COC CERTIFICATION

COC (Certified Outpatient Coder) : AAPC (American Academy of Professional Coders) oversees this certification and it is also called as outpatient hospital facility coding.

Check marks for COC Certification:

  • 100 MCQ'S ( Multiple choice questions) (Under Invigilation)
  • 100 Marks
  • Duration (Time Cap) : 4 Hours
  • Two attempts to clear the certification (One Free Retake)
  • Open book examination

The COC certification exam composes of 100 questions based on the content of CPT (Medical and Surgical Procedures codes), ICD-10-CM (Diagnoses and External cause codes), HCPCS level II (Drugs and Supplies codes), billing, and terminology related to outpatient facility/hospital and freestanding Ambulatory Surgical Centres (ASC) services.

COC Exam Syllabus Breakdown :

1. Medical Terminology

  • 7 questions
  • Medical terminology for all systems in the human body

2. Anatomy

  • 7 questions
  • Anatomy for all systems in the human body


3. Coding Guidelines

  • 3 questions
  • ICD-10-CM Official Guidelines for Coding and Reporting
  • CPT® coding guidelines and parenthetical notes
  • Modifier use

4. Payment Methodologies

  • 13 questions
  • Services covered by Medicare Parts A, B, C, and D
  • Medicare as a secondary payer
  • Requirements for completion of UB-04 claim form
  • Requirements for completion of CMS-1500 claim form
  • OPPS Payment Methodology
  • APCs
  • Revenue codes
  • Status Indicators
  • Payment Indicators
  • Condition codes
  • Calculation of proper payments (excerpts from Addendum B and Addendum AA are provided on the exam)
  • IPPS Payment Methodology
  • Elements needed to determine MS-DRGs
  • Code sets required for inpatient claims
  • Reimbursement for teaching hospital setting
  • Charge description masters (CDM)

5. Compliance

  • 3 Questions
  • NCDs/LCDs
  • HIPAA
  • ABNs

6. ICD-10-CM

  • 15 questions
  • ICD-10-CM Official Guidelines for Coding and Reporting
  • Diagnoses for all the chapters included in ICD-10-CM
  • Diagnosis questions will also appear in other sections of the exam from the CPT® categories

7. CPT®

  • 13 questions
  • Evaluation and Management
  • Emergency Department
  • Outpatient Clinics
  • Observation
  • Critical Care
  • Surgery
  • Procedures performed in outpatient hospital facilities
  • Procedures performed in ASC facilities
  • Radiology
  • Diagnostic Radiology
  • Diagnostic Ultrasound
  • Radiologic Guidance
  • Mammography
  • Bone and Joint Studies
  • Radiation Oncology
  • Nuclear Medicine
  • Laboratory/Pathology


  • Organ and Disease Panels
  • Drug Testing
  • Therapeutic Drug Assays
  • Evocation/Supression Testing
  • Consultations
  • Urinalysis
  • Molecular Pathology
  • MAAA
  • Chemistry
  • Hematology and Coagulation
  • Immunology
  • Transfusions
  • Microbiology
  • Anatomic Pathology
  • Cytopathology
  • Cytogenetic Studies
  • Surgical Pathology
  • In vivo and Reproductive


  • Medicine
  • Immunizations
  • Psychiatry
  • Dialysis
  • Gastroenterology
  • Ophthalmology
  • Otorhinolaryngology
  • Cardiovascular
  • Noninvasive Vascular Studies
  • Pulmonary
  • Neurology
  • Central Nervous System Assessments
  • Hydration
  • Therapeutic and Diagnostic Administration
  • Chemotherapy Administration
  • Physical Medicine and Rehabilitation
  • Patient Education and Training
  • Non-Face-to-Face Nonphysician Services
  • Moderate Sedation

8. HCPCS Level II Coding

  • 7 questions
  • Modifiers
  • Supplies
  • Medications
  • Procedures performed on Medicare patients

9. Surgery and Modifiers

  • 22 questions
  • Procedures approved for outpatient hospital facilities
  • Procedures approved for ASC facilities

10. Cases

  • Ten cases will test your ability accurately code medical record documentation, from a facility perspective, using CPT®, ICD-10-CM, and HCPCS Level II. The cases will cover 10000 series, 20000 series, 30000 series, 40000 series, 50000 series, 60000 series, medicine, radiology, and pathology and laboratory. Medical terminology, anatomy, compliance, and regulatory information may also be tested in the cases.


QCODE HEALTHCARE SOLUTIONS HAS FACULTY WITH AN EXPERIENCE OF 10+ YEARS IN MEDICAL CODING AND MEDICAL BILLING TRAINING AND REAL TIME, WHO WILL DRIVE YOU TO FACILITATE IN ATTAINING THE GOALS OF YOUR AMBITION.

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Phone:
9885232990 , 9100813285 , 9100813385

Email:
info@qcodehcs.com

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