100+ Free CIRCC Practice Questions

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Which CPT code reports balloon aortic valvuloplasty, percutaneous?

92990

92987

92986

33361

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2026 Statistics

Key Facts: CIRCC Exam

150

Total Items

AAPC

$450

Exam Fee

Includes 2 attempts

CEUs / 2 years

Higher than other AAPC specialty

Most rigorous

AAPC Specialty Cert

AAPC

The AAPC CIRCC is AAPC's most rigorous specialty exam. 150 MCQ items over 5h40m with 70% passing. Fee $450 includes 2 attempts; 36 CEUs/2 years. Master catheter selectivity (1st/2nd/3rd order per vascular family), S&I codes for diagnostic angio, intervention CPT (PTA/stent/embolization/EVAR/TEVAR), and structural cardiac (TAVR/MitraClip/LAAO).

Sample CIRCC Practice Questions

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

1A catheter is advanced from a femoral access site into the abdominal aorta and then selectively into the right renal artery. Which catheter placement code applies?

A.36200 — non-selective aorta

B.36245 — first-order branch within abdominal aorta family

C.36246 — second-order branch

D.36247 — third-order branch

Explanation: The renal artery is a first-order branch off the abdominal aorta. Selective placement of a catheter into a first-order vessel within the abdominal/lower extremity family is reported with 36245. The catheter passes the aorta but is positioned in the first branching vessel.

2Per CPT coding guidelines, when a diagnostic angiogram is performed and a therapeutic intervention is then performed in the same vascular family during the same session, the diagnostic study is:

A.Always separately reportable

B.Bundled into the intervention unless performed before the decision to intervene with no prior study available

C.Reported with modifier 26

D.Reported with modifier 76

Explanation: Per CPT coding rules for vascular interventions, a diagnostic angiogram performed in the same session and same vascular family as a therapeutic intervention is bundled. It is separately reportable only when no prior diagnostic study exists, the prior study was inadequate, or the patient's condition has changed — and the documentation supports the decision to intervene was made based on this study (typically appended with modifier 59 or XU).

3A patient undergoes left iliac artery angioplasty alone (no stent). Which CPT code is reported?

A.37220

B.37221

C.37224

D.37226

Explanation: CPT 37220 reports iliac artery angioplasty (PTA) without stent placement, initial vessel. The lower extremity revascularization codes 37220-37235 are bundled codes that include catheterization, imaging supervision, embolic protection, and closure of the access site.

4What is the correct CPT code for stent placement with atherectomy in the femoral-popliteal territory?

A.37224

B.37225

C.37226

D.37227

Explanation: 37227 reports femoral/popliteal stent placement with atherectomy (and includes any angioplasty performed). The fem-pop codes follow a hierarchy: 37224 angioplasty alone, 37225 atherectomy (+/- PTA), 37226 stent (+/- PTA), 37227 stent + atherectomy (+/- PTA).

5Selective catheterization of the left common carotid artery from a femoral access requires which CPT code?

A.36215 — first order brachiocephalic

B.36216 — second order brachiocephalic

C.36217 — third order brachiocephalic

D.36218 — additional second/third order

Explanation: The left common carotid arises directly from the aortic arch as a first-order branch in the brachiocephalic family. CPT 36215 is reported for selective catheterization of a first-order branch off the thoracic aorta in the brachiocephalic system.

6Which CPT code reports a catheter placement and cervical/cerebral angiography of the right internal carotid artery (unilateral, complete diagnostic study)?

A.36222

B.36223

C.36224

D.36225

Explanation: 36224 reports selective catheter placement, internal carotid artery, with angiography of the ipsilateral intracranial carotid circulation, and includes all related vessel imaging and the cervical carotid arteriogram. It bundles catheterization with the diagnostic imaging.

7What is reported for diagnostic abdominal aortography with bilateral lower extremity runoff in a single setting?

A.75625

B.75630

C.75710-50

D.75716

Explanation: 75630 reports aortography, abdominal, plus bilateral iliofemoral lower extremity, catheter, by serialography, including radiologic supervision and interpretation. It is the single combined code for abdominal aorta + bilateral runoff.

8A patient presents for uterine fibroid embolization (UFE). Which embolization code is reported?

A.37241 — venous

B.37242 — arterial other than CNS

C.37243 — organ ischemia/infarction (tumor)

D.37244 — bleeding/lymphatic

Explanation: 37243 reports vascular embolization for ischemic effect or to treat organ infarction (tumors), which is the correct code for uterine fibroid (leiomyoma) embolization. The 37241–37244 series is organized by purpose, not by anatomy.

9Endovascular repair of an infrarenal abdominal aortic aneurysm with placement of an aorto-bi-iliac modular bifurcated endograft is reported with:

A.34701

B.34702

C.34703

D.34705

Explanation: 34703 reports endovascular repair of infrarenal AAA or dissection using an aorto-bi-iliac endograft (modular bifurcated). The 34701-34708 series differentiates by graft configuration: aorto-aortic (34701/34702), aorto-uni-iliac (34704/34705), aorto-bi-iliac (34703/34706), with rupture status modifying the second digit.

10Percutaneous transluminal coronary angioplasty of a single major coronary artery is reported with:

A.92920

B.92921

C.92924

D.92928

Explanation: 92920 reports PCI by angioplasty of a single major coronary artery or branch. Add-on 92921 is for each additional branch of a major coronary artery treated during the same session.

About the CIRCC Exam

AAPC's most rigorous specialty credential for interventional radiology and cardiovascular procedure coders. Validates expertise in catheter selectivity (1st/2nd/3rd order per vascular family), diagnostic angiography (S&I codes), interventional vascular (PTA, stent, embolization, EVAR/TEVAR), cardiac cath/EP/structural (TAVR, MitraClip, LAAO), non-vascular IR (drainage, biopsy, ablation), and complex bundling rules.

Questions

150 scored questions

Time Limit

5 hours 40 minutes

Passing Score

70%

Exam Fee

$450 (includes 2 attempts) (AAPC)

CIRCC Exam Content Outline

20%

Vascular Anatomy and Diagnostic Angiography

Vascular families, catheter selectivity orders (1st/2nd/3rd), S&I codes, cerebral 36223-36228

25%

CPT Interventional Vascular

PTA/stent peripheral 37220-37239, embolization 37241-37244, EVAR 34701-34717, AV access 36818-36833

20%

CPT Cardiac Cath, EP, Structural

PCI hierarchy 92920-92944, cath 93452-93461, TAVR 33361-33369, TEER 33418-33419, ICD/PPM

15%

CPT IR Non-Vascular

Drainage 49405-49407, biopsy 10005-10006, ablation 47382-47384/50592-50593, PICC 36569

10%

ICD-10-CM CV/Vascular

I70 atherosclerosis (PVD), I71 aneurysm/dissection, I63 stroke, I82 VTE

10%

Modifiers, Bundling, Coding Guidelines

Catheter selectivity rules, S&I bundling with intervention, modifier 26/50/51/59

How to Pass the CIRCC Exam

What You Need to Know

Passing score: 70%
Exam length: 150 questions
Time limit: 5 hours 40 minutes
Exam fee: $450 (includes 2 attempts)

Keys to Passing

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

CIRCC Study Tips from Top Performers

1Master catheter selectivity by vascular family: 1st order = first branch off aorta/IVC; 2nd = sub-branch; 3rd = sub-sub-branch. Code highest order per family. Pelvic uses 36245 series; brachiocephalic 36215-36218

2Know S&I bundling rule: diagnostic angiography bundled into therapeutic intervention same vessel UNLESS separate diagnostic intent before decision to intervene (modifier 59 with documentation)

3Memorize PCI hierarchy 92920-92944: angioplasty < stent < atherectomy; major artery + add-on for branches of same artery; STEMI 92941; CTO 92943-92944

4Know structural cardiac: TAVR 33361-33369 (heart team requirement per NCD); TEER (MitraClip) 33418-33419; LAAO 33340 (Watchman); each has specific NCD coverage criteria

Frequently Asked Questions

What is catheter selectivity?

Catheter placement codes are organized by vascular family and 'order' of selectivity. Non-selective = catheter remains in aorta or vena cava. 1st order = first branch off aorta/IVC. 2nd order = sub-branch. 3rd order = sub-sub-branch. Code the HIGHEST order achieved per vascular family. Lower-extremity examples: 36140 selective, 36245 1st-order branch within abdominal aorta family, 36246 2nd-order, 36247 3rd-order or beyond.

How does diagnostic angiography S&I bundling work?

When therapeutic intervention is performed in the same vessel/family, the diagnostic angiography (S&I — supervision and interpretation) is BUNDLED into the intervention. EXCEPTION: if diagnostic study was done BEFORE the final decision to intervene (separate diagnostic intent), modifier 59 with documentation supporting separate procedural service may unbundle. AV access procedures had a major 2017 revision that bundled imaging + intervention into single codes (36901-36909).

What is the CIRCC fee structure?

The CIRCC exam fee ($450) includes TWO attempts (vs other AAPC specialty exams' $299 with one attempt). This reflects the difficulty level — pass rates are lower than other specialty exams. After 2 attempts, additional retakes incur the full fee again. CIRCC also requires 36 CEUs per 2 years (more than the standard 24 CEUs/2 yr for most other AAPC credentials).