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Which CPT code reports massage therapy, including effleurage, petrissage and/or tapotement, in 15-minute units?

A
B
C
D
to track
2026 Statistics

Key Facts: CCPC Exam

150

Total Items

AAPC

5h 40m

Exam Time

AAPC

$299

AAPC Member Fee

AAPC

AT

Medicare Modifier

Active Treatment required

The AAPC CCPC consists of 150 MCQ items over 5h40m with 70% passing. Fee $299 AAPC member. Master CMT codes by region count (98940 = 1-2; 98941 = 3-4; 98942 = 5; 98943 extraspinal), Medicare AT modifier requirement for active treatment, PART documentation for subluxation, and the 8-minute rule for therapy codes.

Sample CCPC Practice Questions

Try these sample questions to test your CCPC exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1How many vertebrae make up the cervical region of the adult human spine?
A.5
B.7
C.12
D.9
Explanation: The adult cervical spine contains 7 vertebrae (C1-C7). C1 (atlas) and C2 (axis) are unique transitional vertebrae that allow head rotation and flexion.
2Which CPT code is reported for chiropractic manipulative treatment (CMT) involving 1 to 2 spinal regions?
A.98940
B.98941
C.98942
D.98943
Explanation: CPT 98940 is reported for chiropractic manipulative treatment (CMT) involving 1 to 2 spinal regions. The five spinal regions recognized for CMT are cervical, thoracic, lumbar, sacral, and pelvic.
3Which Medicare HCPCS modifier indicates that a chiropractic service is active treatment for an acute or chronic subluxation, rather than maintenance?
A.GA
B.AT
C.GP
D.GZ
Explanation: The AT (Active Treatment) modifier is required by Medicare on CMT codes (98940-98942) when the service is acute or chronic active treatment of subluxation. Without AT, Medicare considers the service maintenance therapy and denies it as non-covered.
4How many spinal regions are recognized for purposes of selecting a chiropractic manipulative treatment (CMT) code?
A.3
B.4
C.5
D.6
Explanation: There are five recognized spinal regions for CMT code selection: cervical, thoracic, lumbar, sacral, and pelvic. Extraspinal regions are reported with 98943 separately.
5A chiropractor performs CMT to the cervical, thoracic, and lumbar regions. Which CPT code is reported?
A.98940
B.98941
C.98942
D.98943
Explanation: Three spinal regions (cervical, thoracic, and lumbar) fall within the 3-to-4 region range, which is reported with CPT 98941.
6Which CPT code is appropriate for chiropractic manipulative treatment of an extraspinal region such as the shoulder?
A.98940
B.98941
C.98942
D.98943
Explanation: CPT 98943 is reported for chiropractic manipulative treatment of one or more extraspinal regions, which include head (excluding atlas-occipital), lower extremities, upper extremities, rib cage (excluding costotransverse and costovertebral joints), and abdomen.
7Which CPT code reports the application of hot or cold packs to one or more areas?
A.97010
B.97012
C.97014
D.97016
Explanation: CPT 97010 is the supervised modality code for application of hot or cold packs. It is an untimed code and is bundled by Medicare and many payers (often considered a status B/non-separately-payable service).
8Which HCPCS Level II code does Medicare require in place of CPT 97014 for unattended electrical stimulation?
A.G0281
B.G0283
C.G0151
D.G0238
Explanation: Medicare requires HCPCS code G0283 for electrical stimulation (unattended) to one or more areas for indications other than wound care. CPT 97014 is not recognized by Medicare.
9ICD-10-CM code M99.01 represents segmental and somatic dysfunction of which spinal region?
A.Head region
B.Cervical region
C.Thoracic region
D.Lumbar region
Explanation: ICD-10-CM M99.01 reports segmental and somatic dysfunction (subluxation) of the thoracic region. The M99.0- series organizes subluxation by region: M99.00 head, M99.01 cervical, M99.02 thoracic - wait, ordering: M99.00 head, M99.01 cervical, M99.02 thoracic, M99.03 lumbar, M99.04 sacral, M99.05 pelvic.
10The acronym PART, used to document the presence of a spinal subluxation, stands for which set of findings?
A.Pain, Asymmetry, Range of motion, Tissue tone changes
B.Posture, Alignment, Reflexes, Tenderness
C.Palpation, Auscultation, Reflexes, Tone
D.Pain, Atrophy, Rigidity, Tremor
Explanation: PART is Medicare's required documentation framework for chiropractic subluxation: Pain/tenderness, Asymmetry/misalignment, Range-of-motion abnormality, and Tissue/tone changes. At least two of the four must be present, and one must be A or R.

About the CCPC Exam

AAPC specialty credential for chiropractic coders. Validates expertise in chiropractic manipulative treatment (CMT 98940-98943 by spinal regions), adjunct therapies and modalities (97000-series), Medicare-specific rules (AT modifier for active treatment, GA/GY/GZ for non-covered), ICD-10-CM subluxation (M99.0x by region), PART documentation, and the 8-minute rule for timed therapy codes.

Questions

150 scored questions

Time Limit

5 hours 40 minutes

Passing Score

70%

Exam Fee

$299 AAPC member (AAPC)

CCPC Exam Content Outline

15%

Spinal Anatomy and Chiropractic Concepts

Cervical/thoracic/lumbar/sacral/pelvic regions, vertebrae, dermatomes

25%

CPT Chiropractic Manipulation (CMT)

98940 (1-2 regions), 98941 (3-4), 98942 (5), 98943 (extraspinal)

20%

CPT Adjunct Therapies and Modalities

97010-97140 modalities, timed vs untimed, 8-minute rule

15%

ICD-10-CM Musculoskeletal and Subluxation

M99.0x by region, M54.50/.51/.59 LBP, M53.0 cervicocranial syndrome

15%

Documentation, Modifiers, Medicare Rules

AT modifier (active treatment), GA/GY/GZ ABN, PART documentation, treatment plan goals

10%

Payer Rules and Compliance

Medicare maintenance vs active, OIG audits, demonstration of medical necessity

How to Pass the CCPC Exam

What You Need to Know

  • Passing score: 70%
  • Exam length: 150 questions
  • Time limit: 5 hours 40 minutes
  • Exam fee: $299 AAPC member

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

CCPC Study Tips from Top Performers

1Memorize CMT region count: 98940 (1-2), 98941 (3-4), 98942 (5 spinal), 98943 (extraspinal). Spinal regions are cervical/thoracic/lumbar/sacral/pelvic
2Know Medicare AT modifier: required for ACTIVE treatment of subluxation; without AT or with maintenance, claim denied
3Understand 8-minute rule for timed therapy: ≥8 minutes of one CPT = 1 unit; cumulative time across multiple timed codes determines unit count
4Master PART documentation: Pain, Asymmetry, Range of motion, Tissue tone — at least 2 of 4 per visit

Frequently Asked Questions

How is CMT coded by spinal regions?

98940 = 1-2 spinal regions; 98941 = 3-4 spinal regions; 98942 = 5 spinal regions. The 5 spinal regions are cervical, thoracic, lumbar, sacral, and pelvic. 98943 is for extraspinal regions (head, lower extremity, upper extremity, rib cage, abdomen) — billed separately from 98940-98942.

What is the Medicare AT modifier?

Modifier AT (Active Treatment) is REQUIRED on chiropractic CMT for Medicare. AT signals that the manipulation is active/corrective treatment of subluxation, not maintenance. Medicare ONLY covers active manipulation of subluxation by chiropractor — maintenance after improvement plateau is NOT covered.

What is PART documentation?

PART = Pain, Asymmetry, Range of motion, Tissue tone — the four elements required to document chiropractic subluxation per Medicare LCDs. Each visit must document ≥2 of the 4 elements (with at least one being asymmetry, range of motion, or tissue tone). Treatment plan must include goals, frequency, duration, and reassessment intervals.