CPC Study Material
CPC- Certified Professional Coder
CPC stands for Certified Professional Coder. This medical coding certification is
offered through the American Academy of Professional Coders (AAPC) and serves
to provide a sort of evidence that you have the knowledge and skills needed to
work as a professional coder. It consisting of 100 multiple-choice questions
In this course you will gain the basic understanding of medical terminology and
anatomy that is required for medical coding. In addition, you'll learn to translate
services and diagnosis using CPT® procedure codes, ICD-10-CM codes, and HCPCS
Level II codes for work conducted in physician practice and ambulatory care
settings.
How to pass the CPC coding exam?
To complete the CPC exam in the allotted 4 hours, you need to answer
questions in about 2.4 minutes or less (Open book test).
Keep practicing for test-taking skills.
Eliminating answers is an effective strategy for both accuracy and time
management.
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CPT – Current Procedural Terminology
ICD 10 CM – International Classification of Disease,10th Revision, Clinical
Modification
HCPCS – Healthcare Common Procedure Coding System
Question Pattern for CPC Exam
Current Procedural Terminology (CPT)
Integral to billing medical services and procedures for reimbursement, Current
Procedural Terminology (CPT)® is the language spoken between providers and
payers. CPT® refers to a set of medical codes used by physicians, allied health
professionals, nonphysician practitioners, hospitals, outpatient facilities, and
laboratories to describe the procedures and services they perform.
Specifically, CPT® codes are used to report procedures and services to federal and
private payers for reimbursement of rendered healthcare.
CPT® codes consist of five characters. Most codes are numeric,
5 Digit Numerical Codes range from 00100–99499
for example; let us assume the code as 12345, In that 4,5 denotes Severity,
Laterality, Specificity; 2,3 denotes Sub Procedure and 1 denotes System like
Respiratory, Digestive, Cardiology etc,.
but some codes have a fifth alpha character, such as F, T, or U. For Example,
3006F , 0510T , 0079U
The six main sections of CPT® Category I codes and their sequences are:
When the 5 digit numerical code start with
1- Integumentary System
2-Musculoskeletal System
3-Respiratory System & Cardiovascular System
4-Digestive System
5-Genito& Urinary System
6-Remaining System (Endocrine System and Nervous System ,Ocular and
Auditory) except 1-5
7- Radiology (Including Nuclear Medicine and Diagnostic Ultrasound)
8- Pathology and Laboratory
9- Medicine
99- Evaluation and Management (E&M)
0- Anesthesia
General Guidelines For CPT Coding
Mother Code - The code description starts with Capital letter and the
description has semicolon punctuation (;)
For example 11004 – Debridement of skin, subcutaneous tissue, muscle and
fascia for necrotizing soft tissue infection ; external genitalia and perineum
Chain code – The code starts with small letter and it no ;
For example 11005 – abdominal wall, with or without fascia closure
So how to read the chain code ? 1st we have to read the mother code until ;
punctuation and conti reading the chain code fully.
11005 - Debridement of skin, subcutaneous tissue, muscle and fascia for
necrotizing soft tissue infection; abdominal wall, with or without fascia
closure.
Additional Code – It is otherwise known as add on code. It starts with + symbol
For example : +11001
Modifiers – It is used to simplify the codes
For example: 26,50,51…
Note: we should not append the modifiers for add on codes
