digital nerve was repaired using epineural sutures. What CPT codes are reported?)
- A. 26356, 64831-51
- B. 26350, 64831-51
- C. 26356, 64831-51, 69990
- D. 26350, 64831-51, 69990-51
Answer: C
Explanation:
Zone 2 flexor tendon repairs ("no man's land") are coded with thezone 2 flexor tendon repair
/advancementcode family. Because the case specifieszone 2 FDP tendon repairof the index finger, the correct tendon repair code is26356(zone 2 flexor tendon repair/advancement; primary, without free graft, each tendon). The associateddigital nerve repairis separately reported with64831(suture of digital nerve; one nerve). Since both procedures are performed in the same operative session, the secondary procedure commonly carriesmodifier -51for multiple procedures when required by payer/claim conventions (as reflected in the answer choices). The operative note specifically states use of anoperating microscopefor microsurgical nerve repair, which supports add-on code69990(microsurgical techniques requiring operating microscope), reportedonce per sessionandnotwith modifier 51. Therefore, the only fully correct option including tendon, nerve repair, and microscope reporting isA.
NEW QUESTION # 130
A patient who has colon adenocarcinoma undergoes a laparoscopic partial colectomy. The surgeon removes the proximal colon and terminal ileum and reconnects the cut ends of the distal ileum and remaining colon.
What procedure and diagnosis codes are reported?
- A. 44140, C18.9
- B. 44204, C18.2
- C. 44160, C18.2
- D. 44205, C18.9
Answer: B
Explanation:
The procedure involves a laparoscopic partial colectomy where the surgeon removes the proximal colon and terminal ileum, then reconnects the cut ends of the distal ileum and remaining colon.
* Procedure Description:
* Laparoscopic partial colectomy.
* Removal of the proximal colon and terminal ileum.
* Anastomosis of the distal ileum and remaining colon.
* CPT Coding:
* 44204: Laparoscopy, surgical; colectomy, partial, with anastomosis.
* ICD-10-CM Coding:
* C18.2: Malignant neoplasm of ascending colon.
References:
* AMA's CPT Professional Edition (current year).
* ICD-10-CM for corresponding diagnosis codes.
NEW QUESTION # 131
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. 0
- B. 52325, 52332-51
- C. 52353, 52332-51
- D. 52352, 52332-51
Answer: A
NEW QUESTION # 132
......
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