Certified Professional Coder (CPC) (CPC) Exam Blueprint

CPC

100Questions
340 minDuration
70Passing Score
$399Price
2 yearsValid For
1Languages
Practice Certified Professional Coder (CPC) on QuizForge

Credential type: certification examination · verified on the issuer's site September 19, 2026 issuer page

What This Exam Validates

The Certified Professional Coder (CPC) exam is administered by AAPC and tests working knowledge of medical coding across physician-office settings. It spans 10 content domains including CPT, ICD-10-CM, and HCPCS Level II. Candidates answer 100 multiple-choice questions in a linear format, drawing on applied knowledge of procedure and diagnosis code sets used in outpatient and physician-based environments.

Who Should Take This Exam

Medical coders, billing specialists, and health information students preparing for outpatient and physician-based coding roles should take the CPC. It suits those with hands-on CPT, ICD-10-CM, and HCPCS Level II experience seeking AAPC credentialing.

Skills You Should Be Ready to Demonstrate

How to Prepare

Build a study plan that walks each of the 10 domains in order, using the current ICD-10-CM Official Guidelines as your anchor for diagnosis questions. Practice with timed 100-question sets to build pacing for the 340-minute window. Review CPT modifier rules and E/M documentation criteria separately, since these trip up even experienced coders.

Domain Study Guidance

Medical Terminology and Anatomy: Study Guidance

This domain covers the medical terminology and anatomy coders must recognize to interpret provider documentation. It underpins accurate code selection across every other domain on the CPC exam.

Evaluation and Management (E/M): Study Guidance

Evaluation and Management focuses on selecting the correct office, hospital, and other E/M visit levels based on documentation. Coders must apply current MDM or time-based criteria to determine the appropriate code.

Anesthesia: Study Guidance

Anesthesia covers formula-based calculation of anesthesia time units, base units, modifiers, and qualifying circumstance codes. It tests familiarity with anesthesia terminology and physical status modifiers used on physician claims.

Surgery (multiple sections): Study Guidance

Surgery spans multiple CPT sections including integumentary, musculoskeletal, cardiovascular, and digestive systems. It is the largest procedural area on the CPC and demands section-specific code knowledge across many body systems.

Radiology: Study Guidance

Radiology covers diagnostic and therapeutic imaging codes across all modalities. Coders must distinguish professional versus technical components and apply contrast and supervision rules correctly on imaging claims accurately.

Pathology and Laboratory: Study Guidance

Pathology and Laboratory covers diagnostic studies, panels, and anatomic pathology services. It requires understanding of panel component rules and specimen-based coding for accurate claim submission in clinical settings.

Medicine: Study Guidance

Medicine covers non-surgical diagnostic and therapeutic services such as immunizations, dialysis, and cardiology procedures. It also includes HCPCS Level II drug administration codes for outpatient settings in primary care.

HCPCS Level II: Study Guidance

HCPCS Level II covers codes for supplies, equipment, and services not included in CPT. Coders must apply correct modifiers and understand temporary Q, S, and K code categories.

ICD-10-CM Diagnosis Coding: Study Guidance

ICD-10-CM Diagnosis Coding tests application of the current Official Guidelines for Coding and Reporting. Coders must sequence correctly and follow chapter-specific rules for accurate code assignment in clinical practice.

CPT Modifiers: Study Guidance

CPT Modifiers tests correct two-digit modifier appendage to procedure and E/M codes. Misapplied modifiers are a common reason for claim denial and exam failure on the CPC.

Exam-Day Guidance

Arrive early with two forms of ID and your AAPC membership card. Budget your 340 minutes across 100 questions, leaving time to review flagged items. Read each stem fully before selecting an answer.

Frequently asked questions

How many questions are on the CPC exam?

The CPC exam contains 100 multiple-choice questions delivered in a linear format. Candidates must answer all 100 items within the allotted testing window to receive a score.

What is the passing score for the CPC exam?

The passing score for the CPC exam is 70 percent. AAPC scores the exam against this benchmark, and candidates must meet or exceed it to earn the credential.

How long is the CPC exam?

The CPC exam allows 340 minutes of testing time. Candidates should pace themselves across all 100 questions and reserve minutes at the end for review.

How much does the CPC exam cost?

The CPC exam costs $399 for non-members and $299 for AAPC members. Annual AAPC membership runs about $199, which members typically pair with exam registration directly.

How long is the CPC certification valid?

The CPC certification is valid for 2 years from the date of issuance. Renewal is required, and AAPC requires continuing education units to maintain active credential status.

What is the CPC exam format?

The CPC exam uses a linear format with 100 multiple-choice questions. Candidates progress through the questions sequentially without the ability to skip and return to earlier items.

Sources and Verification

Verified 2026-09-02

How this page was made

This page was built from AAPC official exam guides and the FY 2025 ICD-10-CM Official Guidelines for Coding and Reporting. Domain summaries were mapped directly to AAPC's published content areas.

Exam Domains

1 Medical Terminology and Anatomy Weight not published
2 Evaluation and Management (E/M) Weight not published
3 Anesthesia Weight not published
4 Surgery (multiple sections) Weight not published
5 Radiology Weight not published
6 Pathology and Laboratory Weight not published
7 Medicine Weight not published
8 HCPCS Level II Weight not published
9 ICD-10-CM Diagnosis Coding Weight not published
10 CPT Modifiers Weight not published

Exam Details

Question TypesMultiple Choice
FormatLinear
Online ProctoringAvailable
ID RequirementsGovernment-issued photo ID required. Name must match AAPC account registration.
RenewalRequired -- Complete 36 CEUs (Continuing Education Units) every 2 years. CEUs earned through AAPC approved education, workshops, webinars, and conferences.
PrerequisitesFormal medical coding education recommended. No formal prerequisites, but practical coding knowledge required. (recommended)
Retake PolicyMust wait 30 days between attempts. Full exam fee required for retake.
LanguagesEnglish

Official Study Resources

practice examAAPC Practice Exams ($99)