5.01: What is the CPC Exam? - MedicalBillingandCoding.org (2024)

5.01: What is the CPC Exam?

The AAPC’s Certified Professional Coder (CPC) exam is currently the gold standard of coding certifications. Let’s take a look at this certification exam now.

  • Section 5.01What is the CPC Exam?
  • Section 5.02General Preparation and Test Strategies for the CPC Exam
  • Section 5.03CPC Exam: Anesthesia
  • Section 5.04CPC Exam: Radiology
  • Section 5.05CPC Exam: Medicine
  • Section 5.06CPC Exam: The Nervous System
  • Section 5.07CPC Exam: The Endocrine System
  • Section 5.08CPC Exam: The Digestive System
  • Section 5.09CPC Exam: The Urinary System
  • Section 5.10CPC Exam: The Musculoskeletal System
  • Section 5.11CPC Exam: Evaluation and Management
  • Section 5.12CPC Exam: Anatomy and Physiology
  • Section 5.13CPC Exam: Mediastinum and Diaphragm
  • Section 5.14CPC Exam: Practice Management
  • Section 5.15CPC Exam: Male and Female Genital System
  • Section 5.16CPC Exam: Hemic and Lymphatic System
  • Section 5.17CPC Exam: Maternity and Delivery
  • Section 5.18CPC Exam: Eye and Ocular Adnexa
  • Section 5.20CPC Exam: HCPCS Level II
  • Section 5.21CPC Exam: Coding Guidelines
  • Section 5.22CPC Exam: Medical Terminology
  • Section 5.23CPC Exam: Pathology and Laboratory
  • Section 5.24CPC Exam: Integumentary
  • Section 5.25CPC Exam: Respiratory System
  • Section 5.26CPC Exam: Cardiovascular System
  • Section 5.27CPC Exam: Where to Take an Exam
  • Section 5.28The CPC Apprentice Program
  • Section 5.29The CPB Exam
Next

The CPC exam is comprised of 150 multiple-choice questions. The test takes five hours and 40 minutes to complete, making it fairly rigorous. There are two breaks in the middle of the test. The CPC exam costs $300 to take, but only $260 if the test-taker is a member of the AAPC (annual dues are $125 for individuals and $70 for students).

The CPC exam thoroughly tests a coder’s grasp of the entire coding process, from medical terminology to code sets and beyond. Per the AAPC’s website, the CPC exam covers 24 subject areas, including anesthesia, radiology, and medicine.

You should recognize a number of these (like Evaluation and Management, or Radiology) as sections of the CPT code manual. Others, like Anatomy and Physiology, are parts of the coder’s everyday skill set.

You should note that the questions on the exam are not divided or identified by the topic they are related to. That is, questions on the CPC exam will test you on all of the above 24 fields of medical coding, but they won’t outright say, “This is an anesthesia question.” Instead they’ll just ask you about anesthesia, or surgery, or human anatomy.

During the test, you’ll be presented with a number of tests cases pertaining to the practice of coding. These test case questions will present you with a condensed medical report and ask you to select the correct set of codes from the answers below.

For instance, a test case question might read:

“Sarah, a 45-year-old patient, visits the doctor and presents symptoms including a sore throat, swollen lymph nodes, and a fever. After performing a rapid strep test, the doctor confirms a diagnosis of streptococcal sore throat. The doctor prescribes an Amoxicillin as an antibiotic. Which of the following are the correct codes for this diagnosis, procedure and prescription?”

There are also general knowledge questions, like “Which types of joints are synovial?” that don’t have an attached test case. That question’s related to the musculoskeletal system, but the test won’t come right out and say so. You’ll have to rely on your knowledge of code sets, medical terminology, best practices, and the coding process in general to pass.

Individuals who earn a score of 70 percent or better (105 correct questions) will pass the CPC exam. If you fail your first test, you are allowed one free retake.

Getting Certified

Once you pass the CPC exam, you are not officially certified by the AAPC until you fulfill a few other criteria. In order to complete a CPC certification, you must become a member of the AAPC. Certification is also limited to coders with two years of professional experience or those willing to complete an apprentice program.

As such, the CPC exam is recommended for individuals who have already started their coding career. That won’t prevent us from going over the basics of this important exam.

You should bear in mind, however, that none of the courses in this Section or this e-book will fully prepare you for the exam, nor will the completion of this e-book. Because the AAPC copyrights all of the information in the test, along with past tests, the best way to prepare for these exams is to take a course administered by the AAPC itself. You can learn about these preparation courses, and buy study books and other materials, here.

In the next course, we’ll give you some basic study strategies for the test.

5.01: What is the CPC Exam? - MedicalBillingandCoding.org (2024)

FAQs

How many questions do you need to get right to pass the CPC exam? ›

Passing grades

An overall score of 70% or higher is required to pass the certification exam. For a passing score of 70%, you must get at least 70 questions correct. If you incorrectly answer more than 30 questions, you will not pass.

Is passing the CPC exam hard? ›

There's no doubt about it, the CPC® exam is tough. A variety of sources show that ONLY about 50% of coders receive the necessary 70% score to pass the CPC® Exam on the first try. That means that half of all test-takers need a second shot at passing. Who wants to take this test more than once?

How can I pass my CPC exam successfully? ›

Practicing for the CPC exam

Once you've studied, you'll want to take advantage of as many practice tests as possible. Treat practice exams like real tests. Study for them, follow time constraints, and note which questions you answered incorrectly. Go back and review the areas you struggled with.

What is the best study guide for the CPC exam? ›

AAPC's Official CPC® Certification Study Guide is designed to help you prepare for the CPC exam. Twenty chapters will provide you with a thorough review of anatomy and medical terminology, ICD-10-CM, HCPCS Level II, and CPT® coding, as well as appropriate use of modifiers.

Can you take the CPC exam without going to school? ›

In answer to your question, you could potentially pass the exams this way, but the best way to pass these exams without obtaining a two- or four-year degree is to take the AAPC's or AHIMA's online or classroom setting preparation courses.

How many times can you fail the CPC exam? ›

You can attempt the CPC Core Modules three times

If a passing score of 80% is not achieved after three attempts, CE credit will not be received for the course. After successful completion the CPC Core Modules, you will not be able to go back and review the questions and answers.

What is a good score for CPC exam? ›

In order to pass the CPC exam, you need to get a 70% or better on the test. Always keep that in mind when you're taking the test. The long, multi-part questions that might have you look up three, four, or five codes are worth the same as the general knowledge questions.

How hard is it to pass the medical billing and coding exam? ›

The CPC exam can be challenging as it covers a wide range of topics and requires extensive knowledge of medical terminology, anatomy, and coding guidelines. However, with adequate preparation and practice, passing the exam is achievable.

How long does it take to study for the CPC exam? ›

Most people complete the coursework and pass the exam in 6 to 12 months.

What is the hardest medical coding specialty? ›

The most challenging specialties to code for are cardiology, nephrology, ophthalmology, orthopedics, pediatrics, and radiology. One particularly complex specialty is cardiology, which regularly sees amendments to its procedure rules, contractual changes, and codes.

How to crack the CPC exam? ›

Three steps:
  1. Practice: keep solving questions as much as you can.
  2. Don't use the indexs during the exam because this is going to waste your time, just look up the answers provided and find the most appropriate answers.
May 10, 2016

Can you use notes on a CPC exam? ›

You are only allowed to bring your three code books with you the day of the exam (your ICD-9, CPT, and HCPCS). The code books must be versions from the current or previous year. You cannot have anything attached/glued/stapled into your books, but you can highlight, tab, and have notes handwritten on the pages.

How hard is it to pass CPC test? ›

While some find the CPC theory test challenging, it can be manageable with proper preparation. Common challenges include the breadth of knowledge required and the pressure of a timed test. Overcoming these challenges involves thorough preparation and effective time management during the test.

How many questions do you have to get right on the CPC exam? ›

You'll have to rely on your knowledge of code sets, medical terminology, best practices, and the coding process in general to pass. Individuals who earn a score of 70 percent or better (105 correct questions) will pass the CPC exam.

How many can you get wrong on CPC exam? ›

In order to pass the CPC exam, you need to get a 70% or better on the test. Always keep that in mind when you're taking the test. The long, multi-part questions that might have you look up three, four, or five codes are worth the same as the general knowledge questions.

What percent do you need to pass CPC? ›

To pass the CPC exam, you need to achieve a passing rate of 70 percent or higher. That means you must answer at least 105 questions correctly.

What is the pass rate for the AAPC CPC exam? ›

At AAPC, the pass rate of our CPC students exceeds 80%, which is unmatched by other programs and underscores the need to carefully select a medical coding school that will deliver a first-rate education.

How many attempts are you allowed to take the CPC exam online? ›

How many times can I take the exam with each payment? Members taking the exam will receive 1 attempt unless they purchased the 2-exam bundle.

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