What Topics Are Covered Inside the CPC Exam?

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