CPC Study Guide

The purpose of the Certified Professional Coder exam (CPC) is to demonstrate that those who have passed have the knowledge and experience to be able to code in a medical practice, being able to apply reason and understanding as to why specific codes should be used and being able to do it quickly and accurately.  

Someone qualified as a CPC is a huge benefit to a medical practice. They can check and control the coding of the various services undertaken for a patient, judge the diagnoses and processes involved in a medical claim and ensure the paperwork of records and invoices are maintained and issued correctly. This in turn brings a benefit to the medical practice they work for in the application of a proven and recognised billing system that is based on professional standards. It helps to increase the profit, reduce the costs and improves all round efficiency!

The CPC exam lasts for 5 hours and 40, minutes and encompasses 150 multiple choice questions.

The exam is spread over 3 sections and a 70% pass mark is needed in every section to pass the complete CPC exam.

The 3 sections covered set questions in:-

  • the correct application of CPT
  • HCPCS Level II procedure / supply codes
  • ICD-9-CM diagnosis codes (those which are used when invoicing the various professional medical services to the different insurance companies.)

The CPC exam is structured in such a way so as to test a coder’s knowledge of the following, based on their experience within a physicians medical office:

Anesthesia, Medicine, Nervous, Respiratory, Musculoskeletal, Practice Management, Endocrine, Digestive, Urinary, Evaluation and Management , Radiology, Male/Female Genital, , ICD-9-CM, HCPCS Level II, Integumentary, Anatomy and Physiology, Hemic & Lymphatic, Maternity & Delivery, Pathology, Laboratory, Eye & Ocular Adnexa, Coding Guidelines, Medical Terminology, Mediastinum & Diaphragm.

The exam costs $300.00 ($260.00 to any AAPC students) and should you need to, one free retake is included in that charge.

The CPC exam is what they call an ‘Open Manual’ exam which means you are allowed to take certain subject books in with you.

As with any exam, both experience within the specific field and good study guide and support materials is required. We can’t do much about getting your experience sorted out but we can point you in the right direction for the study guide materials.

Our recommendation is the range of study aids and exam question examples available from the Medical Coding Pro site. Ranging from a $1 trial of their member section, through the various priced sample questions and exam guide bundles  to the stunningly good value, online 6 month study course for $349.00 – they have something to suit all styles of exam preparation technique.

Click Here! to have a look and see what you think for yourself

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