How many questions are on the CPC exam?

The CPC exam has 150 multiple-choice questions. You have 5 hours and 40 minutes (340 minutes) to complete it — roughly 2.3 minutes per question. All questions are scenario-based and require you to apply coding knowledge, not just recall definitions.

What is the CPC passing score?

You need a 70% to pass — that's 105 correct out of 150 questions. If you score between 65–69%, AAPC allows one retake of the failed sections (rather than the full exam) within six months. Below 65% requires a full retake.

Is the CPC exam open book?

Yes. The CPC is an open-book exam. You can bring current-year CPT Professional Edition, ICD-10-CM, and HCPCS Level II code books — fully tabbed and annotated. No electronic devices are allowed. The open-book format doesn't make it easy; it makes time management the hardest part.

How hard is the CPC exam on the first try?

AAPC reports roughly a 70% first-time pass rate for candidates who complete their coursework. Without formal training, first-attempt pass rates drop significantly. Most successful candidates study 3–6 months and practice with full-length timed mock exams before sitting.

What's the difference between CPC and CCS?

CPC (Certified Professional Coder) is AAPC's credential — it focuses on physician/outpatient professional fee coding using CPT, ICD-10-CM, and HCPCS Level II. CCS (Certified Coding Specialist) is AHIMA's credential — it focuses on hospital inpatient coding using ICD-10-PCS and DRGs. Different setting, different code sets, different career paths.

Can I use printed reference sheets on the CPC exam?

AAPC allows handwritten notes and printed reference sheets inserted inside your approved code books. Standalone loose-leaf reference sheets that aren't physically inside a code book are generally not permitted. Check AAPC's current exam materials policy before your test date — the rules can change.

CPC Practice Test PDF 2026: Free Medical Coding Exam Questions & Answers

CPC practice test PDF with 150 free medical coding exam questions and answers. Download now and prep for the AAPC Certified Professional Coder exam.

CPC Certified Professional Coder PracticeMay 4, 20262 min read

CPC Practice Test PDF 2026: Free Medical Coding Exam Questions & Answers

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Cpc Certification - CPC Certified Professional Coder Practice certification study resource

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Which Code Books to Bring on Exam Day

CPT Professional Edition (current year) — required, heavily tabbedICD-10-CM (current year) — required, with color tabs by chapterHCPCS Level II (current year) — requiredTab your CPT by major section: E&M, Anesthesia, Surgery subsections, Radiology, Pathology, MedicineHighlight the CPT surgery section guidelines — they're tested directlyAnnotate ICD-10-CM with instructional notes and 'use additional code' remindersAAPC allows sticky notes and printed reference sheets inside your code booksNo electronic devices, no smartphones — only printed, physical code booksCheck AAPC's current approved materials list before your exam date

CPC Practice Test PDF 2026: Free Medical Coding Exam Questions & Answers

Which Code Books to Bring on Exam Day

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CPC Questions and Answers