FAQs – CPC (Certified Professional Coder) & CCS (Certified Coding Specialist)-Medical coding

Medical coding
GENERAL QUESTIONS
1. What is the difference between CPC and CCS certifications?
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CPC (by AAPC) is more outpatient/physician coding focused.
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CCS (by AHIMA) focuses on inpatient hospital coding and complex medical record coding.
2. Who should take CPC vs CCS?
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Choose CPC if you aim to work in physician offices, outpatient clinics, or ambulatory services.
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Choose CCS if you want to work in hospitals, inpatient facilities, or handle DRG coding.
3. Is medical coding a good career in India or globally?
Yes. It’s in high demand across India, the US, UAE, Canada, and more due to increasing healthcare digitization and medical billing needs.
🔹 ELIGIBILITY & PREREQUISITES
4. What is the eligibility for CPC exam?
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No formal degree is required.
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However, medical coding training or experience is recommended.
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2 years’ coding experience is required to remove the “Apprentice” (CPC-A) status.
5. What is the eligibility for CCS exam?
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AHIMA recommends:
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Completion of a coding certificate program or
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One year of coding experience or
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An RHIA, RHIT, or CCA credential.
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6. Can a fresher apply for CPC or CCS?
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Yes, but they may receive an apprentice designation (CPC-A) after passing.
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For CCS, practical experience or formal training is usually expected.
🔹 EXAM STRUCTURE
7. What is the format of the CPC exam?
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100 multiple-choice questions
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4 hours
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Covers CPT, ICD-10-CM, HCPCS, medical terminology, anatomy
8. What is the format of the CCS exam?
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Multiple choice + medical scenario coding
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4 hours total
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Tests ICD-10-CM, ICD-10-PCS, CPT, DRG assignment, medical record analysis
9. What is the passing score for CPC and CCS?
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CPC: 70%
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CCS: Varies slightly but generally around 75%
🔹 COST & VALIDITY
10. What is the cost of CPC exam?
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$399 (approx.) for non-members
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$349 for AAPC members
11. What is the cost of CCS exam?
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$299 for AHIMA members
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$399 for non-members
12. How long are CPC and CCS credentials valid?
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Valid for 1 year, and then need CEUs (Continuing Education Units) to maintain.
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CPC: 36 CEUs every 2 years
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CCS: 20 CEUs every 2 years
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🔹 STUDY & PREPARATION
13. How should I prepare for CPC or CCS exams?
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Join certified training programs
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Use official study guides
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Practice real exam questions and medical charts
14. What books are allowed during CPC exam?
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AMA CPT® Professional
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ICD-10-CM
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HCPCS Level II
No notes, Post-its, or handwritten additions allowed
15. What is the best coding book for beginners?
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CPT® Professional
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ICD-10-CM Expert for Physicians
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HCPCS Level II Expert
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AAPC’s CPC Study Guide
🔹 JOB & SALARY
16. What is the average salary of a CPC coder?
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India: ₹3–6 LPA
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US: $45,000–$70,000/year
17. What is the salary for CCS certified coders?
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Generally higher than CPC due to hospital specialization
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US: $60,000–$90,000/year
18. Can CPC/CCS coders work from home?
Yes. Many hospitals, billing firms, and insurers offer remote coding jobs, especially in the US & India.
🔹 OTHER COMMON QUERIES
19. Is CPC/CCS valid internationally?
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CPC is recognized in many countries like India, UAE, Philippines, and USA.
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CCS is widely recognized in the US, especially in hospital environments.
20. Can I convert CPC-A to CPC?
Yes. You need:
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2 years of coding experience or
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1 year of experience + 80-hour coding course
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