100+ Free CFPC Practice Questions
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Which ICD-10-CM code reports an encounter for general adult medical examination without abnormal findings?
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Key Facts: CFPC Exam
150
Total Items
AAPC
5h 40m
Exam Time
AAPC
$299
AAPC Member Fee
AAPC
G0438/G0439
Medicare AWV Codes
Initial / Subsequent
The AAPC CFPC consists of 150 MCQ items over 5h40m with 70% passing. Fee $299 AAPC member. Master 2021 office E/M, preventive services (G0438/G0439 AWV), vaccine admin (90460/90461 with counseling vs 90471/90472 without), CCM/TCM care management, and chronic disease ICD-10-CM with the 'with' guideline.
Sample CFPC Practice Questions
Try these sample questions to test your CFPC exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1An established patient presents to her family physician for follow-up of hypertension and type 2 diabetes. The physician reviews home BP logs, adjusts lisinopril, refills metformin, and orders a basic metabolic panel. Total time spent on the date of encounter is 22 minutes. Based on time, what is the correct E/M code?
2A new patient is seen for evaluation of fatigue. The physician documents a comprehensive history, performs a detailed exam, orders CBC, TSH, and CMP, and assesses moderate complexity MDM with two stable chronic illnesses (HTN, hyperlipidemia) and one new problem (fatigue, undiagnosed). Total time is 35 minutes. Which CPT code is reported?
3Which code reports a Medicare Initial Annual Wellness Visit (AWV)?
4A 4-year-old established patient receives her annual preventive medicine visit and the MMR vaccine. The physician personally counsels the parent about vaccine risks/benefits. Which administration code applies to the MMR?
5A 55-year-old presents for an established patient preventive visit. During the visit, the physician also evaluates and adjusts treatment for newly worsening asthma, performing a separate problem-focused E/M. Which modifier should be appended to the problem-oriented E/M code?
6A patient presents with a 2 cm sebaceous cyst on the back. The physician performs incision and drainage. Which CPT code is reported?
7A patient with type 2 diabetes mellitus with diabetic chronic kidney disease, stage 3, has which correct ICD-10-CM code combination?
8A physician performs a 12-lead ECG with interpretation and report in the office. The clinic owns the ECG equipment. Which code is reported?
9Which CPT code reports a smoking cessation counseling visit lasting 5 minutes?
10A family physician performs a knee joint injection (intermediate joint) of triamcinolone for osteoarthritis. Which CPT code reports the injection?
About the CFPC Exam
AAPC specialty credential for family practice coders. Validates expertise in office E/M (heavy 2021 revision focus), preventive services and Medicare AWV (G0438/G0439), common FP procedures (skin, joint injection, IUD, Nexplanon, spirometry, EKG), vaccine administration coding (90460/90461 vs 90471/90472 — heavily tested), chronic disease ICD-10-CM, and care management codes (CCM 99490, TCM 99495/99496).
Questions
150 scored questions
Time Limit
5 hours 40 minutes
Passing Score
70%
Exam Fee
$299 AAPC member (AAPC)
CFPC Exam Content Outline
E/M Office/Outpatient (heavy FP volume)
2021 revision MDM- or time-based; new vs established; modifier 25
Preventive Services and Wellness
99381-99397 well visits by age; G0438/G0439 Medicare AWV; G0402 IPPE
Common Procedures in Family Practice
Joint injection 20600-20611, IUD 58300, Nexplanon 11981/11982, spirometry, EKG
ICD-10-CM Common FP Diagnoses
I10 HTN, E11.x DM, J45.x asthma, J44.x COPD, F32.x depression
Vaccines and Immunizations
90460/90461 admin with counseling <19 vs 90471/90472 without; product codes
Modifiers, Compliance and Payer Rules
25, 24, 33 preventive, 95 telehealth, GA/GZ ABN, MIPS measures
How to Pass the CFPC 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
CFPC Study Tips from Top Performers
Frequently Asked Questions
When do I use 90460/90461 vs 90471/90472 for vaccines?
Use 90460 (first vaccine/toxoid component) and 90461 (each addt'l component) when admin is to a patient under 19 AND counseling is provided by physician/QHP. Use 90471 (first) and 90472 (each addt'l) when patient is 19+ OR no counseling for under-19 OR a non-physician/QHP administered. Combination vaccines: count each immunizing component (e.g., MMR = 3 components; with counseling under 19 = 90460 + 90461 × 2).
What's the difference between AWV and IPPE?
G0402 IPPE (Initial Preventive Physical Exam, aka 'Welcome to Medicare') is available ONLY in the first 12 months of Part B Medicare enrollment. G0438 (initial AWV) and G0439 (subsequent AWV) are annual Medicare Annual Wellness Visits, both covered indefinitely. AWV requires Health Risk Assessment + cognitive assessment. AWV is NOT a head-to-toe physical exam (Medicare doesn't cover that).
What is Chronic Care Management (CCM)?
CCM codes (99490, 99491, 99437, 99439, 99487, 99489) compensate non-face-to-face management of patients with 2+ chronic conditions expected to last ≥12 months. 99490 = 20 min/mo by clinical staff; 99491 = 30 min by physician/QHP; 99487 = 60 min complex CCM with care plan establishment. Patient must be enrolled with consent.