AAPC COC Study Guide 2026-2027: AAPC COC Practice Exam Prep for the Certified Outpatient Coder — OPPS, APCs and Modifiers: 12-Day Plan, 3 Full-Length 100-Question Exams, 465 Questions with Rationales

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About this ebook

You have a COC date. Hold it. Between now and then: 465 questions with every option explained, three practice exams at the real 100-question length, a 12-day plan and a 25-question diagnostic. No login, no expiry.

We built this the way a facility coding manager trains a new hire, not the way a shelf gets filled. AAPC gives you 100 questions and four hours, open book, and every one of those hundred is scored. The exam asks for a payment answer on top of a coding answer. Surgery and modifiers is the biggest area at 22 questions. ICD-10-CM takes 15, payment methodologies 13, CPT 13, the case scenarios 10. Medical terminology, anatomy and HCPCS take seven each; guidelines and compliance three each. Your twelve days are cut to that shape. Check us against AAPC's published content outline, line by line. We would rather you did.

What's inside

The Outpatient Claim Check. Four moves on every scenario: abstract, diagnose, code, map. That fourth move, mapping the line to its APC and status indicator, is what the CPC never asks for.

Twelve days cut to the content outline. Two days on ICD-10-CM, two on surgery, a whole day on payment methodologies. The three-question areas get covered, not skipped.

465 original questions, every option explained. You'll see why one code wins, and why the near-miss, the extra modifier or the wrong status indicator loses.

Three practice exams of 100 questions, each set at 240 minutes. Real length, real clock, across all ten content areas.

Open-book speed. Where to look first in each section, and how to budget four hours. On an open-book exam, navigation is part of the score.

Printable reference cards: the Outpatient Claim Check, ICD-10-CM conventions, the key modifiers, an OPPS and APC quick sheet, and HCPCS families. Perhaps you already own a coding review that expected you to bring the structure. Give it three evenings. If the diagnostic shows you nothing you did not already know, put it down. An hour is all it cost.

Three coders use this. A CPC holder adding the facility side. Hospital or ASC staff certifying into work they already do. Someone retaking after payment methodology went wrong. If ICD-10-CM sequencing is already your day job, start at Day 4.

Day 10 is the steep one. Payment methodologies sits late on purpose: OPPS makes no sense until the coding under it is steady. Downloaded once, yours to keep.

— The Passmark Publishing Team

An independent study guide from Passmark Publishing. Every question is original and no code set is reproduced; the COC is open book and you code from your own manuals. Not affiliated with or endorsed by the AAPC. AAPC and COC are trademarks of the AAPC; CPT is a registered trademark of the American Medical Association. For exam preparation only; not coding, legal or medical advice.
You have a COC date. Hold it. Between now and then: 465 questions with every option explained, three practice exams at the real 100-question length, a 12-day plan and a 25-question diagnostic. No login, no expiry. We built this the way a facility coding manager trains a new hire, not the way a ...

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About the author

Passmark builds one kind of book: the one that makes your study hours count. We start from a simple conviction — a certification exam is a skills test, not a memory test — so we never hand you a wall of facts to reread. Our method comes from the science of how memory actually holds: you learn by retrieving, not rereading; you revisit on a widening schedule so it sticks; every answer is explained, right and wrong, so you keep the reasoning; and a diagnostic points your hours where they will move your score. We read each exam's current blueprint ourselves, write every question from scratch, and check every number in the book — question counts, domain weights, practice tests — against the finished pages, not the marketing. When an exam changes, our books change with it.
Passmark builds one kind of book: the one that makes your study hours count. We start from a simple conviction — a certification exam is a skills test, not a memory test — so we never hand you a wall of facts to reread. Our method comes from the science of how memory actually holds: you learn by ...

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