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AAPC - American Academy of Professional Coders

Certified Professional Coder

The CPC exam is a test of medical coding proficiency consisting of 100 multiple-choice questions that assess 17 areas of knowledge. Most questions present a coding scenario to test proper application of CPT® procedure codes, HCPCS Level II procedure and supply codes, and ICD-10-CM diagnosis codes. Medical providers use all of these to submit claims to payers.

Prüfungscode

CPC

Dauer

240 min

Questions

144

Offizielle Voraussetzungen

  • Familiarity with CPT, ICD-10-CM, and HCPCS coding systems
  • Working knowledge of medical terminology, anatomy, and physiology
  • Completion of an AAPC CPC training course or equivalent educational program (recommended)
  • Practical coding experience (commonly 1–2 years) or supervised coding practice
Certified Professional Coder

Gezielte Berufe

Medical coder Outpatient coder Physician office coder Coding specialist
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Assesses knowledge of medical terminology across all human body systems.
Assesses knowledge of anatomy across all human body systems.
Tests understanding of Medicare Parts A–D regulations, payment policies, place of service reporting, fraud and abuse, NCCI edits, NCDs/LCDs, HIPAA, ABNs, and RVUs.
Covers ICD-10-CM Official Guidelines for Coding and Reporting, CPT® coding guidelines and parenthetical notes, and modifier usage.
Tests proficiency in diagnosis coding across all ICD-10-CM chapters and application of the Official Guidelines for Coding and Reporting.

Domäne 5

ICD-10-CM

Tests proficiency in diagnosis coding across all ICD-10-CM chapters and application of the Official Guidelines for Coding and Reporting.

Domäne 6

HCPCS Level II

Assesses knowledge of HCPCS Level II coding, including modifiers, supplies, medications, and professional services for Medicare patients.

Domäne 7

CPT® 10000 Series

Covers surgical procedures of the integumentary system, including skin, subcutaneous tissue, nails, pilonidal cysts, repairs, destruction, and breast.

Domäne 8

CPT® 20000 Series

Covers surgical procedures of the musculoskeletal system from head to toe.

Domäne 9

CPT® 30000 Series

Covers surgical procedures of the respiratory, cardiovascular, hemic and lymphatic systems, and mediastinum/diaphragm.

Domäne 10

CPT® 40000 Series

Covers surgical procedures of the digestive system, including procedures on the mouth, esophagus, stomach, intestines, liver, pancreas, and more.

Domäne 11

CPT® 50000 Series

Covers surgical procedures of the urinary, male and female genital, and endocrine systems, including maternity and delivery.

Domäne 12

CPT® 60000 Series

Covers surgical procedures of the nervous system, including skull, meninges, brain, spine, and peripheral nerves.

Domäne 13

Radiology

Covers diagnostic and interventional imaging services, including X-ray, ultrasound, MRI, CT, mammography, radiation oncology, and nuclear medicine.

Domäne 14

Pathology and Laboratory

Covers laboratory tests, organ/disease panels, cytology, hematology, immunology, microbiology, surgical pathology, and related areas.

Domäne 15

Medicine

Covers non-surgical physician services such as immunizations, injections, dialysis, chemotherapy administration, patient education, and more.

Domäne 16

Evaluation and Management (E/M)

Covers coding for various service settings and levels, including office/other outpatient, hospital, emergency, critical care, preventive medicine, and care management.

Domäne 17

Anesthesia

Covers anesthesia services including time reporting, qualifying circumstances, physical status modifiers, and obstetric services.

Domäne 18

Cases

Real-world case scenarios requiring correct coding using CPT®, ICD-10-CM, and HCPCS Level II.

Lerntipp

Use AAPC-aligned practice tests in timed blocks, drill weak areas with scenario-based questions, review explanation rationales, track exam blueprint alignment, and repeat timed practice until accuracy and speed meet exam targets.

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