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AAPC CPC Exam Content

**CPC exam thoroughly covers: **

10,000 series CPT

  • 10 questions
  • Surgical procedures performed on the integumentary system
  • Skin, subcutaneous, and accessory structures
  • Nails
  • Pilonidal cysts
  • Repairs
  • Destruction
  • Breast

20,000 series CPT

  • 10 questions
  • Surgical procedures performed on the musculoskeletal system
  • Head
  • Neck
  • Back and flank
  • Spine
  • Abdomen
  • Shoulder
  • Arm
  • Hand and fingers
  • Pelvis and hip
  • Leg
  • Foot and toes

30,000 series CPT

  • 10 questions
  • Surgical procedures performed on the respiratory system
  • Nose
  • Accessory sinuses
  • Larynx
  • Trachea and bronchi
  • Lungs and pleura
  • Surgical procedures performed on the cardiovascular system
  • Heart and pericardium
  • Arteries and veins
  • Surgical procedures performed on the hemic and lymphatic systems
  • Spleen
  • Lymph nodes and lymph channels
  • Surgical procedures performed on the mediastinum and diaphragm

40,000 series CPT

  • 10 questions
  • Surgical procedures performed on the digestive system
  • Lips
  • Mouth
  • Palate and uvula
  • Salivary gland and ducts
  • Pharynx, adenoids, and tonsils
  • Esophagus
  • Stomach
  • Intestines
  • Appendix
  • Rectum
  • Anus
  • Liver
  • Biliary Tract
  • Pancreas
  • Abdomen, peritoneum, and omentum

50,000 series CPT

  • 10 questions
  • Surgical procedures performed on the urinary system
  • Kidneys
  • Ureter
  • Bladder
  • Urethra
  • Surgical procedures performed on the male reproductive system
  • Penis
  • Testis
  • Epididymis
  • Tunica
  • Scrotum
  • Vas deferens
  • Spermatic cord
  • Seminal vesicles
  • Prostate
  • Surgical procedures performed on the female reproductive system
  • Vulva, perineum, and introitus
  • Vagina
  • Uterus
  • Fallopian Tubes
  • Ovaries
  • Maternity and Delivery
  • Surgical procedures performed on the endocrine system
  • Thyroid gland
  • Parathyroid
  • Thymus
  • Adrenal glands
  • Pancreas
  • Carotid body

60,000 series CPT

  • 10 questions
  • Surgical procedures performed on the nervous system
  • Skull, meninges, brain
  • Spine
  • Spinal cord
  • Extracranial nerves
  • Peripheral nerves
  • Autonomic nervous system

Evaluation & Management

  • 10 questions
  • Office/Other Outpatient
  • Hospital Observation
  • Hospital Inpatient
  • Consultations
  • Emergency Department
  • Critical Care
  • Nursing Facility
  • Domiciliary and Rest Homes
  • Home Services
  • Prolonged Services
  • Case Management
  • Care Plan Oversight
  • Preventive Medicine
  • Non-Face-to-Face Services
  • Special E/M
  • Newborn Care
  • Neonatal and Pediatric Critical Care and Intensive Care
  • Complex Chronic Care Coordination
  • Transitional Care Management

Anesthesia

  • 8 questions
  • Time reporting
  • Qualifying Circumstances
  • Physical Status Modifiers
  • Anesthesia for surgical, diagnostic and obstetric services

Radiology

  • 10 questions
  • Diagnostic Radiology
  • Diagnostic Ultrasound
  • Radiologic Guidance
  • Mammography
  • Bone and Joint Studies
  • Radiation Oncology
  • Nuclear Medicine

Laboratory/Pathology

  • 10 questions
  • Organ and Disease Panels
  • Drug Testing
  • Therapeutic Drug Assays
  • Evocation/Supression Testing
  • Consultations
  • Urinalysis
  • Molecular Pathology
  • MAAA
  • Chemistry
  • Hematology and Coagulation
  • Immunology
  • Transfusions
  • Microbiology
  • Anatomic Pathology
  • Cytopathology
  • Cytogenetic Studies
  • Surgical Pathology
  • In vivo and Reproductive

Medicine

  • 10 questions
  • Immunizations
  • Psychiatry
  • Biofeedback
  • Dialysis
  • Gastroenterology
  • Ophthalmology
  • Otorhinolaryngology
  • Cardiovascular
  • Noninvasive Vascular Studies
  • Pulmonary
  • Allergy and Immunology
  • Endocrinology
  • Neurology
  • Genetics
  • Central Nervous System Assessments
  • Health and Behavior Assessments
  • Hydration
  • Therapeutic and Diagnostic Administration
  • Chemotherapy Administration
  • Photodynamic Therapy
  • Dermatology
  • Physical Medicine and Rehabilitation
  • Medical Nutrition
  • Osteopathic Manipulative Treatment
  • Chiropractic Manipulative Treatment
  • Patient Education and Training
  • Non-Face-to_Face Non-physician Services
  • Moderate Sedation

Medical Terminology

  • 8 questions
  • Medical terminology for all systems in the human body

Anatomy

  • 8 questions
  • Anatomy for all systems in the human body

ICD-10-CM

  • 10 questions
  • ICD-10-CM Official Guidelines for Coding and Reporting
  • Diagnosis for all the chapters included in ICD-9-CM
  • Diagnosis questions will also appear in other sections of the exam from CPT® categories

HCPCS level ll

  • 5 questions
  • Modifiers
  • Supplies
  • Medications
  • Professional services for Medicare patients

Coding guidelines

  • 6 questions
  • ICD-10-CM Official Guidelines for Coding and Reporting
  • CPT® coding guidelines and parenthetical notes
  • Modifier use

Compliance & Regulatory

  • 5 questions
  • Services covered under Medicare Parts A, B, C and D
  •  Apply coding to payment policy
  • Place of service reporting
  • Fraud and Abuse
  • NCCI edits
  • NCD/LCD
  • HIPAA
  • ABNs
  • RVUs

**CPC exam thoroughly covers: **

10,000 series CPT

  • 10 questions
  • Surgical procedures performed on the integumentary system
  • Skin, subcutaneous, and accessory structures
  • Nails
  • Pilonidal cysts
  • Repairs
  • Destruction
  • Breast

20,000 series CPT

  • 10 questions
  • Surgical procedures performed on the musculoskeletal system
  • Head
  • Neck
  • Back and flank
  • Spine
  • Abdomen
  • Shoulder
  • Arm
  • Hand and fingers
  • Pelvis and hip
  • Leg
  • Foot and toes

30,000 series CPT

  • 10 questions
  • Surgical procedures performed on the respiratory system
  • Nose
  • Accessory sinuses
  • Larynx
  • Trachea and bronchi
  • Lungs and pleura
  • Surgical procedures performed on the cardiovascular system
  • Heart and pericardium
  • Arteries and veins
  • Surgical procedures performed on the hemic and lymphatic systems
  • Spleen
  • Lymph nodes and lymph channels
  • Surgical procedures performed on the mediastinum and diaphragm

40,000 series CPT

  • 10 questions
  • Surgical procedures performed on the digestive system
  • Lips
  • Mouth
  • Palate and uvula
  • Salivary gland and ducts
  • Pharynx, adenoids, and tonsils
  • Esophagus
  • Stomach
  • Intestines
  • Appendix
  • Rectum
  • Anus
  • Liver
  • Biliary Tract
  • Pancreas
  • Abdomen, peritoneum, and omentum

50,000 series CPT

  • 10 questions
  • Surgical procedures performed on the urinary system
  • Kidneys
  • Ureter
  • Bladder
  • Urethra
  • Surgical procedures performed on the male reproductive system
  • Penis
  • Testis
  • Epididymis
  • Tunica
  • Scrotum
  • Vas deferens
  • Spermatic cord
  • Seminal vesicles
  • Prostate
  • Surgical procedures performed on the female reproductive system
  • Vulva, perineum, and introitus
  • Vagina
  • Uterus
  • Fallopian Tubes
  • Ovaries
  • Maternity and Delivery
  • Surgical procedures performed on the endocrine system
  • Thyroid gland
  • Parathyroid
  • Thymus
  • Adrenal glands
  • Pancreas
  • Carotid body

60,000 series CPT

  • 10 questions
  • Surgical procedures performed on the nervous system
  • Skull, meninges, brain
  • Spine
  • Spinal cord
  • Extracranial nerves
  • Peripheral nerves
  • Autonomic nervous system

Evaluation & Management

  • 10 questions
  • Office/Other Outpatient
  • Hospital Observation
  • Hospital Inpatient
  • Consultations
  • Emergency Department
  • Critical Care
  • Nursing Facility
  • Domiciliary and Rest Homes
  • Home Services
  • Prolonged Services
  • Case Management
  • Care Plan Oversight
  • Preventive Medicine
  • Non-Face-to-Face Services
  • Special E/M
  • Newborn Care
  • Neonatal and Pediatric Critical Care and Intensive Care
  • Complex Chronic Care Coordination
  • Transitional Care Management

Anesthesia

  • 8 questions
  • Time reporting
  • Qualifying Circumstances
  • Physical Status Modifiers
  • Anesthesia for surgical, diagnostic and obstetric services

Radiology

  • 10 questions
  • Diagnostic Radiology
  • Diagnostic Ultrasound
  • Radiologic Guidance
  • Mammography
  • Bone and Joint Studies
  • Radiation Oncology
  • Nuclear Medicine

Laboratory/Pathology

  • 10 questions
  • Organ and Disease Panels
  • Drug Testing
  • Therapeutic Drug Assays
  • Evocation/Supression Testing
  • Consultations
  • Urinalysis
  • Molecular Pathology
  • MAAA
  • Chemistry
  • Hematology and Coagulation
  • Immunology
  • Transfusions
  • Microbiology
  • Anatomic Pathology
  • Cytopathology
  • Cytogenetic Studies
  • Surgical Pathology
  • In vivo and Reproductive

Medicine

  • 10 questions
  • Immunizations
  • Psychiatry
  • Biofeedback
  • Dialysis
  • Gastroenterology
  • Ophthalmology
  • Otorhinolaryngology
  • Cardiovascular
  • Noninvasive Vascular Studies
  • Pulmonary
  • Allergy and Immunology
  • Endocrinology
  • Neurology
  • Genetics
  • Central Nervous System Assessments
  • Health and Behavior Assessments
  • Hydration
  • Therapeutic and Diagnostic Administration
  • Chemotherapy Administration
  • Photodynamic Therapy
  • Dermatology
  • Physical Medicine and Rehabilitation
  • Medical Nutrition
  • Osteopathic Manipulative Treatment
  • Chiropractic Manipulative Treatment
  • Patient Education and Training
  • Non-Face-to_Face Non-physician Services
  • Moderate Sedation

Medical Terminology

  • 8 questions
  • Medical terminology for all systems in the human body

Anatomy

  • 8 questions
  • Anatomy for all systems in the human body

ICD-10-CM

  • 10 questions
  • ICD-10-CM Official Guidelines for Coding and Reporting
  • Diagnosis for all the chapters included in ICD-9-CM
  • Diagnosis questions will also appear in other sections of the exam from CPT® categories

HCPCS level ll

  • 5 questions
  • Modifiers
  • Supplies
  • Medications
  • Professional services for Medicare patients

Coding guidelines

  • 6 questions
  • ICD-10-CM Official Guidelines for Coding and Reporting
  • CPT® coding guidelines and parenthetical notes
  • Modifier use

Compliance & Regulatory

  • 5 questions
  • Services covered under Medicare Parts A, B, C and D
  •  Apply coding to payment policy
  • Place of service reporting
  • Fraud and Abuse
  • NCCI edits
  • NCD/LCD
  • HIPAA
  • ABNs
  • RVUs
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