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AAPC CPC Popular Exams, CPC Pdf Format

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AAPC CPC Exam Syllabus Topics:

Topic
Details

Topic 1

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 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

Cardiovascular System: This section of the exam measures the skills of coding specialists and addresses services related to the heart, arteries, and veins. It involves the coding of diagnostic and therapeutic procedures, including catheterizations, bypasses, and repairs.:

Topic 4

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 5

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 6

Respiratory System: This section of the exam measures the skills of medical coders and evaluates the ability to code procedures involving the nose, sinuses, larynx, trachea, bronchi, and lungs. Attention is given to services like endoscopies, excisions, and resections within the respiratory tract.

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

Anesthesia: This section of the exam measures the skills of medical coders and involves coding anesthesia services based on surgical site, complexity, and time. It tests the understanding of anesthesia modifiers and the importance of linking anesthesia codes with the correct primary procedures.

Topic 10

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 11

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.

Topic 12

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 13

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 14

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 15

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 16

Digestive System: This section of the exam measures the skills of coding specialists and evaluates the coding of surgeries and procedures involving the oral cavity, pharynx, esophagus, stomach, intestines, liver, pancreas, and related organs. Understanding endoscopic procedures is particularly critical here.

Topic 17

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 18

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.

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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q103-Q108):

NEW QUESTION # 103
A patient comes in complaining of pain in the lower left back, which is accompanied by a numbing sensation that extends into the leg. Attempts to alleviate the pain with home treatments have been unsuccessful. The provider orders an MRI of the lumbar spine initially without, and then with, contrast material. The images are interpreted by the physician, the final diagnosis is left-sided low back pain with sciatica.
What CPT and ICD-10-CM codes are reported?

A. 72158,M54.42,M54.50
B. 72148,72149, M54.42
C. 72158,M54.42
D. 72148,72149, M54.42. M54.50

Answer: C

Explanation:
Procedure Coding:
72158 - MRI, lumbar spine; without contrast, followed by with contrast
Single comprehensive code
Diagnosis Coding:
M54.42 - Low back pain with sciatica, left side
Why Other Options Are Incorrect:
B / C - Incorrectly unbundling MRI codes
D - Coding additional unspecified low back pain is inappropriate

NEW QUESTION # 104
A planned partial meniscectomy of the temporomandibular joint is cancelled after anesthesia and incision due to respiratory distress.
What CPT coding is reported for the oral surgeon?

A. 21060-52
B. 21060-53
C. 21060-74
D. 21060-47

Answer: B

Explanation:
Modifier -53 = Discontinued procedure after anesthesia and/or incision due to patient safety
-74 is used by facility, not physician
-52 is for reduced services, not discontinued procedures

NEW QUESTION # 105
Multiple laceration repairs were performed:
Simple: cheek (2.5 cm), nose (3 cm)
Intermediate: left leg (9 cm), right leg (11.5 cm)
Complex: left upper arm (4 cm)
What CPT codes are reported?

A. 13121, 12036-59, 12013-59, 12011-59
B. 13121, 12036-59, 12014-59
C. 13121, 12034-59, 12034-59, 12013-59, 12011-59
D. 13121, 12034-RT, 12034-LT, 12014-59

Answer: A

Explanation:
Complex (arm, 4 cm) # 13121
Intermediate legs total = 20.5 cm # 12036
Simple face closures coded separately:
12013 (cheek)
12011 (nose)
Modifiers allow separate anatomical reporting.
Correct answer: A

NEW QUESTION # 106
(A wheelchair-bound resident of a skilled nursing facility is seen in the physician's office. The physician's office makes arrangements with a social worker to take the patient back to the skilled nursing facility. What is the HCPCS Level II transportation service code?)

A. A0160
B. A0130
C. A0100
D. A0120

Answer: B

Explanation:
This scenario describesnon-emergencytransportation arranged for a patient who iswheelchair-bound, traveling between a physician's office and askilled nursing facility. HCPCS Level II includes specific "A" codes for non-emergency transport categories. The code that corresponds tonon-emergency transportation by wheelchair van(i.e., transport appropriate for a wheelchair-bound patient, not requiring an ambulance) isA0130in CPC-style code selection questions. By contrast,A0428/A0429would be ambulance codes (not offered here), and other A-codes in this option set represent different non-emergency transport circumstances (such as general transportation, litter van, or transportation that doesn't specify wheelchair accommodation).
The presence of asocial workerarranging transport and the patient'swheelchair-boundstatus strongly cues awheelchair vanlevel of service rather than ambulance. On the CPC exam, pay close attention to transport level: ambulance implies medical monitoring/medical necessity; wheelchair van implies mobility needs without ambulance-level clinical support. Therefore, the correct HCPCS Level II transportation code isA0130.

NEW QUESTION # 107
Preoperative diagnosis: Right thigh benign congenital hairy nevus. *1
Postoperative diagnosis: Right thigh benign congenital hairy 0 nevus.
Operation performed: Excision of right thigh benign congenital>1
nevus, excision size with margins 4.5 cm and closure size 5 cm.
Anesthesia: General.0
Intraoperative antibiotics: Ancef.0
Indications: The patient is a 5-year-old girl who presented with her parents for evaluation of her right thigh congenital nevus. It has been followed by pediatrics and thought to have changed over the past year. Family requested excision. They understood the risks involved, which included but were not limited to risks of general anesthesia, infection, bleeding, wound dehiscence, and poor scar formation. They understood the scar would likely widen as the child grows because of the location of it and because of the age of the patient. They consented to proceed.
Description of procedure: The patient was seen preoperatively in > I the holding area, identified, and then brought to the operating room. Once adequate general anesthesia had been induced, the patient's right thigh was prepped and draped in standard surgical fashion. An elliptical excision measuring 6 x 1.8 cm had been marked. This was injected with Lidocaine with epinephrine, total of 6 cc of 1% with 1:100,000. After an adequate amount of time, a #15 blade was used to sharply excise this full thickness.
This was passed to pathology for review. The wound required # limited undermining in the deep subcutaneous plane on both sides for approximately 1.5 cm in order to allow mobilization of the skin for closure. The skin was then closed in a layered fashion using 3-0 Vicryl on the dermis and then 4-0 Monocryl running subcuticular in the skin, the wound was cleaned and dressed with Dermabond and Steri-Strips.
The patient was then cleaned and turned over to anesthesia for S extubation.
She was extubated successfully in the operating room and taken S to the recovery room in stable condition.
There were no complications.
What CPT and ICD-10-CM codes are reported?

A. 27385, S76.311A
B. 27385, S76.911A
C. 27380, S76.311A
D. 27380, S76.911A

Answer: C

Explanation:
27380 = Repair, quadriceps muscle
S76.311A = Strain of muscle, fascia, tendon of right thigh, initial encounter Code selection is based on specific muscle group and laterality

NEW QUESTION # 108
......

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