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Certified ASC Coder (CASCC) Credential


The Ambulatory Surgery Center Coder exam was developed by a team of leading ASC coding professionals. Those coders with sufficient experience and expertise in ASC coding are encouraged to sit for the CASCC exam.

The CASCC examinee will be tested on:

  • Ability to read and dissect operative notes to apply correct ICD-10-CM, CPT®, HCPCS Level II and modifier coding assignment
  • Types of surgery that are allowed to be performed at an ASC
  • Coding of ancillary procedure codes that can be assigned in addition to the surgical procedures as well as drugs and biologicals
  • Rules for reimbursement of services provided at ASCs (multiple, device-intensive and/or discontinued procedures)
  • Regulatory rules established under federal and/or state standard committees
  • Medical terminology
  • Anatomy and physiology

Specialty Exams

  • 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
  • $300
  • Open code book (manuals)

Reviewed by an Ambulatory Surgery Steering Committee:

  • Michael Miscoe, JD, CPC, CASCC, CUC, CHCC, CRA
  • Susan M. Howe, CASCC, RHIT, CCS
  • Reacal Martin, CPC, CASCC
  • Donna SanGiovanni, CPC, CASCC
  • Melinda M. Taylor, COC, CASCC

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-10-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 Healthcare Business Monthly within three months of their examination date and will receive a diploma suitable for framing.

Approved Manuals for Use During Examination

Required References:

  • CPT® Books (AMA standard or professional edition ONLY). No other publisher is allowed.
  • Your choice of ICD-10-CM (Exams will test ICD-10 effective January 1, 2016).
  • Your choice of HCPCS Level II.

Optional 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-10-CM Easy Coder


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.