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AAPC CPC Exam Syllabus Topics:

TopicDetails
Topic 1
  • 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 2
  • 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 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.
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
  • 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 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
  • 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 8
  • 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.:
Topic 9
  • 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 10
  • 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 11
  • 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 12
  • 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 13
  • 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 14
  • 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 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.
Topic 16
  • 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 17
  • 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 (Q271-Q276):

NEW QUESTION # 271
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?

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 # 272
An interventional radiologist performs an abdominal paracentesis in his office utilizing ultrasonic imaging guidance to remove excess fluid. What CPT coding is reported?

Answer: C

Explanation:
CPT code 49083 describes an abdominal paracentesis with imaging guidance, such as ultrasound. This code includes the imaging guidance as part of the procedure, so it is not necessary to separately report the ultrasonic guidance.
Reference:
AMA's CPT Professional Edition (current year), Code 49083


NEW QUESTION # 273
A 62-year-old with ventricular fibrillation comes to the outpatient surgery department for the replacement of a pacing cardioverter-defibrillator. The procedure is performed under MAC anesthesia. The Certified Registered Nurse Anesthetist (CRNA), is working independently without medical direction.
What CPTand ICD-10-CM codes are reported for the CRNA?

Answer: D


NEW QUESTION # 274
(A pathologist performs an analysis usingfluorescent microscopyto evaluate a specimen for inherited or acquiredchromosomal abnormalities. No specific CPT code accurately describes this service. Which unlisted CPT code is reported?)

Answer: D

Explanation:
This scenario describes acytogenetic-type analysis targetingchromosomal abnormalities, performed using fluorescence-based microscopy techniques (commonly conceptually aligned with FISH-type evaluation). The question explicitly states thatno specific CPT code accurately describes the service, which signals that anunlistedcode is required. In CPT, the88299code is the unlisted procedure code forcytogenetic studies, used when a chromosomal/genetic laboratory procedure does not have a more specific existing CPT descriptor.
The other unlisted options correspond to different laboratory sections:84999is an unlisted chemistry procedure,
88199is an unlisted cytopathology procedure, and88749is not the correct unlisted cytogenetics code for this context as presented. CPC exam technique: match thedomainfirst (chromosomes # cytogenetics), then select the appropriateunlisted code within that domainwhen the stem says no specific CPT code exists. Proper use of unlisted codes also implies documentation of method, purpose, and comparables for payer review, but the test asks only for the correct unlisted CPT code.


NEW QUESTION # 275
A provider performs a mastoidectomy and complete labyrinthectomy for right-sided peripheral vertigo.
What CPT and ICD-10-CM codes are reported?

Answer: B

Explanation:
69905 = Transmastoid labyrinthectomy
69990 = Operating microscope (separately reportable)
H81.391 = Peripheral vertigo, right ear
R42 (dizziness) is not reported when a definitive diagnosis exists
RADIOLOGY & IMAGING QUESTIONS


NEW QUESTION # 276
......

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