Medical Coding Mock Exams Certification Guide
Overview
Medical coding certification exams test practical coding skills across ICD-10-CM, CPT, and HCPCS code sets. This section covers exam preparation strategies and mock exam approaches.
Top Certifications
|------|----------|------|--------|
| **CPC (Certified Professional Coder)** | AAPC | $399 | 150 MCQ, 5h40m, open book |
|---|
| CCS (Certified Coding Specialist) | AHIMA | $299 | MCQ + coding, 4 hrs |
| COC (Certified Outpatient Coder) | AAPC | $399 | 150 MCQ |
| CIC (Certified Inpatient Coder) | AAPC | $399 | 150 MCQ |
| CPC-P (Payer) | AAPC | $399 | 150 MCQ |
Exam Strategy
BEFORE THE EXAM:
Tab and highlight codebooks: ICD-10-CM, CPT, HCPCS
Create quick reference tabs: anatomy terms, modifiers, E&M table
Practice with timed mock exams (2 min per question maximum)
Review: official ICD-10-CM guidelines (free PDF from CMS)
Review: CPT guidelines at beginning of each section
DURING THE EXAM:
Read question completely before looking at codes
Eliminate obviously wrong answers first
Never code from index alone — always verify in tabular list
For surgery: find the procedure, determine if add-on codes needed
For E&M: identify patient type and level from documentation clues
TIME MANAGEMENT:
Flag hard questions, skip and return
Easier questions: anatomy, definitions, basic codes
Harder: surgical coding, complex E&M, auditing questions
No penalty for guessing — answer every question
COMMON TRAPS:
"Most appropriate" — one code may be acceptable, another is best
Bilateral procedures — check modifier -50 applicability
Bundled services — check NCCI before billing separately
Incomplete diagnosis — code to highest specificity available
OPEN BOOK STRATEGY:
Do NOT look up every code — too slow
Know common codes by heart (top 50 E&M, common surgical, key ICD-10)
Use book for: verification, unusual codes, checking guidelines
PASSING SCORE: 70% (105/150 for CPC)
RETAKE: if fail, can retake after 30 days (additional fee applies)
Quick Code Reference
TOP E&M CODES (memorise):
99213: office visit, established, low complexity (most common)
99214: office visit, established, moderate complexity
99232: hospital subsequent, moderate complexity
99283: ED, moderate complexity
TOP ICD-10 CODES (memorise):
E11.9: Type 2 DM without complications
I10: Essential hypertension
J18.9: Pneumonia, unspecified
Z00.00: Adult health exam without abnormal findings
TOP CPT CODES (memorise):
99213/99214: office visits
45378: diagnostic colonoscopy
47562: laparoscopic cholecystectomy
27447: total knee arthroplasty
Study Resources
•AAPC CPC Study Guide — official, matches exam content exactly
•AAPC Practicode — 500+ real coding scenarios with audit feedback
•Optum360 EncoderPro — online coding tool with guidelines built in
•Medical Coding Exam Prep (Buck) — Elsevier practice exam book