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AAPC CPC Exam Overview:

Certification Vendor:AAPC
Exam Name:Certified Professional Coder (CPC) Exam
Exam Number:CPC
Passing Score:70%
Available Languages:English
Certificate Validity Period:2 Years (requires continuing education to maintain)
Exam Format:Multiple Choice
Related Certifications:CPC-A
Exam Price:USD 499
Exam Duration:240 minutes
Real Exam Qty:100
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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AAPC CPC Exam Syllabus Topics:

TopicDetails
Topic 1
  • 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 2
  • 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 3
  • 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 4
  • 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 5
  • 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 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.
Topic 7
  • 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 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
  • 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 11
  • 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.

AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q197-Q202):

NEW QUESTION # 197
A patient undergoes a laparoscopic appendectomy for chronic appendicitis.
What CPT and diagnosis codes are reported?

Answer: A

Explanation:
44970 = Laparoscopic appendectomy
K36 = Chronic appendicitis
Symptoms are not coded once definitive diagnosis is made


NEW QUESTION # 198
(Full Case:Chief complaint:Syncope.HPI:68-year-old male arrives to ED inrespiratory distressafter sudden syncope/collapse while shopping; unresponsive; EMS: weak pulse, labored respirations, unresponsive.
History:CABG 5 years ago, no chest pain since.ROS:unobtainable (unconscious).Allergies:none.Meds:
Coumadin.PMH:HTN.Social:lives with wife.Exam/Vitals:BP 82/62, pulse 79, RR 12 shallow, O2 sat 90% on high flow O2; monitor shows right bundle branch block. Neuro: initially eyes closed, opens to questions, responds to some questions, later unresponsive. HEENT pupils sluggish equal; unable EOM/fundus. Neck supple, no JVD/bruits. Lungs mild rhonchi. Heart regular without murmurs. Abdomen benign. Extremities symmetric, no edema/cyanosis. Skin no rash. Neuro no focal deficits.Hospital course:IV x2; NS 1000 cc bolus with little response; dopamine drip 10 # 20 mcg/kg/min; O2 sat drops, respirations slow; becomes unresponsive; progresses tocardiac arrest; CPR; multiple adrenaline/atropine; defibrillation; ABG pH 7.1 etc; bicarbonate x2; no effect; pronounced dead 13:32.Critical care time:77 minutes continuous.Diagnosis:
Cardiorespiratory arrest.Question:What is the E/M coding reported for this encounter?)

Answer: C

Explanation:
The patient was critically ill withhemodynamic instability, respiratory failure progression, and cardiac arrest, requiring intensive interventions (multiple IVs, large bolus,vasopressor infusion, resuscitation with CPR
/defibrillation/medications, ABG management). The provider documents77 minutes of continuous critical care time. Critical care is reported with99291for thefirst 30-74 minuteson a date of service, and99292foreach additional 30 minutesbeyond that threshold. Because77 minutesexceeds 74 minutes, you report99291 + 99292 (one unit of 99292 covers the additional time beyond the initial critical care window). You donotadditionally report an ED E/M code (e.g., 99285) on the same date for the same provider when critical care encompasses the ED evaluation and management during that time period; the critical care service is the appropriate E/M reporting. The scenario supports that critical care criteria are met: high probability of life-threatening deterioration and active physician management. Therefore, the correct E/M coding is99291, 99292.


NEW QUESTION # 199

Refer to the supplemental information when answering this question:
View MR 354859
What CPT and ICD-10-CM coding is reported?

Answer: A


NEW QUESTION # 200
Preoperative diagnosis: Right thigh benign congenital hairy nevus. *1
Postoperative diagnosis: Right thigh benign congenital hairy 0 nevus.
Operation performed: Excision of right thigh benign congenital>1
nevus, excision size with margins 4.5 cm and closure size 5 cm.
Anesthesia: General.0
Intraoperative antibiotics: Ancef.0
Indications: The patient is a 5-year-old girl who presented with her parents for evaluation of her right thigh congenital nevus. It has been followed by pediatrics and thought to have changed over the past year. Family requested excision. They understood the risks involved, which included but were not limited to risks of general anesthesia, infection, bleeding, wound dehiscence, and poor scar formation. They understood the scar would likely widen as the child grows because of the location of it and because of the age of the patient. They consented to proceed.
Description of procedure: The patient was seen preoperatively in > I the holding area, identified, and then brought to the operating room. Once adequate general anesthesia had been induced, the patient's right thigh was prepped and draped in standard surgical fashion. An elliptical excision measuring 6 x 1.8 cm had been marked. This was injected with Lidocaine with epinephrine, total of 6 cc of 1% with 1:100,000. After an adequate amount of time, a #15 blade was used to sharply excise this full thickness.
This was passed to pathology for review. The wound required # limited undermining in the deep subcutaneous plane on both sides for approximately 1.5 cm in order to allow mobilization of the skin for closure. The skin was then closed in a layered fashion using 3-0 Vicryl on the dermis and then 4-0 Monocryl running subcuticular in the skin, the wound was cleaned and dressed with Dermabond and Steri-Strips.
The patient was then cleaned and turned over to anesthesia for S extubation.
She was extubated successfully in the operating room and taken S to the recovery room in stable condition.
There were no complications.
What CPT and ICD-10-CM code is reported?

Answer: C

Explanation:
99242 = Outpatient consultation, moderate complexity
L93.1 = Subacute cutaneous lupus erythematosus
R21 = Rash (allowed as secondary symptom)


NEW QUESTION # 201
The CPTcode book provides full descriptions of medical procedures, with some descriptions requiring the use of a semicolon (;) to distinguish among closely related procedures.
What is the full description of CPTcode 35860?

Answer: C

Explanation:
In the CPTcode book, code 35860 describes an "Exploration for postoperative hemorrhage, thrombosis or infection" in multiple areas, specifically including the neck, chest, abdomen, and/or extremity. This code is used when a surgeon explores these areas postoperatively to locate and address complications such as bleeding, clots, or infections.
B, C, and D are incorrect as they do not fully encompass all the areas listed in the actual description of CPT code 35860, which includes all four regions (neck, chest, abdomen, and extremity).
Thus, the correct answer is A. Exploration for postoperative hemorrhage, thrombosis or infection; neck, chest, abdomen, and/or extremity.


NEW QUESTION # 202
......

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