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AAPC CPC Exam Syllabus Topics:

TopicDetails
Topic 1
  • 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.
Topic 2
  • 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 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
  • 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 5
  • 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 6
  • 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 7
  • 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 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
  • 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 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
  • 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 12
  • 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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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q87-Q92):

NEW QUESTION # 87
A patient underwent a colonoscopy, where the gastroenterologist biopsied two polyps from the colon. Each polyp was sent to pathology as separately identified specimens. The gastroenterologist was requesting a pathology consult while the patient was still on the table. Tissue blocks and frozen sections were then prepared and examined as follows:
Specimen 1: First Tissue Block-Three Frozen Sections Second Tissue Block-One Frozen Section Specimen 2: First Tissue Block-Two Frozen Sections Second Tissue Block-One Frozen Section What CPT coding is reported?

Answer: B

Explanation:
Frozen section pathology coding rules:
88331 - Frozen section, first tissue block, each specimen
88332 - Frozen section, each additional tissue block, same specimen
Breakdown:
Specimen 1
Block 1 → 88331 × 1
Block 2 → 88332 × 1
Specimen 2
Block 1 → 88331 × 1
Block 2 → 88332 × 1
However, multiple frozen sections per tissue block are separately reportable:
Total first blocks = 4 frozen sections → 88331 × 4
Total additional blocks = 3 frozen sections → 88332 × 3
CPT pathology guidelines require coding by tissue block and specimen, not by polyp alone.


NEW QUESTION # 88
A temporary steroid-releasing sinus implant is placed in the ethmoid sinus.
What HCPCS Level II code is reported?

Answer: C

Explanation:
C2617 = Implant, sinus, drug-eluting, absorbable


NEW QUESTION # 89
A mother brings her 2-year-old son to the pediatrician's office because he stuck a bead up his left nostril. The pediatrician uses a nasal decongestant to open the blocked nostril and removes the bead with nasal forceps.
What CPT coding is reported?

Answer: C

Explanation:
Removal of a foreign body from the nose using forceps or other instrumentation is coded with CPT 30300.
This code includes the use of local anesthesia, which aligns with the scenario where a nasal decongestant was used.
References:
* AMA's CPT Professional Edition (current year)


NEW QUESTION # 90
What is the medical term for a procedure that creates an opening between the bladder and the rectum?

Answer: C

Explanation:
Breaking down the term:
Cyst/o = bladder
Proct/o = rectum
-stomy = creation of an opening
Cystoproctostomy is the surgical creation of an opening between the bladder and the rectum.
The other options involve different organs:
Gastroenterocolostomy - stomach to intestine
Colocholecystostomy - colon to gallbladder
Nephropyelostomy - kidney to renal pelvis


NEW QUESTION # 91
A patient is diagnosed with sepsis and associated acute respiratory failure.
What ICD-10-CM code selection is reported?

Answer: C

Explanation:
For a patient diagnosed with sepsis and associated acute respiratory failure, the ICD-10-CM codes are:
A41.9: Sepsis, unspecified organism.
R65.21: Severe sepsis with septic shock.
J96.00: Acute respiratory failure, unspecified whether with hypoxia or hypercapnia.
These codes appropriately capture the severity of the sepsis and the presence of acute respiratory failure.
ICD-10-CM guidelines
AMA's CPT Professional Edition (current year)


NEW QUESTION # 92
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