.: QCODE HEALTHCARE SOLUTIONS :.

US healthcare organizations provide multiple Medical Coding certifications and people choose different certifications according to their need and demand. Currently, CPC (Certified Professional Coder) is widely accepted and recommended certification in the industry. All Medical Coding companies prefer CPC certification compared to other certifications.

CPC (Certified Professional Coder): AAPC (American Academy of Professional Coders) oversees this certification and it is also called as physician outpatient certification.

Check marks for CPC certification:

100 Marks
100 MCQ'S ( Multiple choice questions) (Under Invigilation)
Duration (Time Cap) : 4 Hours
Score 70 Marks to clear the certification
Two attempts to clear the certification (One Free Retake)
Open book examination

The CPC 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 Physician office setting.

CPC Exam syllabus breakdown:

10,000 Series CPT (6 Questions)

The 10,000 Series CPT® part of the exam relates to surgical procedures performed on the integumentary system, which includes skin, subcutaneous, and accessory structures, as well as nails, pilonidal cysts, repairs, destruction, and breast.

20,000 Series CPT (6 Questions)

The 20000 Series CPT® will hone in on surgical procedures performed on the musculoskeletal system from head to toe. Specifically, these areas include the head, neck, back and flank, spine, abdomen, shoulder, arm, hand and fingers, pelvis and hip, leg, foot and toes.

30,000 Series CPT (6 Questions)

The 30000 Series CPT® focus on surgical procedures performed on the respiratory system, surgical procedures performed on the cardiovascular system, surgical procedures performed on the hemic and lymphatic systems, and surgical procedures performed on the mediastinum and diaphragm.

40,000 Series CPT (6 Questions)

Your knowledge of the 40000 Series CPT® will be tested by targeting surgical procedures performed on the digestive system, which will focus on these areas: lips, mouth, palate and uvula, salivary gland and ducts, pharynx, adenoids, and tonsils, esophagus, stomach, intestines, appendix, rectum, anus, liver, biliary tract, pancreas, abdomen, peritoneum, and omentum.

50,000 Series CPT (6 Questions)

The CPC exam will assess your knowledge of the 50000 Series CPT® pertaining to surgical procedures performed on the urinary system, surgical procedures performed on the male reproductive system, surgical procedures performed on the female reproductive system, including maternity and delivery, and surgical procedures performed on the endocrine system.

60,000 Series CPT (6 Questions)

Directed at the 60000 Series® involve surgical procedures performed on the nervous system and will include codes pertaining to the skull, meninges, brain, spine, spinal cord, extracranial nerves, peripheral nerves, autonomic nervous system.

Evaluation and Management (6 Questions)

This will assess your coding proficiency related to place and level of services, such as office/other outpatient, hospital observation, hospital inpatient, consultations, emergency department, critical care, nursing facility, domiciliary and rest homes, and home services. It will also include questions directed at preventive medicine, non-face-to-face services, neonatal and pediatric critical care, intensive care, prolonged services, chronic care, transitional care, case management, and care plan oversight.

Anesthesia (4 Questions)

These questions related to anesthesia will pertain to time reporting, qualifying circumstances, physical status modifiers, anesthesia for surgical, diagnostic and obstetric services.

Radiology (6 Questions)

These will focus on both diagnostic and interventional radiology, including diagnostic ultrasound, radiologic guidance, mammography, bone and joint studies, radiation oncology, and nuclear medicine.

Laboratory / Pathology (6 Questions)

This will test your knowledge of organ and disease panels, drug testing, therapeutic drug assays, evocation/suppression 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 (6 Questions)

This will cover numerous specialty-specific coding scenarios, as well as immunizations, bio feedback, dialysis, central nervous system assessments, health and behavior assessments, hydration, medical nutrition, therapeutic and diagnostic administration, chemotherapy administration, photodynamic therapy, osteopathic manipulative treatment, patient education and training, non-face-to-face nonphysician services, and moderate sedation.

Medical Terminology (4 Questions)

Medical terminology for all systems in the human body will be assessed

Anatomy (4 Questions)

Anatomy for all systems in the human body will be assessed.

ICD-10-CM/Diagnosis (5 Questions)

This will test proficiency in diagnosis for all the chapters included in ICD-10-CM, as well as thorough knowledge of the ICD-10-CM Official Guidelines for Coding and Reporting. Additionally, diagnosis questions will appear in other sections of the exam from the CPT® categories.

HCPCS Level II (3 Questions)

This will test HCPCS Level II coding and include questions focusing on modifiers, supplies, medications, and professional services for Medicare patients.

Coding Guidelines (7 Questions)

This section of the CPC test will address the ICD-10-CM Official Guidelines for Coding and Reporting, CPT® coding guidelines and parenthetical notes, and modifier use.

Compliance and Regulatory (3 Questions)

This will test your knowledge of compliance and regulations will pertain to services covered under Medicare Parts A, B, C and D; applying coding to payment policy, place of service reporting, fraud and abuse, NCCI edits, NCD/LCD, HIPAA, ABNs, and RVUs.

Cases (10 Questions)

Ten cases with one multiple choice question per case will test your ability to accurately code medical record documentation 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, anesthesia, radiology, pathology and laboratory, and evaluation and management services. Medical terminology, anatomy, compliance, and regulatory information may also be tested in the cases.

CPC CERTIFICATION

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