top of page

COC EXAM

Certified Outpatient Coder (COC

EXAM FORMAT (150 multiple choice questions)   

  • Medical Terminology (10) 

  • Anatomy (10)

  • Coding Guidelines (5)

    • ICD-10-CM Official Guidelines for Coding and Reporting

    • CPT® coding guidelines and parenthetical notes

    • Modifier use

  • Payment Methodologies (20)

    • ​Services covered by Medicare Parts A, B, C, and D

    • Medicare as a secondary payer

    • Requirements for completion of UB04 claim form

    • Requirements for completion of CMS 1500 claim form

    • OPPS Payment Methodology

    • APCs

    • Revenue codes

    • Status Indicators

    • Payment Indicators

    • Condition codes

    • Calculation of proper payments (excerpts from Addendum B and Addendum AA are provided on the exam)

    • IPPS Payment Methodology

    • Elements needed to determine MS-DRGs

    • Code sets required for inpatient claims

    • Reimbursement for teaching hospital setting

    • Change masters

  • Compliance (5) 

    • NCDs/LCDs

    • HIPAA

    • ABNs

  • ICD-10-CM (30

    • ICD-10-CM Official Guidelines for Coding and Reporting

    • Diagnoses for all the chapters included in ICD-10-CM

    • Diagnosis questions will also appear in other sections of the exam from the CPT® categories

  • CPT® (20)

    • 20 questions

    • Evaluation and Management

    • Emergency Department

    • Outpatient Clinics

    • Observation

    • Critical Care

    • Surgery

    • Procedures approved for outpatient hospital facilities

    • Procedures approved for ASC facilities

    • Radiology

    • Diagnostic Radiology

    • Diagnostic Ultrasound

    • Radiologic Guidance

    • Mammography

    • Bone and Joint Studies

    • Radiation Oncology

    • Nuclear Medicine

    • Laboratory/Pathology

    • Organ and Disease Panels

    • Drug Testing

    • Therapeutic Drug Assays

    • Evocation/Supression Testing

    • Consultations

    • Urinalysis

    • Molecular Pathology

    • MAAA

    • Chemistry

    • Hematology and Coagulation

    • Immunology

    • Transfusions

    • Microbiology

    • Anatomic Pathology

    • Cytopathology

    • Cytogenetic Studies

    • Surgical Pathology

    • In vivo and Reproductive

    • Medicine

    • Immunizations

    • Psychiatry

    • Dialysis

    • Gastroenterology

    • Ophthalmology

    • Otorhinolaryngology

    • Cardiovascular

    • Noninvasive Vascular Studies

    • Pulmonary

    • Neurology

    • Central Nervous System Assessments

    • Hydration

    • Therapeutic and Diagnostic Administration

    • Chemotherapy Administration

    • Physical Medicine and Rehabilitation

    • Patient Education and Training

    • Non-Face-to-Face Nonphysician Services

    • Moderate Sedation

  • HCPCS Level II Coding (10) 

    • Modifiers

    • Supplies

    • Medications

    • Procedures performed on Medicare patients

  • HCPCS Level II Coding (40) 

    • Procedures approved for outpatient hospital facilities

    • Procedures approved for ASC facilities

bottom of page