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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
Exam Price:USD 499
Available Languages:English
Passing Score:70%
Exam Format:Multiple Choice
Real Exam Qty:100
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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Exam CPC Cram Questions | CPC Test Question

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AAPC CPC Exam Syllabus Topics:

TopicDetails
Topic 1
  • 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 2
  • 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 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
  • 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 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
  • 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 7
  • 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 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
  • 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 10
  • 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.

AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q49-Q54):

NEW QUESTION # 49
(A patient presents to the urgent care facility with multiple burns acquired while burning debris in his backyard. After examination the physician determines the patient hasthird-degree burns of the left and right posterior thighs (10%). He also hassecond-degree burnsof theanterior portion of the right side of his chest wall (8%)andupper back (6%).TBSA is 24%withthird-degree burns totaling 10%. What ICD-10-CM codes are reported, according to ICD-10-CM coding guidelines?)

Answer: A

Explanation:
Burn coding requires (1) code each burn site bylocation, laterality, and degree, and (2) add aTBSAcode when appropriate. The patient hasthird-degree burnsof both thighs (right and left), so the correct site/degree codes areT24.311A(third-degree burn of right thigh, initial encounter) andT24.312A(third-degree burn of left thigh, initial encounter). He also hassecond-degree burnsof the right anterior chest wall and the upper back, reported withT21.21XA(second-degree burn of chest wall, initial encounter) andT21.23XA(second-degree burn of back wall, initial encounter). TBSA is24%(falls in the 20-29% category), andthird-degree is 10%(falls in the
10-19% third-degree category), so the correct TBSA code isT31.21. Option D matches the required site
/degree codes and the correct TBSA/third-degree percentage code pairing.


NEW QUESTION # 50
An elderly patient comes into the emergency department (ED) with shortness of breath. An ECG is performed The final diagnosis at discharge is impending myocardial infarction.
According to ICD-10-CM guidelines, how is this reported?

Answer: A


NEW QUESTION # 51
(A 42-year-old female is in the operative room to repair azone 2 flexor digitorum profundus (FDP) tendonlaceration involving her index finger with an associatedradial digital nerveinjury. The dorsal side of the FDP tendon was sutured. Next, themicroscopewas brought into place and the radial digital nerve was repaired using epineural sutures. What CPT codes are reported?)

Answer: C

Explanation:
Zone 2 flexor tendon repairs ("no man's land") are coded with thezone 2 flexor tendon repair
/advancementcode family. Because the case specifieszone 2 FDP tendon repairof the index finger, the correct tendon repair code is26356(zone 2 flexor tendon repair/advancement; primary, without free graft, each tendon). The associateddigital nerve repairis separately reported with64831(suture of digital nerve; one nerve). Since both procedures are performed in the same operative session, the secondary procedure commonly carriesmodifier -51for multiple procedures when required by payer/claim conventions (as reflected in the answer choices). The operative note specifically states use of anoperating microscopefor microsurgical nerve repair, which supports add-on code69990(microsurgical techniques requiring operating microscope), reportedonce per sessionandnotwith modifier 51. Therefore, the only fully correct option including tendon, nerve repair, and microscope reporting isA.


NEW QUESTION # 52
Refer to the supplemental information when answering this question:
View MR 138093
What E/M coding is reported?

Answer: D

Explanation:
This patient presents to the ER with syncope, requiring a comprehensive evaluation and critical care. Here's the breakdown of the codes:
CPT Code 99291-25: Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes This code is appropriate because the patient's syncope and vital signs (low blood pressure, shallow respirations, low oxygen saturation) indicate a critical condition requiring immediate intervention.
Modifier -25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service. This modifier is appended because the critical care services were provided in addition to the separately reported procedures below.
CPT Code 92950: Cardiopulmonary resuscitation (eg, CPR, external cardiac massage, endotracheal intubation, ventilation) While the documentation doesn't explicitly mention CPR, it states the patient was unresponsive upon arrival but had spontaneous pulse and respirations. This suggests possible resuscitation efforts were performed by the paramedics before the physician's assessment.
CPT Code 31500: Intubation, endotracheal, emergency procedure
Although not explicitly stated, the documentation indicates the patient was placed on "high flow oxygen," which strongly suggests endotracheal intubation was performed to manage the patient's respiratory distress.
CPT Code 82803: Blood gases, arterial, pH, PCO2, PO2, with oxygen saturation; interpretation and report This code is likely reported based on the patient's respiratory distress and the need to monitor their oxygenation status.
Why other options are incorrect:
99285: This is a standard emergency department visit code and doesn't capture the critical nature of the patient's condition.
99285-25, 99291-25, 92950, 31500, 82803: This includes 99285, which is not necessary as 99291 encompasses the evaluation and management.
99291-25, 99292-25, 92950, 31500: This includes 99292, which is for subsequent critical care time. There's no indication in the documentation that the physician provided critical care beyond the initial 74 minutes.
References:
CPT Codes 99281-99285: Emergency department visits
CPT Codes 99291-99292: Critical care services
CPT Code 92950: Cardiopulmonary resuscitation
CPT Code 31500: Endotracheal intubation
CPT Code 82803: Arterial blood gases
AAPC Coder's Desk Reference: This resource provides detailed information on coding guidelines and procedures.


NEW QUESTION # 53
A 45-year-old female presents to the ED with chest pain. The provider has an Albumin Cobalt Binding Test to determine if the chest pain is ischemic in nature.
That lab test is reported?

Answer: A

Explanation:
* Procedure: Albumin Cobalt Binding (ACB) test to determine ischemic nature of chest pain.
* CPT Code:
* 83857: This code is used for the Albumin Cobalt Binding test.
* Code Selection Justification: The ACB test specifically measures ischemia-modified albumin, making
83857 the appropriate code for this laboratory test.
References:
* AMA CPT Professional Edition (current year)
* ICD-10-CM (current year)
* HCPCS Level II (current year)


NEW QUESTION # 54
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