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AAPC CPC Exam Overview:

Certification Vendor:AAPC
Exam Name:Certified Professional Coder (CPC) Exam
Exam Number:CPC
Exam Duration:240 minutes
Available Languages:English
Exam Price:USD 499
Real Exam Qty:100
Passing Score:70%
Exam Format:Multiple Choice
Certificate Validity Period:2 Years (requires continuing education to maintain)
Related Certifications:CPC-A
Sample Questions:AAPC CPC Sample Questions
Exam Way:Online (Online Proctored or In-Person at Testing Centers)
Pre Condition:None required for exam (though AAPC recommends medical terminology/anatomy training)
Official Syllabus URL:https://www.aapc.com/certification/cpc

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100% Pass Quiz AAPC - CPC - Certified Professional Coder (CPC) Exam –Valid PDF Guide

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AAPC CPC Exam Syllabus Topics:

TopicDetails
Topic 1
  • 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 2
  • 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 3
  • 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 4
  • 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 5
  • 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 6
  • 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 7
  • 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 8
  • 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 9
  • 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 10
  • 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 11
  • 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 12
  • 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 13
  • 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 14
  • 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 15
  • 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 16
  • 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.:

AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q268-Q273):

NEW QUESTION # 268
56-year-old female is postmenopausal with abnormal vaginal bleeding. Ob-gyn provider performs a hysteroscopy to examine the uterine cavity.
What CPTcode is reported?

Answer: B

Explanation:
1. Procedure and CPTCode Selection:
The procedure performed was a hysteroscopy to examine the uterine cavity due to abnormal vaginal bleeding.
This is a diagnostic hysteroscopy.
CPTCode 58555 is specifically for a diagnostic hysteroscopy to examine the uterine cavity, which aligns with the procedure performed in this case.
2. Rationale for Excluding Other Options:
Code 58558 is for a hysteroscopy with a surgical procedure, such as biopsy or removal of a lesion or polyp, which was not performed in this case.
Code 58579 is an unlisted procedure code for the female genital system and is unnecessary here because there is a specific code (58555) for diagnostic hysteroscopy.
Code 58578 is also an unlisted hysteroscopic procedure code and is not appropriate when a specific diagnostic code exists.
3. AAPC and CPTCoding Guidelines:
AAPC guidelines indicate that 58555 should be used for diagnostic hysteroscopy procedures without any surgical intervention.
Therefore, the correct answer, following CPTguidelines, is C. 58555.


NEW QUESTION # 269
A cardiologist performs and interprets a 12-lead ECG in the office.
What CPT coding is reported?

Answer: D

Explanation:
93000 = ECG with tracing, interpretation, and report
93010 = Interpretation only


NEW QUESTION # 270
A patient with a history of chronic venous embolism in the inferior vena cava has a radiographic study to visualize any abnormalities. In outpatient surgery the physician accesses the subclavian vein and the catheter is advanced to the inferior vena cava for injection and imaging. The supervision and interpretation of the images is performed by the physician.
What codes are reported for this procedure?

Answer: B

Explanation:
For the procedure involving access to the subclavian vein and advancing a catheter to the inferior vena cava for injection and imaging, the following codes are used:
* 36010 for the catheter placement.
* 75825-26 for the supervision and interpretation of the imaging.
Modifier -26 indicates the professional component of the radiological supervision and interpretation.
References:
* AMA's CPT Professional Edition (current year)
* ICD-10-CM (current year)


NEW QUESTION # 271
(A patient with age-related osteoporosis is hospitalized after a slip and fall resulting in fractures to both hips.
The physician ordersthree-view imaging of both hips and the pelvis, interpreted by the hospital radiologist.
Later the same day, the patient falls from bed and the doctor ordersthree additional viewsof both hips and pelvis, interpreted by thesame radiologist. What CPT coding is reported?)

Answer: B

Explanation:
"Three-view imaging of both hips and the pelvis" corresponds toCPT 73523(bilateral hips with pelvis, 3-4 views). Because the same study is repeated laterthe same daydue to a new event (fall from bed) and is interpreted by thesame radiologist, the correct repeat modifier concept is-76(repeat procedure by thesamephysician/qualified health professional). The most accurate reporting is73523for the first study and73523-76for the repeat study. Among the provided options,Dis the only choice that includes both73523and the correct repeat-by-same modifier-76. The inclusion of-51in option D reflects a multiple- procedure concept that is not the primary modifier logic for a true repeat of the same radiologic service; however, the CPC exam intent here is to recognize73523and that the repeat isby the same radiologist, requiring-76(not -77). Key learning point: select the correctstudy code by views, then apply-76for same- provider repeat interpretation.


NEW QUESTION # 272
The patient, who is at 32 weeks pregnant, has been hospitalized due to an infection of COVID-19.
What ICD-10-CM codes are reported?

Answer: A

Explanation:
Pregnancy guidelines require O codes first.
O98.513 = COVID-19 infection complicating pregnancy, third trimester
U07.1 = COVID-19
Z3A.32 = 32 weeks gestation
Symptoms (SOB, fever) are not coded separately when integral to COVID-19.
Correct sequencing makes A correct.


NEW QUESTION # 273
......

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