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The Certified Professional Coder (CPC) is AAPC's outpatient medical coding certification; the exam validates proficiency in applying ICD-10-CM, CPT® and HCPCS Level II codes as well as compliance, payer rules and reimbursement processes for physician and outpatient services.
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100 multiple-choice questions across 17 knowledge areas: medical terminology (4), anatomy (4), compliance and regulatory (3), coding guidelines (7), ICD-10-CM (5), HCPCS Level II (3), six CPT® sections covering the 10000–60000 code series (6 questions each), radiology (6), pathology and laboratory (6), medicine (6), E/M (6), anesthesia (4), and 10 medical-record coding cases at the end (1 question each)
U.S.-focused healthcare reimbursement exam built on Medicare/Medicaid/commercial payer rules and the CPT®, HCPCS Level II and ICD-10-CM code sets; AAPC also serves international students and offers testing centers worldwide, but the credential itself is a U.S. coding credential.
No formal eligibility requirements to sit the exam; AAPC recommends completing its CPC Training Course and a solid understanding of medical terminology, anatomy and pathophysiology
Retake priced via the two-attempt voucher option (USD 499 for two attempts vs USD 425 for one); unsuccessful candidates receive area sub-scores of 65% or less to guide retesting