Medical Coding Certification Guide
Top Certifications
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| **CPC (Certified Professional Coder)** | AAPC | $399 member / $499 non-member | 100 MCQ, 4 hrs, 70% to pass |
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| CCS (Certified Coding Specialist) | AHIMA | ~$299 | MCQ + coding, verify current format |
| COC (Certified Outpatient Coder) | AAPC | ~$399 | MCQ format, verify current question count |
| CIC (Certified Inpatient Coder) | AAPC | ~$399 | MCQ format, verify current question count |
| RHIT | AHIMA | ~$229 | MCQ, verify current format |
| RHIA | AHIMA | ~$299 | MCQ, verify current format |
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Three Code Systems — Know All Three
ICD-10-CM (Diagnosis Coding):
Used by: all settings (inpatient and outpatient)
Purpose: WHY patient was seen / treated
Format: A00.0 to Z99.89 (up to 7 characters)
Updated: October 1 each year
CPT (Current Procedural Terminology):
Used by: outpatient, physician office, ASC
Purpose: WHAT procedure was performed
Format: 5-digit numeric codes (10000-99499)
Category I: main procedures | Category II: quality | Category III: emerging tech
Updated: January 1 each year (AMA publishes)
ICD-10-PCS (Procedure Coding System):
Used by: inpatient hospital ONLY
Purpose: WHAT procedure was performed (inpatient)
Format: 7 alphanumeric characters (always 7)
Structure: Section + Body System + Root Operation + Body Part + Approach + Device + Qualifier
Updated: October 1 each year
HCPCS Level II:
Used by: all settings, especially for supplies and DME
Purpose: supplies, equipment, drugs, ambulance not in CPT
Format: Letter + 4 digits (A0000-V5999)
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CPC Exam Preparation
EXAM FORMAT (current — verify against aapc.com before relying on this for exam-day planning, since AAPC has changed this format before):
100 multiple choice questions
4 hours total time
Open book: current-year ICD-10-CM, CPT, and HCPCS Level II codebooks allowed
Passing: 70% (70/100 correct)
Cost: $399 (AAPC member) / $499 (non-member); membership required to register
QUESTION DISTRIBUTION:
AAPC does not publish an exact fixed question count per domain for the current
100-question format — treat any specific per-domain number as unverified.
Directionally, the exam still weights CPT (especially E/M and surgery) and
ICD-10-CM most heavily, with smaller shares for HCPCS, medical terminology/
anatomy, compliance, and reimbursement — confirm current domain weighting
against AAPC's official exam content outline before building a study plan
around specific numbers.
STRATEGY:
Tab and highlight your codebooks before exam
Time management: under 2.5 minutes per question on average (4 hrs / 100 Q)
Skip complex questions, return later
Never leave blank — guess if needed (no penalty)
Practice with current-year AAPC practice exams matching the current format
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Study Resources
•AAPC CPC Study Guide — official, covers all exam domains
•AAPC Practicode — 500+ coding scenarios with feedback
•Blausen Medical — anatomy understanding for coding
•AHA Coding Clinic (ICD-10-CM) and CPT Assistant — official guidance
Revision Notes
THREE SYSTEMS: ICD-10-CM (dx) + CPT (outpatient proc) + ICD-10-PCS (inpatient proc)
HCPCS II: supplies, DME, drugs — use when no CPT code exists
CPC EXAM: 100 Q, 4 hrs, open book, 70% passing (verify against current AAPC guidance — this format has changed before)
BOOKS ALLOWED: bring tabbed and highlighted current-year codebooks
TIME: ~2.4 min/question average — skip hard, return later
CODING ORDER: principal/first-listed dx first, then additional dx
SPECIFICITY: always code to highest level of detail (most characters)