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AAPC CPC Exam Syllabus Topics:

TopicDetails
Topic 1
  • 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 2
  • 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 3
  • 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 4
  • 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 5
  • 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 6
  • 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 7
  • 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 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
  • 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 10
  • 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.

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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q286-Q291):

NEW QUESTION # 286
An MRI guided cisternal puncture with diagnostic contrast injection is performed at the C2 level for cervical discography, with imaging supervision and interpretation.
What CPT coding is reported?

Answer: D

Explanation:
Procedure Coding:
62291 - Injection procedure for myelography and/or CT, cervical
Cisternal puncture at C2 level
72285 - Radiologic supervision and interpretation, cervical discography
77021 - MRI guidance for needle placement
Why Other Options Are Incorrect:
62290 - Lumbar injection
77012 - CT guidance, not MRI
72295 - Lumbar discography imaging
AAPC Coding Principle:
Use modality-specific guidance codes and match spinal level precisely.


NEW QUESTION # 287
(A 14-month-old male with a unilateral complete cleft lip and alveolar cleft palate had prior repair of the cleft lip. He now presents forreconstruction of the palatewith closing the fissure in the soft tissue of thealveolar ridge with bone graft. What CPT coding is reported?)

Answer: A

Explanation:
This scenario describes apalatoplasty(repair of cleft palate) withclosure of the alveolar ridgeusing abone graft.
CPT code42210is the code that captures palatoplasty withclosure of the alveolar ridgeand associated bone grafting work as part of the reconstructive procedure described. Because the bone graft is part of the defined palatoplasty service in this code concept, you donotseparately report a generic bone graft harvesting code such as20900in the way the answer options suggest. The distractor42200is associated with a more limited palate repair (not matching the alveolar ridge closure with graft detail), and42205does not reflect the specific alveolar ridge closure with bone grafting described in the question stem. CPC exam strategy: identify the mostcomprehensive cleft palate repairthat matches the documentation; when a CPT code description includes the specific additional work (like alveolar ridge closure with graft), code that single comprehensive service.


NEW QUESTION # 288
(Procedure date:01/12/20XX
Surgeon:MD |Assistant:PA
Preoperative diagnosis:Dry gangrene of the left foot in the setting of peripheral vascular disease. Non- pressure chronic ulcer on toe.
Postoperative diagnosis:Dry gangrene of the left foot in the setting of peripheral vascular disease. Non- pressure chronic ulcer on toe.
Procedure:Amputation at the metatarsophalangeal joint of the left third toe Indication:63-year-old female with peripheral vascular disease; vascular workup determined no further interventions to improve vascularity; third toe became progressively dusky; wound formed distally with chronic ulcer; amputation necessary; risks/benefits discussed.
Description:Left foot and third toe marked; 1 g Ancef given; general anesthesia; supine; calf tourniquet; timeout; tourniquet inflated (no Esmarch); total tourniquet time 5 minutes; tennis racquet incision with longitudinal arm over third metatarsal encircling joint proximal to closure; extensor/flexor tendons and collateral ligaments excised sharply; toe removed; tourniquet released; superficial bleeders cauterized; washed out; skin closed with 3-0 nylon; dry dressing; to PACU in good condition; signed 01/19/20XX 09:41.
Question:What CPT and ICD-10-CM coding is reported?)

Answer: C

Explanation:
The operative service is anamputation of the left third toe at the metatarsophalangeal (MTP) joint.
CPT28820describes toe amputationthrough the MTP joint, matching the "amputation at the metatarsophalangeal joint" language and the incision encircling the joint with removal of the toe after dividing tendons/ligaments. ModifierT2correctly identifies theleft foot, third digit. Diagnosis coding must capture the ischemic disease withgangreneplus thenon-pressure chronic ulceron the toe. In the answer set,I70.
262represents lower-extremity atherosclerosis/PVDwith gangrene(left side per the option). The chronic ulcer is separately reported using the providedL97.528non-pressure ulcer code for the left foot/toe severity category offered by the choices. Antibiotic prophylaxis (Ancef), anesthesia type, tourniquet use/time, and technique details support the procedure but do not change the core CPT/ICD-10-CM selection. Therefore, the correct combination is28820-T2, I70.262, L97.528.


NEW QUESTION # 289
An inpatient, suffering from hypertension and chronic kidney disease, is administered continuous venovenous hemofiltration. The on-duty nephrologist performs a series repeated low-level evaluation and management services to monitor the patient's status.
What is the CPT and ICD-10-CM coding'

Answer: C

Explanation:
Procedure Code:
90945 - Continuous renal replacement therapy (CRRT), daily
Includes repeated low-level E/M monitoring
Correct for CVVH
Diagnosis Codes:
I10 - Essential hypertension
N18.9 - Chronic kidney disease, unspecified
Why others are incorrect:
90935 / 90937 - Intermittent hemodialysis
90947 - Pediatric CRRT
ICD-9 codes (112.9, 110) are invalid


NEW QUESTION # 290
A patient that delivered her second child vaginally has a history of having a previous cesarean delivery for the first child.
What CPTcode is reported for the delivery of the second child with antepartum care and postpartum care with the same provider?

Answer: B

Explanation:
1. Procedure and CPTCode Selection:
The patient delivered her second child vaginally after having a previous cesarean delivery for her first child.
This scenario describes a Vaginal Birth After Cesarean (VBAC).
CPTCode 59610 is specific for a vaginal delivery after a previous cesarean delivery, including antepartum and postpartum care with the same provider, which matches this case exactly.
2. Rationale for Excluding Other Options:
Code 59410 covers only vaginal delivery with postpartum care but does not include a history of previous cesarean delivery, so it is not appropriate for a VBAC.
Code 59400 is for routine vaginal delivery with antepartum and postpartum care but, again, does not account for a previous cesarean, so it does not apply in this VBAC scenario.
Code 59614 is for a VBAC but does not include antepartum care, making it incomplete for this scenario since the question specifies that antepartum, delivery, and postpartum care were provided by the same provider.
3. AAPC and CPTCoding Guidelines:
AAPC and CPTguidelines indicate that 59610 should be used for a complete VBAC service that includes antepartum, delivery, and postpartum care by the same provider.
Therefore, based on CPTguidelines, the correct answer is B. 59610.


NEW QUESTION # 291
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