AAPC CPC技術内容 & CPC受験対策

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AAPC CPC Exam Overview:

Certification Vendor:AAPC
Exam Name:AAPC Certified Professional Coder (CPC) Certification Exam
Exam Number:CPC
Passing Score:Approximately 70%
Exam Duration:340 minutes
Related Certifications:Certified Coding Specialist (CCS)
Certified Outpatient Coder (COC)
Certified Inpatient Coder (CIC)
Exam Format:Open-book (CPT, ICD-10-CM, HCPCS manuals allowed), Multiple Choice Questions
Real Exam Qty:150 multiple-choice questions
Available Languages:English
Exam Price:$399–$499 USD (varies by membership and region)
Certificate Validity Period:2 years (renewal via Continuing Education Units - CEUs)
Recommended Training:AAPC CPC Practice Exams
AAPC CPC Training Course
Exam Registration:AAPC Exam Registration Portal
AAPC CPC Certification Page
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/

>> AAPC CPC技術内容 <<

CPC受験対策 & CPCテスト対策書

我々の提供するAAPCのCPC試験の資料のどのバーションでも各自のメリットを持っています。PDF版はパソコンでもスマホでも利用でき、どこでも読めます。ネットがあれば、オンライン版はどの電子商品でも使用できます。ソフト版は真実のAAPCのCPC試験の環境を模倣して、あなたにAAPCのCPC試験の本当の感覚を感じさせることができ、いくつかのパソコンでも利用できます。

AAPC CPC 認定試験の出題範囲：

トピック出題範囲
トピック 1
  • 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.
トピック 2
  • 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.
トピック 3
  • 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.
トピック 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.
トピック 5
  • 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.
トピック 6
  • 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.
トピック 7
  • 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.
トピック 8
  • 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.
トピック 9
  • 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.
トピック 10
  • 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.
トピック 11
  • 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.
トピック 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.
トピック 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.

AAPC Certified Professional Coder (CPC) Exam 認定 CPC 試験問題 (Q235-Q240):

質問 # 235
A cardiologist uses the hospital's equipment for a cardiac stress test as he doesn't own equipment for the test. He supervises the test and provides the interpretation and report of the test.
What CPT codes are reported?

正解：C

解説：
Procedure: Cardiac stress test performed using hospital's equipment with the cardiologist providing supervision, interpretation, and report.
CPT Codes:
93016: This code is for supervision only without provision of the equipment.
93018: This code is for interpretation and report only.
Code Selection Justification: Since the cardiologist does not own the equipment, codes 93016 and 93018 correctly represent the supervision, interpretation, and report of the test.
AMA CPT Professional Edition (current year)


質問 # 236
A patient presents with fever, cough, SOB, and a recent history of COVID-19. A PCR test was positive for COVID-19. The provider documents a final diagnosis of "pneumonia with history of COVID-19." What ICD-10-CM coding is reported?

正解：C

解説：
The provider documents history of COVID-19, not active COVID-19.
Z86.16 = Personal history of COVID-19
J18.9 = Pneumonia, unspecified organism
Codes U07.1 and U09.9 are for current or post-COVID conditions, which are not documented here. Therefore, A is correct.


質問 # 237
What modifier is appended to indicate when a service is performed because it was mandated by a third-party payer, government agency, or other regulatory requirement?

正解：A

解説：
The correct answer is B. Modifier 32. Modifier 32 identifies a mandated service, meaning the service was required by a third-party payer, governmental body, legal authority, employer, or other regulatory entity rather than being performed solely at the physician's independent clinical discretion. In professional coding, this modifier communicates the reason the service was rendered and helps distinguish required examinations or evaluations from routine medically indicated services. Typical examples include services requested for insurance review, workers' compensation requirements, legal determinations, disability evaluation, or other administrative mandates.
The other modifiers do not match the scenario. Modifier 23 is used for unusual anesthesia circumstances.
Modifier 76 reports a repeat procedure or service performed by the same physician or other qualified health care professional. Modifier 24 is appended to an unrelated evaluation and management service performed during a postoperative global period. None of these indicate that the service was required by an external payer or regulatory authority.
Reference topics: CPC Modifiers; CPT Appendix A Modifiers; Mandated Services; Regulatory and Third- Party Payer Reporting Requirements.


質問 # 238
A 13-year-old established patient is seen for an annual preventive exam. Last visit was two years ago.
What CPT code is reported?

正解：C

解説：
99393 = Preventive visit, established patient, age 5-11
Preventive codes are based on age and patient status, not time since last visit


質問 # 239
(ESTABLISHED PATIENT VISIT: A 37-year-old woman presents with coughing, congestion, upper respiratory symptoms, and headache for two days. Complete ROS negative except as noted. No significant past/family history. Exam: stable vitals, nasal congestion, normal TMs, occasional rhonchi, no wheezing, normal heart, soft abdomen. Assessment/Plan:Acute upper respiratory infection, fluids,amoxicillinfor 5-7 days, return precautions. What CPT code is reported?)

正解：C

解説：
This is anestablished patient office visitcoded byMDM(or time, but time is not provided). Problems:one acute, uncomplicated illness(URI) # supportslowproblem complexity. Data: no labs/imaging ordered or reviewed
#minimal/nonedata. Risk: although a prescription is given, MDM level is determined by2 of 3elements (Problems, Data, Risk). Here, only the risk might approach moderate due to prescription management, butproblems and data remain low/minimal, so the overall MDM doesnotmeet moderate. Therefore, the visit is best supported atlow MDM, which corresponds to99213for an established patient. It is more than minimal (99212) because a focused exam and management plan are documented, but it does not meet the higher complexity required for 99214/99215 (multiple problems, significant data review, or high-risk management).
CPC exam focus: don't let a single element (like antibiotics) automatically "force" a higher code-MDM requires meeting the level intwo elements.


質問 # 240
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