Certified Pediatrics Coder (CPEDC™) Credential
The Certified Pediatric Coder exam was developed by a team of leading pediatric coders and in conjunction with the American Academy of
Pediatrics (AAP), which endorses both the CPEDC™ credential and the CPEDC™ practicum
Those coders with sufficient experience and expertise in pediatric coding are encouraged to sit for the CPEDC™ exam.
The CPEDC™ examinee will be tested on:
- Ability to read and abstract physician office notes and operative notes to apply correct ICD-9-CM, CPT®, HCPCS Level II and modifier coding assignments
- Centers for Medicare and Medicaid Services Evaluation and Management Documentation Guidelines (both the 1995 and 1997 versions)
- Rules and regulations of Medicare billing including (but not limited to) incident to, teaching situations, shared visits, consultations and global periods
- Coding of ancillary procedures performed in a pediatric practice such as venipuncture, injections, vaccinations, vision testing, etc.
- Coding of surgical procedures performed by pediatricians such as lesion excisions, foreign body removal, fracture care, etc.
- Medical terminology
- Anatomy and physiology
Locate/Schedule an Exam
Prepare for Exam
- 150 multiple choice questions (proctored)
- 5 hours and 40 minutes to finish the exam
- 1 free retake to be used within one year of first attempt
- Open code book (manuals)
Reviewed by a Pediatric Steering Committee:
- Jackie Stack, CPC, CPC-I, CEMC, CFPC, CIMC, CPEDC
- Cassandra Endres, CPC, CEMC, CPEDC
- Becky Dolan, CPC, CPEDC
- Teri Salus, CPC, CPEDC
- Dr. Jamie Calabrese, CPC, CPEDC
- Rhonda Buckholtz, CPC, CPC-I, CENTC, CGSC, COBGC, CPEDC, CPMA
- Diana Yates, CPC, CPC-H, CPC-I, CPEDC
Specialty exams aptly measure preparedness for “real-world” coding by being operative/patient-note based. In addition to questions regarding the correct application
of ICD-9-CM, CPT®, HCPCS Level II and modifier coding assignments, examinees will also be tested on specialty-specific coding and regulations.
- Must schedule examination four weeks in advance
- Must have current AAPC membership
- While there is no requirement, we strongly recommend that the candidate has at least two years of experience in the specialty. Please be aware that these are
difficult, high-level examinations not meant for individuals with little, limited or no coding experience
Examinees that pass a Specialty certification examination will receive recognition in the Cutting Edge within three months of their examination date and will receive a
diploma suitable for framing.
Approved Manuals for Use During Examination
- CPT® Books (AMA standard or professional edition ONLY). No other publisher is
- Your choice of ICD-9-CM
- Your choice of HCPCS Level II
Highly Recommended References:
- One reference of your choice
Electronic devices with an on/off switch (cell phones, smart phones, tablets, etc.) are not allowed into the examination room. Failure to comply with this policy may result in
disqualification of your exam.
Any officially published errata for these manuals may also be used. No other manuals are allowed. Each code set is updated annually; it is essential that examinees use the
current calendar year's coding manuals when taking the certification exam.
Non-Approved Manuals for Use During Examination
Due to the advantages of additional information and/or ease of use, the following references cannot be used during the exam:
- Current Procedural Coding Expert® - Ingenix
- Procedural Coding Professional - Contexo
- Procedural Coding Professional - AAPC
- Procedural Coding Expert - Contexo
- Procedural Coding Expert - AAPC
- CPT® Insider's View - AMA
- CPT® Plus! - PMIC
- Coders' Choice CPT® - PMIC
- ICD-9-CM Easy Coder - Unicor
Each examination is separate and distinct from one another. To obtain all certifications, each examination must be taken separately and passed. Continuing Education Unit (CEU)
submissions are required for all certifications. For CEU requirements please see our CEU Information page.