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AAPC CPC Exam Syllabus Topics:

Topic
Details

Topic 1

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 2

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 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

The Business of Medicine: This section of the exam measures the skills of medical coders and covers foundational knowledge regarding the healthcare system, reimbursement models, insurance payers, HIPAA compliance, and the ethical responsibilities coders hold within clinical and billing environments. It establishes the context in which coding decisions directly affect healthcare operations and financial outcomes.

Topic 5

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 6

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 7

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 8

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 9

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 10

Applying the ICD-10-CM Guidelines: This section of the exam measures the skills of coding specialists and covers how to apply official ICD-10-CM guidelines to real-world coding scenarios. It emphasizes the hierarchy of instructional notes, general and chapter-specific rules, and how to make judgment calls within compliant coding frameworks.

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AAPC Certified Professional Coder (CPC) Exam Sample Questions (Q155-Q160):

NEW QUESTION # 155
A patient had surgery a year ago to repair two flexor tendons in his forearm. He is in surgery for a secondary repair for the same two tendons.
Which CPT coding is reported?

A. 25272 x 2
B. 0
C. 1
D. 25263 x 2

Answer: B

Explanation:
The scenario involves a secondary repair of two flexor tendons in the forearm. CPT code 25272 describes the repair of a secondary flexor tendon injury, including a graft, in the forearm and/or wrist, which fits the description provided. This code should be reported once, as the procedure encompasses the repair of multiple tendons.
References:
* AMA's CPT Professional Edition (current year), Code 25272

NEW QUESTION # 156
The documentation states:
He was then sterilely prepped and draped along the flank and abdomen in the usual sterile fashion. I first made a skin incision off the tip of the twelfth rib, extending medially along the banger's lines of the skin. This was approximately 3.5 cm in length. Once this incision was carried sharply, electrocautery was used to gain access through the external oblique, internal oblique, and transverse abdominis musculature and fascia.
What surgical approach was used for this procedure?

A. Cannot determine based on the documentation
B. Open
C. Percutaneous
D. Laparoscopic

Answer: B

Explanation:
The documentation describes making a skin incision off the tip of the twelfth rib and extending medially along the banger's lines of the skin. The use of electrocautery to gain access through multiple layers of musculature and fascia indicates an open surgical approach. Open surgery involves making a large incision to expose and directly view the surgical site. This is distinct from percutaneous (which involves needles or catheters), laparoscopic (which uses small incisions and a camera), and other minimally invasive techniques.
AMA's CPT Professional Edition, ICD-10-CM, and HCPCS Level II (current year)

NEW QUESTION # 157
(A 47-year-old patient previously had a right mastoidectomy and an implanted osseointegratedBAHAdevice.
Now presents with chronic infection, implant migration, and osteomyelitis of the right temporal bone.
Surgeon performs arevision mastoidprocedure with debridement, removes the existing BAHA implant, and places anew osseointegrated BAHAin a new skull location. What CPT codes are reported?)

A. 69601-RT, 69717-RT
B. 69601-RT, 69717-RT, 69990
C. 69502-RT, 69714-RT, 69990
D. 69502-RT, 69714-RT

Answer: D

Explanation:
This operative note describes two major components: (1)revision mastoid surgeryto treat chronic infection
/osteomyelitis and remove diseased tissue, and (2)replacement/placement of a BAHA osseointegrated implantin a new location. In the answer set,69502-RTrepresents the revision mastoidectomy-type service (appropriate because this is not a first-time mastoidectomy and includes significant revision/debridement work).69714-RTrepresents theimplantation of an osseointegrated skull devicesuch as a BAHA. The case uses magnifying loupes, not an operating microscope, so69990is not supported; CPT 69990 requires anoperating microscope(explicitly documented), and loupes alone do not meet that threshold. Options using 69717 do not match the described implant service in this question's choices. Therefore, the correct reporting per the options is69502-RT and 69714-RT.

NEW QUESTION # 158
A patient's left eye is damaged beyond repair due to a work injury. The provider fabricates a prosthesis from silicon materials and makes modifications to restore the patient's cosmetic appearance.
What CPTcode is reported?

A. 0
B. 1
C. 2
D. 3

Answer: C

Explanation:
1. Procedure and CPTCode Selection:
The scenario describes the fabrication of an ocular prosthesis due to a severe injury to the left eye. A prosthesis made from silicon materials was created and customized to restore cosmetic appearance.
Code 21088 is the correct CPTcode for facial prosthesis involving materials, such as silicone, specifically designed to address anatomical loss in the eye region. This code accurately reflects the custom fabrication of a prosthesis to replace or augment damaged eye structures for aesthetic purposes.
2. Ruling Out Other Options:
Code 21077 applies to the prosthetic augmentation or replacement of mandibular or maxillary bone, not ocular prostheses, so it does not apply here.
Code 21080 covers the fabrication of facial prosthetics but is not specific to the ocular area and is more generalized. Given the focused nature of the eye, 21088 is more appropriate.
Code 21086 pertains to the creation of orbital prostheses (used for areas surrounding the eye) but not specifically for an ocular prosthesis. Since this scenario involves an intraocular replacement, 21088 is the most precise choice.
3. AAPC and CPTGuidelines:
According to AAPC guidelines, using codes for facial prosthetics requires matching the specific anatomical site and purpose of the prosthesis. CPT21088 is directly applicable to prosthetic replacements within the ocular region, making it the best fit.
Thus, based on the CPTguidelines and coding standards, the verified answer is C. 21088.

NEW QUESTION # 159
A 40-year-old woman with progressive sensory neural hearing loss in the right ear since the age of 13 has not gained benefit from her hearing aid. She has normal hearing in the left ear. A cochlear implant is placed for the right ear. Anesthesia is provided by a CRNA with medical direction by an anesthesiologist who is concurrently directing 5 CRNAs. PS is 3.
What anesthesia CPT and ICD-10-CM codes are reported by the Anesthesiologist?

A. 00120-AD-P3.H90.41
B. 00300-QX-P3. H90.5
C. 00300-QY-P3, H90.5
D. 00120-AA-P3, H90.41

Answer: A

Explanation:
Anesthesia CPT:
00120 - Anesthesia for ear procedures
AD modifier:
Anesthesiologist medically directing >4 CRNAs
P3 - Severe systemic disease
Diagnosis Code:
H90.41 - Sensorineural hearing loss, unilateral, right ear
Why others are incorrect:
AA - Personally performed
QX / QY - Incorrect direction model
H90.5 - Unspecified hearing loss

NEW QUESTION # 160
......

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