AAPC CPC Exam Syllabus Topics:
| Topic | Details |
|---|
| 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 | - 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.
|
| 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 | - 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 | - 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 7 | - 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 8 | - 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.
|
| Topic 9 | - 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.
|
| Topic 10 | - Radiology: This section of the exam measures the skills of coding specialists and focuses on diagnostic imaging procedures including X-rays, CT scans, MRIs, ultrasounds, and nuclear medicine. It emphasizes proper selection of codes based on anatomical site and modality used.
|
| Topic 11 | - 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.
|
| Topic 12 | - 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 13 | - 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 14 | - 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 15 | - 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 16 | - 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.
|
Reference: https://cache.aapc.com/cache/pdf/2024-cpc-course-syllabus.pdf?_gl=1*1nf1q54*_gcl_au*NDIzNzMzNTQ0LjE3NDkwMjkzNzA.*_ga*ODUyMjg1MjY4LjE3NDkwMjkzNzg.*_ga_YCM4N7Z8H4*czE3NTEyODA0MTMkbzIkZzEkdDE3NTEyODEzNzUkajQ2JGwwJGgw
AAPC Certified Professional Coder (CPC) Sample Questions:
Question #1
(A patient suffering fromlateral epicondylitisin the left elbow is sent to the operating room tomanipulate the elbow. The patient is placed undergeneral anesthesiaby the anesthesiologist. The physician manipulates the elbow through stretching and rotation to restore motion. What CPTcoding is reported for the physician?)
A. 24300
B. 24300, 01710
C. 24605
D. 24605, 01710
Question #2
A patient who has HIV disease presents with loin pain in the clinic today. The patient reports he is having trouble sleeping due to the pain. What ICD-10-CM coding is reported?
A. M54.51, B20
B. B20, M54.9
C. B20, M54.50
D. M54.50, B20
Question #3
(A patient with age-related osteoporosis is hospitalized after a slip and fall resulting in fractures to both hips.
The physician ordersthree-view imaging of both hips and the pelvis, interpreted by the hospital radiologist.
Later the same day, the patient falls from bed and the doctor ordersthree additional viewsof both hips and pelvis, interpreted by thesame radiologist. What CPTcoding is reported?)
A. 73523, 73523-77
B. 73522-76, 73522-51
C. 73523-76, 73523-51
D. 73522, 73522-76
Question #4
A patient presents for a percutaneous needle biopsy of the liver with ultrasound guidance to assess the severity of his primary biliary cirrhosis.
What CPTand ICD-10-CM codes are reported?
A. 47000, 10005, 76942, K74.3
B. 47000, 76942, K74.3
C. 47000, K74.5
D. 47100, K74.5
Question #5
Four malignant peritoneal tumors are excised, the largest measuring 15 cm.
What CPTand ICD-10-CM coding is reported?
A. 49190, C76.2
B. 49190, K66.9, R10.0
C. 49187, K66.8
D. 49190, C48.2
Solutions:
Question #1
Correct Answer: A | Question #2
Correct Answer: C | Question #3
Correct Answer: C | Question #4
Correct Answer: C | Question #5
Correct Answer: D |
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