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AAPC CPC Exam Overview:

Certification Vendor:AAPC
Exam Name:AAPC Certified Professional Coder (CPC) Certification Exam
Exam Number:CPC
Available Languages:English
Exam Duration:340 minutes
Certificate Validity Period:2 years (renewal via Continuing Education Units - CEUs)
Real Exam Qty:150 multiple-choice questions
Exam Price:$399–$499 USD (varies by membership and region)
Exam Format:Open-book (CPT, ICD-10-CM, HCPCS manuals allowed), Multiple Choice Questions
Related Certifications:Certified Coding Specialist (CCS)
Certified Outpatient Coder (COC)
Certified Inpatient Coder (CIC)
Passing Score:Approximately 70%
Recommended Training:AAPC CPC Training Course
AAPC CPC Practice Exams
Exam Registration:AAPC CPC Certification Page
AAPC Exam Registration Portal
Sample Questions:AAPC CPC Sample Questions
Exam Way:Available via online proctored exam or authorized testing centers (in-person).
Pre Condition:No formal prerequisite required. Recommended: 1–2 years of medical coding experience or completion of AAPC CPC training.
Official Syllabus URL:https://www.aapc.com/certification/cpc/

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AAPC CPC Exam Syllabus Topics:

TopicDetails
Topic 1
  • 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 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
  • 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 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
  • 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 6
  • 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 7
  • 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 8
  • 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 9
  • 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 10
  • 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 11
  • 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 12
  • 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 13
  • 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 14
  • 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 15
  • 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.

AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q20-Q25):

NEW QUESTION # 20
A patient is diagnosed with a healing pressure ulcer on her left heel that is currently being treated.
What ICD-10-CM coding is reported?

Answer: D

Explanation:
ICD-10-CM guidelines state that healing pressure ulcers are coded as the stage documented.
L89.624 = Pressure ulcer of left heel, stage 4
Stage 4 ulcers involve full-thickness tissue loss and are commonly referenced in exam scenarios involving treatment of healing ulcers Unspecified stage or laterality codes are not appropriate when documentation supports specificity.


NEW QUESTION # 21


Refer to the supplemental information when answering this question:
View MR 874276
What E/M code is reported?

Answer: D

Explanation:
To accurately code this emergency department visit, we need to assess the three key components: history, examination, and medical decision making (MDM).
* History:
* The documentation supports an expanded problem-focused history. This includes a chief complaint, a brief history of present illness (HPI), a review of systems (ROS) with pertinent positives and negatives, and a past medical history.
* Examination:
* The examination is also expanded problem-focused. The physician focused on the relevant systems (constitutional, HENT, respiratory) and documented specific findings related to the chief complaint (appears tired).
* Medical Decision Making:
* The MDM complexity is low. The physician is assessing a new problem (shortness of breath and weakness) with a low level of risk. No further testing or treatment is documented in this encounter.
Based on these components, 99283 is the most appropriate code.
Why other options are incorrect:
* 99282: Requires a problem-focused history and examination, which is less comprehensive than what was documented.
* 99284 and 99285: Require a higher level of MDM (moderate or high complexity) and/or a more detailed examination. The documentation doesn't support this level of service.
References:
* CPT Codes 99281-99285: Emergency department visits
* 1995 and 1997 Documentation Guidelines for Evaluation and Management Services: These guidelines provide detailed criteria for selecting the appropriate E/M code based on history, examination, and MDM.
* AAPC Coder's Desk Reference: This resource provides detailed information on coding guidelines and procedures.


NEW QUESTION # 22
Multiple laceration repairs were performed:
Simple: cheek (2.5 cm), nose (3 cm)
Intermediate: left leg (9 cm), right leg (11.5 cm)
Complex: left upper arm (4 cm)
What CPT codes are reported?

Answer: B

Explanation:
Complex (arm, 4 cm) → 13121
Intermediate legs total = 20.5 cm → 12036
Simple face closures coded separately:
12013 (cheek)
12011 (nose)
Modifiers allow separate anatomical reporting.
Correct answer: A


NEW QUESTION # 23
(From the left femoral artery, the catheter was advanced into the abdominal aorta, andaortographywas performed to view the location of the left inferior phrenic artery. Next the catheter was advanced into theleft inferior phrenicand into theleft superior suprarenal (adrenal) arteryand angiography was performed. The angiography showed no blockage of the left adrenal artery. What CPT codes are reported?)

Answer: A

Explanation:
Selective catheter placement coding follows thehighest-order selective catheterization achievedwithin a vascular family, plus additional selective placements when adifferent vascular familyis entered. Here, access is via femoral artery into theabdominal aorta(nonselective aortic position), then selective advancement into theleft inferior phrenicand further into theleft superior suprarenal (adrenal) artery. The code set offered indicates reporting36245(selective, first-order or initial selective placement as represented by the item's structure) and36246(additional selective advancement). Imaging is also reported:75731represents the angiographic imaging component matching the described abdominal/visceral angiography in the options.
Options with-50are incorrect because the study is on theleftside only, not bilateral. Option C omits a necessary catheter placement level from the option set, and option D substitutes a different catheter placement code while still incorrectly using bilateral imaging. Therefore, optionAbest reflects the catheter placement progression and associated angiography per the question's choices.


NEW QUESTION # 24
A Medicare patient that is on dialysis for ESRD is seen by the nurse for a Hep B vaccination. This patient is given a dialysis patient dosage as part of a three-dose schedule. The nurse administers the Hep B vaccine in the right deltoid. The physician reviews the chart and signs off on the nurse's note.
What procedure and diagnosis codes are reported for the scheduled vaccine injection for this Medicare patient?

Answer: A

Explanation:
* Procedure: Hepatitis B vaccine administration for a Medicare patient on dialysis.
* CPT and HCPCS Codes:
* G0010: Administration of Hepatitis B vaccine.
* 90740: Hepatitis B vaccine, dialysis or immunosuppressed patient dosage, 3-dose schedule.
* ICD-10-CM Codes:
* Z23: Encounter for immunization.
* N18.6: End-stage renal disease.
* Z99.2: Dependence on renal dialysis.
* Code Selection Justification: G0010 is used for the administration of the vaccine for Medicare patients, and 90740 captures the specific vaccine for dialysis patients. The ICD-10 codes represent the encounter for vaccination and the patient's dialysis status.
References:
* AMA CPT Professional Edition (current year)
* ICD-10-CM (current year)
* HCPCS Level II (current year)


NEW QUESTION # 25
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