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Updated: Jul 31, 2026
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Medical Tests AAPC-CPC Exam Overview:
| Certification Vendor: | American Academy of Professional Coders (AAPC) |
| Exam Name: | AAPC Certified Professional Coder (CPC) Examination |
| Exam Number: | CPC |
| Exam Duration: | 300 minutes |
| Exam Price: | USD 399–499 (varies by membership status and region) |
| Passing Score: | 70% |
| Exam Format: | Multiple Choice, Scenario-based coding questions |
| Certificate Validity Period: | Requires annual renewal with CEUs (no fixed expiration if maintenance requirements are met) |
| Real Exam Qty: | 150 |
| Available Languages: | English |
| Related Certifications: | CPC-A (Certified Professional Coder - Apprentice) COC (Certified Outpatient Coder) CIC (Certified Inpatient Coder) |
| Recommended Training: | AAPC Study Guides & Exam Preparation AAPC CPC Training Course |
| Exam Registration: | AAPC Exams & Scheduling AAPC CPC Certification Registration |
| Sample Questions: | Medical Tests AAPC-CPC Sample Questions |
| Exam Way: | Computer-based exam delivered online via remote proctoring or at approved testing centers |
| Pre Condition: | No formal prerequisites required. Basic knowledge of medical terminology, anatomy, and coding guidelines is strongly recommended. CPC-A designation may be issued for entry-level candidates without experience. |
| Official Syllabus URL: | https://www.aapc.com/certification/cpc/ |
Medical Tests AAPC-CPC Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Medical Terminology & Anatomy | - Medical Terminology Fundamentals - Human Anatomy and Physiology Basics |
| Topic 2: Medical Coding Guidelines & Compliance | - HIPAA and Regulatory Guidelines - Coding Ethics and Compliance |
| Topic 3: ICD-10-CM Diagnosis Coding | - Chapter-based ICD-10-CM Coding - Diagnosis Coding Guidelines |
| Topic 4: HCPCS Level II Coding | - Durable Medical Equipment (DME) - Drug and Supply Coding |
| Topic 5: CPT Coding | - Evaluation and Management (E/M) - Medicine Services Coding - Surgery Coding - Radiology Coding - Pathology and Laboratory Coding |
Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions:
1. Consultation codes 99242-99245 have been deemed as not medically necessary and are no longer reimbursed by Medicare. This decision would fall under which term?
A) National Coding Determination
B) Carrier Coding Determination
C) Governed Coding Determination
D) Local Coding Determination
2. Medical necessity has been established if a laboratory runs additional testing on a urine sample to determine the presence of a drug class that was not in question during confirmation testing.
A) False
B) True
3. Code the following note:
A male patient with a medical history of chronic obstructive pulmonary disease (COPD) presented to the emergency room 3 days ago with tachycardia and shortness of breath. He was intubated and admitted with acute respiratory failure (ARE) due to an acute exacerbation of COPD. Upon follow-up with the patient today, dark sputum was noted in the intubation tube, and testing confirmed aspiration pneumoni a. I will start him on 875 mg of amoxicillin every 12 hours and follow up tomorrow.
A) 99231, 169.0, 196.00, 144.1
B) 99232, 196.00, 144.1, 169.0
C) 99232, 144.1, 196.00, 169.0, ROO.O
D) 99233, 169.0
4. A 69-year-old patient with a medical history of diabetes is evaluated in the emergency room for a urinary tract infection. After performing a medically appropriate history and exam, the physician prescribes 100 mg of Macrobid every 12 hours and admits the patient to observation status to monitor for sepsis. After seeing an improvement in symptoms, the physician discharges the patient the following day. What CPT and ICD-IO-CM code(s) should be reported for the entirety of the patient's stay?
A) 99221, 99238, N39.O, Ell.9
B) 99222, 99238, N39.O
C) 99284, 99238, Ell.69, N39.O
D) 99234, N39.O, 397.89
5. A patient is referred to a radiology clinic with a diagnosis of chest bruising. A radiologist who works for the clinic performs a 3-view x-ray on the patient's ribcage bilaterally. The radiologist interprets images and determines that there is a right-sided stress fracture to one rib. Which ICD-IO-CM and CPT codes should be reported for this encounter?
A) 71110-26, M84.48XA
B) 71110, M84.48XA
C) 71110, S22.31Y.4
D) 71110-26, S22.31Y.A
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: B |
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