200+ Free COC (Formerly CPC-H) Practice Questions
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Key Facts: COC (Formerly CPC-H) Exam
100
Exam Questions
AAPC format guidance
4h
Exam Time
AAPC format guidance
70%
Passing Score
AAPC format guidance
$399/$499
Core Exam Pricing
AAPC support pricing page
200
Practice Questions Here
OpenExamPrep COC bank
2026
Policy Refresh
OPPS/OCE-aligned update cycle
AAPC lists COC (formerly CPC-H) as a 100-question, 4-hour certification exam using a 70% passing threshold. For 2026, high-yield prep should center on outpatient facility diagnosis sequencing, OPPS status indicators/APC packaging, OCE and NCCI edit handling, and defensible documentation-to-code linkage.
About the COC (Formerly CPC-H) Exam
COC (formerly CPC-H) is AAPC's hospital outpatient coding credential. It emphasizes facility coding decisions for OPPS/APC payment logic, ICD-10-CM diagnosis assignment, CPT/HCPCS reporting, and outpatient compliance controls.
Questions
100 scored questions
Time Limit
4 hours
Passing Score
70%
Exam Fee
$399 one attempt / $499 two attempts (AAPC)
COC (Formerly CPC-H) Exam Content Outline
Outpatient Diagnosis and Procedure Selection
First-listed diagnosis logic, ICD-10-CM conventions, CPT/HCPCS code selection, and modifier documentation support
OPPS, APC, and OCE Logic
Status indicators, APC packaging/composites, and structured OCE edit investigation workflow
Revenue Integrity and Charge Capture
CDM/revenue code alignment, charge reconciliation, and late-charge control design
Medical Necessity and Denial Root Cause
LCD/NCD alignment, evidence-based denial analysis, and appeal-ready documentation
Compliance and Audit Trail Management
NCCI checks, correction audit trails, observation/ED case integration, and defensible rebilling practices
How to Pass the COC (Formerly CPC-H) Exam
What You Need to Know
- Passing score: 70%
- Exam length: 100 questions
- Time limit: 4 hours
- Exam fee: $399 one attempt / $499 two 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
COC (Formerly CPC-H) Study Tips from Top Performers
Frequently Asked Questions
Is CPC-H still the active AAPC exam name?
AAPC now brands this credential as COC (Certified Outpatient Coder). Many employers and candidates still reference the legacy CPC-H name, so both terms are commonly used in job postings and study discussions.
What is the COC/CPC-H exam format?
AAPC's current format aligns to 100 questions in a 4-hour testing window with a 70% passing requirement for this certification track.
What makes COC different from CPC?
COC is hospital outpatient facility-focused, with stronger emphasis on OPPS/APC payment behavior, OCE edits, and facility claim construction. CPC is primarily physician/outpatient professional coding focused.
Which COC topics usually cause the most misses?
Common high-friction areas include status-indicator interpretation, APC packaging/composite logic, modifier use under NCCI rules, and medical-necessity support for denied outpatient services.
How should I prepare for COC in 2026?
Use case-based practice in blocks: 1) diagnosis + CPT/HCPCS assignment, 2) OPPS/APC/OCE validation, 3) denial root-cause writeups, and 4) final claim QA with documentation traceability.