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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 review concepts for the CCPC exam. 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?
2Which CPT code is reported for chiropractic manipulative treatment (CMT) involving 1 to 2 spinal regions?
3Which Medicare HCPCS modifier indicates that a chiropractic service is active treatment for an acute or chronic subluxation, rather than maintenance?
4How many spinal regions are recognized for purposes of selecting a chiropractic manipulative treatment (CMT) code?
5A chiropractor performs CMT to the cervical, thoracic, and lumbar regions. Which CPT code is reported?
6Which CPT code is appropriate for chiropractic manipulative treatment of an extraspinal region such as the shoulder?
7Which CPT code reports the application of hot or cold packs to one or more areas?
8Which HCPCS Level II code does Medicare require in place of CPT 97014 for unattended electrical stimulation?
9ICD-10-CM code M99.01 represents segmental and somatic dysfunction of which spinal region?
10The acronym PART, used to document the presence of a spinal subluxation, stands for which set of findings?
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.
Exam sponsor: AAPC. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.
Questions
150 questions
Time Limit
5 hours 40 minutes
Passing Score
70%
Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.
Official sources
Our practice resources: topics covered
We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.
Spinal Anatomy and Chiropractic Concepts
Cervical/thoracic/lumbar/sacral/pelvic regions, vertebrae, dermatomes
CPT Chiropractic Manipulation (CMT)
98940 (1-2 regions), 98941 (3-4), 98942 (5), 98943 (extraspinal)
CPT Adjunct Therapies and Modalities
97010-97140 modalities, timed vs untimed, 8-minute rule
ICD-10-CM Musculoskeletal and Subluxation
M99.0x by region, M54.50/.51/.59 LBP, M53.0 cervicocranial syndrome
Documentation, Modifiers, Medicare Rules
AT modifier (active treatment), GA/GY/GZ ABN, PART documentation, treatment plan goals
Payer Rules and Compliance
Medicare maintenance vs active, OIG audits, demonstration of medical necessity
Preparing for the CCPC Exam
What You Need to Know
- Passing score: 70%
- Exam length: 150 questions
- Time limit: 5 hours 40 minutes
- Exam / certification fees: $299 AAPC member Official sources
Using Our Practice Resources
- Work through all 100 available questions
- Review every answer and explanation
- Track weak areas and revisit them
- Use our AI tutor for tough concepts
CCPC: Suggested Study Strategy
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.