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AAPC ISSUED Β· $399–$499 EXAM Β· 100 QUESTIONS Β· OPEN CODE BOOKS Β· 36 CEUs / 2 YRS

CPC Certification Guide 2026

Complete guide to the CPC: what the medical coding exam covers, exam cost and AAPC membership, the open-book format, how the CPC-A apprentice designation works, and how to keep the credential active with CEUs.

Updated July 2026

By GlobalCybers Editorial Team Β· Reviewed by our Credentialing Desk Β· Published Jul 2026

Direct Answer

What is the CPC and how do you earn it?

The CPC (Certified Professional Coder) is the most widely held medical coding credential, issued by AAPC. It validates ability to assign CPT, ICD-10-CM and HCPCS Level II codes for physician and outpatient services. The exam is 100 multiple-choice questions in 4 hours, open code books, with 70% required to pass; it costs $399 for one attempt or $499 with a second attempt, plus AAPC membership ($222/yr). New coders without two years of experience earn the CPC-A (Apprentice) until experience is documented. Renewal requires 36 CEUs every 2 years.

Key takeaways
  • The CPC is AAPC's flagship medical coding credential: 100 open-book questions in 4 hours with 70% required to pass.
  • Exam costs $399 for one attempt or $499 with a retake, plus AAPC membership at $222/yr.
  • New coders hold the CPC-A (Apprentice) designation until two years of experience (or Practicode equivalent) are documented.
  • Renewal requires 36 CEUs every 2 years; BLS pegs the medical records specialist median at $51,140 with certified coders earning more.

CPC at a glance

Cost$399 exam (1 attempt) or $499 (2 attempts) + AAPC membership $222/yr
Duration4-hour exam; typical prep 4–8 months
Issued byAAPC (American Academy of Professional Coders)
FormatIn-person at AAPC-approved sites or live remote proctored; open code books
Exam length100 multiple-choice questions, 70% to pass
ExpiryRenews with 36 CEUs every 2 years + annual AAPC membership
Who needs itMedical coders, billers and auditors in physician practices, hospitals and payers
Apprentice ruleCPC-A designation until 2 years of coding experience are documented

Sources: AAPC, CPC Certification Β· BLS OEWS 29-2072, Medical Records Specialists Β· AAPC CPC exam and certification policies. Reviewed July 2026 by the GlobalCybers team.

Exam fee
$399–$499
Questions
100
Pass score
70%

CPC Exam Format, Open Books, Real Coding

Open-book, case-based exam

The CPC is a 100-question multiple-choice exam taken in one 4-hour sitting with a 70% passing score. It is open book: you bring the current-year CPT Professional Edition, ICD-10-CM and HCPCS Level II manuals (handwritten notes allowed, no loose pages). Questions present operative notes and clinical scenarios and ask for the correct code set, so speed with your manuals matters as much as memorization.

Logistics and scoring

Format: In-person at AAPC-approved locations or live remote proctored (LRP) online
Questions: 100 multiple choice across CPT, ICD-10-CM, HCPCS, compliance and anatomy
Time: 4 hours (one sitting, no scheduled breaks)
Attempts: $399 buys one attempt; $499 includes a free retake
Results: Released in your AAPC account, typically within 7–10 business days

Does the CPC increase your pay as a medical coder?

BLS OEWS May 2025 puts the national median for medical records specialists (SOC 29-2072), the occupation covering medical coders, at $51,140. AAPC's annual salary survey consistently shows certified coders earning well above non-certified peers:

$51,140
BLS OEWS May 2025 national median for medical records specialists (SOC 29-2072), the BLS occupation that covers medical coders
+20–30%
Typical premium AAPC salary surveys report for CPC-certified coders over non-certified coders in the same market
Remote
The CPC is the standard screening credential for remote coding roles at hospital systems, physician groups and national payers

GlobalCybers reimburses CPC exam fees after a successful permanent placement through our network.

What the CPC Exam Covers, Core Topics

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CPT Procedure Coding

The core of the exam: surgery sections (10000–69999), radiology, pathology/laboratory, medicine and anesthesia coding from operative notes and clinical vignettes.

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ICD-10-CM Diagnosis Coding

Selecting diagnosis codes to the highest specificity, sequencing rules, and the Official Guidelines for Coding and Reporting that anchor several questions.

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HCPCS Level II

Codes for drugs, durable medical equipment, supplies and ambulance services used by Medicare and other payers alongside CPT.

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Evaluation & Management

Office and hospital E/M levels under the 2021+ MDM/time framework, a high-weight section that separates passing from failing scores.

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Anatomy & Terminology

Body systems, root words, prefixes and suffixes tested directly and embedded inside every coding case.

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Compliance & Modifiers

NCCI bundling edits, modifier use (25, 59, 51, RT/LT), fraud-and-abuse basics, HIPAA, and payer documentation requirements.

How do you get CPC certified, step by step?

1

Join AAPC and prepare

AAPC membership ($222/yr individual) is required to sit the exam. Most candidates take a coding course first, AAPC's own CPC preparation course, a community college program, or an accredited online course, typically 4 to 8 months of study covering CPT, ICD-10-CM and HCPCS.

2

Register and pick your format

Pay $399 for a single attempt or $499 for the two-attempt bundle, then schedule either an in-person exam at an AAPC-approved site or a live remote proctored exam at home. Bring current-year CPT Professional, ICD-10-CM and HCPCS Level II manuals; handwritten margin notes are allowed.

3

Pass the exam (70%+)

Answer 100 multiple-choice questions in 4 hours. Results post to your AAPC account within about 7 to 10 business days. If you bought the two-attempt bundle and fall short, you can retake at no extra exam fee.

4

Remove the apprentice designation and maintain

Without two years of coding experience you are credentialed as CPC-A (Apprentice). Submit proof of two years of on-the-job experience (or one year plus completion of AAPC's Practicode program, with coursework credit) to convert to full CPC. Maintain the credential with 36 CEUs every 2 years and annual membership renewal.

Employer Requirement

Where the CPC is Effectively Required

No state licenses medical coders, but the CPC functions as the de facto hiring requirement across outpatient coding. Physician practices, hospital professional-fee departments, billing companies and national payers routinely list CPC (or the equivalent AHIMA CCS) as a minimum qualification, and most remote coding jobs screen for an active AAPC credential before an interview. Medicare compliance programs also expect certified coders for audit and documentation-review roles.

Physician & outpatient coding
CPC required
Remote coding roles
Active credential screened
Issued & governed by
AAPC

CPC, Frequently Asked Questions

How much does the CPC certification cost in 2026?

The exam costs $399 for one attempt or $499 for a bundle that includes a second attempt. You also need active AAPC membership at $222 per year (student rates are lower), plus current-year CPT Professional, ICD-10-CM and HCPCS Level II manuals (roughly $200 to $350 for the set). Optional prep courses run from about $300 for self-paced online options to $3,000+ for full career programs.

What is the CPC-A and how do you remove the apprentice designation?

If you pass the exam with less than two years of professional coding experience, AAPC issues the credential as CPC-A, where the A stands for Apprentice. To remove it, submit two letters verifying two years of coding experience, or one year of experience plus completion of AAPC's Practicode online practicum. Completing an 80-hour coding course also counts toward the requirement. Once approved, the credential converts to full CPC.

Is the CPC exam open book and how hard is it?

Yes. You bring your own current-year CPT Professional Edition, ICD-10-CM and HCPCS Level II manuals into the exam, with handwritten notes and tabs allowed. It is still a demanding test: 100 case-based questions in 4 hours leaves about 2.4 minutes per question, and you need 70% to pass. AAPC-reported first-attempt pass rates hover around 60%, which is why most candidates complete a structured prep course first.

Does GlobalCybers pay for the CPC after placement?

Yes. After a successful permanent placement through GlobalCybers, we reimburse outstanding certification costs, including the CPC exam fee and first-year AAPC membership if not yet held. Medical coders, billers and revenue-cycle specialists placed into hospital systems and physician groups are the most common beneficiaries of this program.

Intent Network

Have your CPC? Find a job.

CPC-certified coders are screened into shortlists across hospital systems, physician groups and payers. Set your career intent and let employers come to you.

Join Network with CPC β†’
Quick Reference
Issued byAAPC
Exam fee$399–$499
Questions100
Time limit4 hours
Pass score70%
Renewal36 CEUs / 2 yrs
Related Certifications
All Certifications β†’PMP (Project Management) β†’OSHA 30 (Construction) β†’
Roles that need CPC
Healthcare industry β†’Medical Assistant β†’All roles β†’

More about CPC

How long does it take to become a CPC?

Most candidates go from zero medical coding knowledge to certified in 6 to 12 months: 4 to 8 months for a prep course covering anatomy, terminology and the three code sets, then 1 to 2 months of timed practice exams before test day. Coders with healthcare experience often compress this to 3 to 4 months.

What CEUs do you need to keep the CPC active?

AAPC requires 36 continuing education units every two years for a single certification, plus annual membership renewal. CEUs come from AAPC webinars, local chapter meetings, workshops, conferences and approved outside vendors; many member webinars are free, so maintenance cost can be kept low.

CPC vs CCS vs CCA, which coding credential should you choose?

The CPC (AAPC) is the standard for physician-based and outpatient coding and the most requested credential in job postings. AHIMA's CCS leans toward hospital inpatient coding, and the CCA is AHIMA's entry-level option. If you want physician practice, ambulatory surgery or remote payer work, start with the CPC; if you target inpatient hospital coding, consider adding the CCS later.

Can you take the CPC exam online from home?

Yes. AAPC offers live remote proctoring (LRP): you take the same 100-question exam at home with a webcam, a stable connection and a quiet room, using the same open-book rules. In-person exams at AAPC chapter events and approved education sites remain available if you prefer a physical testing room.

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