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AAPC CPC Exam Syllabus Topics:

Topic
Details

Topic 1

• 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 2

• 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 3

• 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 4

• 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 5

• 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 6

• 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 7

• 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 8

• 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 9

• 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 10

• 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.

 

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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q162-Q167):

NEW QUESTION # 162
A 4-year-old, critically ill child is admitted to the PICU from the ED with respiratory failure due to an exacerbation of asthma not manageable in the ER. The PICU provider takes over the care of the patient and starts continuous bronchodilator therapy and pharmacologic support with cardiovascular monitoring and possible mechanical ventilation support.
What is the E/M code for this encounter?

• A. 0
• B. 1
• C. 2
• D. 3

Answer: A

Explanation:
The code 99471 is used for initial inpatient neonatal critical care, per day, for the evaluation and management of a critically ill infant or young child. Given the scenario where a 4-year-old critically ill child is admitted to the PICU and requires intensive care management, this code is appropriate as it reflects the critical care provided beyond the emergency department services. References: CPT Professional Edition (current year), AMA.

 

NEW QUESTION # 163
When a provider's documentation refers to use, abuse, and dependence of the same substance (e.g. alcohol), which statement is correct?

• A. If both use and abuse are documented, assign abuse as the first code and use as the additional code.
• B. If both abuse and dependence are documented, assign only the code for abuse.
• C. If both use and dependence are documented, assign only the code for dependence.
• D. If use, abuse, and dependence are documented, report all three codes separately.

Answer: C

Explanation:
According to ICD-10-CM coding guidelines for substance use, abuse, and dependence, when multiple levels (use, abuse, and dependence) of the same substance are documented, only the highest level of severity is coded. The hierarchy is as follows: dependence > abuse > use.
D: If both use and dependence are documented, assign only the code for dependence is correct, as dependence represents the highest severity level and supersedes both use and abuse.
A: is incorrect because if both use and abuse are documented without dependence, only abuse would be coded as it is of a higher severity than use.
B: is incorrect because all three codes (use, abuse, dependence) should not be reported together; only the highest level should be coded.
C: is incorrect because if both abuse and dependence are documented, only dependence (the higher severity level) should be coded, not abuse.
Therefore, the correct answer is D. If both use and dependence are documented, assign only the code for dependence.

 

NEW QUESTION # 164
A patient has chronic cholesteatoma in the right middle ear. The otolaryngologist performed a tympanoplasty with a radical mastoidectomy, removing the middle ear cholesteatoma. Grafting technique was used to repair the eardrum without ossicular chain reconstruction.
What CPT code is reported for this surgery?

• A. 0
• B. 1
• C. 2
• D. 3

Answer: B

Explanation:
The procedure involves a tympanoplasty with a radical mastoidectomy and removal of a cholesteatoma from the middle ear, including grafting of the eardrum without ossicular chain reconstruction.
* Procedure Description:
* Tympanoplasty.
* Radical mastoidectomy.
* Removal of cholesteatoma from the middle ear.
* Grafting technique used to repair the eardrum without ossicular chain reconstruction.
* CPT Coding:
* 69645: Tympanoplasty with mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), radical or complete, with removal of cholesteatoma; with mastoid obliteration.
References:
* AMA's CPT Professional Edition (current year).
* CPT Assistant for detailed coding guidelines on otolaryngology procedures.

 

NEW QUESTION # 165
Which one of the following is a commercial or private payer?

• A. Medicaid
• B. Medicare
• C. Veterans Health Administration (VHA)
• D. Blue Cross Blue Shield

Answer: D

 

NEW QUESTION # 166
The provider orders a bile test for a patient that has chronic hepatitis that is undergoing treatment. Lab analyst quantitates the total bile acids with an enzymatic method. What CPTcode is reported for the test?

• A. 0
• B. 1
• C. 2
• D. 3

Answer: A

Explanation:
1. Procedure and CPTCode Selection:
The test ordered is a bile acid quantitation using an enzymatic method. This test measures the total bile acids in a patient with chronic hepatitis.
CPTCode 82248 is specific for quantitation of bile acids, total, which is the correct code for a bile acid test using any method, including enzymatic.
2. Rationale for Excluding Other Options:
Code 82247 is used for the measurement of bilirubin, not bile acids, making it inappropriate for this test.
Code 82239 is for measuring an amino acid (gamma-glutamyl transferase), which is unrelated to bile acid quantitation.
Code 82252 is for a fecal bile acid screening, which is different from a quantitation of bile acids in serum or plasma.
3. AAPC and CPTCoding Guidelines:
According to AAPC guidelines, 82248 should be selected for total bile acid quantitation regardless of the specific analytical method used.
Therefore, the correct answer is A. 82248.

 

NEW QUESTION # 167
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