100+ Free CPEDC Practice Questions

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When billing 99213 with a vaccine administration (90471) on the same day, why must modifier 25 be appended to 99213?

To indicate the E/M was significant and separately identifiable from the vaccine administration

To bypass NCCI bundling for diagnostic services

To indicate the E/M was provided in a separate location

To indicate the procedure had multiple components

to track

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2026 Statistics

Key Facts: CPEDC Exam

150

Total Items

AAPC

5h 40m

Exam Time

AAPC

$299

AAPC Member Fee

AAPC

<19

Vaccine Counseling Cutoff

90460/90461 use

The AAPC CPEDC consists of 150 MCQ items over 5h40m with 70% passing. Fee $299 AAPC member. Master newborn codes 99460-99465, vaccine admin 90460/90461 (with counseling, age <19) vs 90471/90472, ACIP immunization schedule, perinatal P-codes (only first 28 days), and developmental screening 96110/96127.

Sample CPEDC Practice Questions

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

1A pediatrician provides initial inpatient care to a normal newborn in the hospital, including history, physical exam, and assessment. Which CPT code is reported?

A.99461

B.99460

C.99462

D.99463

Explanation: CPT 99460 is reported for initial hospital or birthing-room care of a normal newborn infant, per day, including maternal/fetal/newborn history, physical examination, and assessment of newborn transition.

2A 4-day-old normal newborn is seen for subsequent inpatient hospital care. Which code applies?

A.99460

B.99461

C.99462

D.99463

Explanation: CPT 99462 reports subsequent hospital care, per day, for evaluation and management of a normal newborn after the initial admission day.

3A normal newborn is admitted at 6 a.m. and discharged the same calendar day at 7 p.m. Which code is reported?

A.99460 + 99238

B.99463

C.99460 + 99462

D.99238 only

Explanation: CPT 99463 reports an evaluation and management of a normal newborn admitted and discharged on the same date in a hospital or birthing room.

4A pediatrician is requested by the obstetrician to attend a high-risk delivery to provide initial stabilization. The newborn does not require resuscitation. Which CPT code applies for the pediatrician's attendance?

A.99464

B.99465

C.99460

D.99291

Explanation: CPT 99464 reports attendance at delivery (when requested by the delivering physician) and initial stabilization of the newborn. Resuscitation was not required so 99465 does not apply.

5A neonate requires positive-pressure ventilation and chest compressions in the delivery room. Which CPT code is reported for the resuscitation?

A.99464

B.99465

C.99468

D.99477

Explanation: CPT 99465 reports delivery/birthing-room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output.

6A critically ill 10-day-old neonate is admitted to the NICU and intubated. Which CPT code reports the initial day of inpatient critical care?

A.99291

B.99468

C.99471

D.99477

Explanation: CPT 99468 reports initial inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate 28 days of age or younger.

7Subsequent inpatient critical care for the same critically ill 14-day-old neonate is provided the next day. Which CPT code applies?

A.99468

B.99469

C.99472

D.99478

Explanation: CPT 99469 reports subsequent inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate 28 days of age or younger.

8A critically ill 8-month-old is admitted to the PICU. Which CPT code reports the initial day of inpatient pediatric critical care?

A.99468

B.99471

C.99475

D.99291

Explanation: CPT 99471 reports initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child 29 days through 24 months of age.

9A 4-year-old is in the PICU with septic shock — initial day of pediatric critical care. Which CPT applies?

A.99471

B.99472

C.99475

D.99476

Explanation: CPT 99475 reports initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child 2 through 5 years of age.

10An LBW infant weighing 1,400 g, no longer critically ill, requires initial intensive care services. Which CPT code applies?

A.99468

B.99477

C.99478

D.99480

Explanation: CPT 99477 reports initial hospital care, per day, for the evaluation and management of a neonate, 28 days of age or younger, who requires intensive observation, frequent interventions, and other intensive care services.

About the CPEDC Exam

AAPC specialty credential for pediatric coders. Validates expertise in newborn care (99460-99465), pediatric office E/M, well-child visits and AAP Bright Futures preventive (99381-99395), vaccine administration (90460/90461 with counseling vs 90471/90472 — heavily tested), pediatric critical care (99468-99480), developmental screening (96110, 96112-96113, 96127), perinatal P-codes, and pediatric-specific modifiers (EP for EPSDT).

Questions

150 scored questions

Time Limit

5 hours 40 minutes

Passing Score

70%

Exam Fee

$299 AAPC member (AAPC)

CPEDC Exam Content Outline

25%

Pediatric E/M (Office, Hospital, Critical Care, Newborn)

99202-99215 office, 99460-99465 newborn, 99468-99480 pediatric critical/intensive care

20%

Preventive and Well-Child Visits + Vaccines

99381-99397 preventive by age, 90460/90461 vs 90471/90472 admin, ACIP schedule

15%

Pediatric Procedures

Newborn circumcision 54150/54160, frenectomy 41115, cerumen 69209/69210, audiology

20%

ICD-10-CM Pediatric Common Diagnoses and P-codes (Perinatal)

P-codes (Ch 16, only first 28 days), Z00.x well-child, J21.0 RSV bronchiolitis, F90.x ADHD

10%

Developmental Screening, Behavioral Health, Mental Health

96110 standardized instrument, 96112/96113 dev test, 96127 brief emo/behav

10%

Modifiers and Compliance

25 with vaccine admin, 33 preventive ACA, 95 telehealth, EP EPSDT

How to Pass the CPEDC 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

CPEDC Study Tips from Top Performers

1Master newborn care: 99460 initial inpatient/birthing room; 99463 same-day admit+discharge; 99464 attendance at delivery (high-risk); 99465 resuscitation

2Memorize vaccine admin rules: 90460/90461 with counseling AND under 19; 90471/90472 without counseling OR 19+. Count immunizing components for combination vaccines (MMR=3, DTaP=3, Pediarix=5)

3Know perinatal P-code rule: only through first 28 days of life; after 28 days, code the manifesting condition from non-Chapter-16 codes

4Understand AAP Bright Futures schedule and ACIP immunization schedule — well-child visit timing and vaccines per visit

Frequently Asked Questions

How are newborn care codes used?

99460 = initial inpatient or birthing-room newborn care (per day, history + exam + assessment). 99461 = initial newborn care in OTHER than hospital/birthing center setting. 99462 = subsequent inpatient newborn day. 99463 = same-day admit + discharge. 99464 = attendance at delivery (when requested by delivering physician for high-risk). 99465 = newborn resuscitation (positive-pressure ventilation OR chest compressions for inadequate respiration/circulation).

When do I use 90460/90461 vs 90471/90472?

Use 90460 (each first vaccine/toxoid component admin) and 90461 (each addt'l component) when admin is to a patient UNDER 19 AND counseling is provided by physician/QHP. Use 90471/90472 when patient is 19+ OR no counseling for <19. For combination vaccines, count immunizing components: e.g., MMR (3 components) under 19 with counseling = 90460 + 90461×2; without counseling = 90471 + 90472×2.

When can perinatal P-codes be used?

Per ICD-10-CM Official Guidelines, perinatal Chapter 16 codes (P00-P96) are intended for conditions originating in the perinatal period — they may be used ONLY through the first 28 days of life. After 28 days, the underlying condition codes (chapter-specific) take over even if related to perinatal origin. For history of perinatal condition affecting current care, use Z87.7 personal history.