Certified Chiropractic Professional Coder (CCPC) Credential


The Certified Chiropractic Professional Coder exam was developed by a team of leading chiro coding professionals. Those coders with sufficient experience and expertise in chiropractic coding are encouraged to sit for the CCPC exam.

The CCPC examinee will be tested on:

  • Ability to accurately assess the type and level of Evaluation and Management Service and proper use of modifier 25.
  • Ability to read and extract relevant information from treatment plans and daily notations to determine how to appropriately code services performed and supplies provided using CPT and HCPCS, the patient’s diagnoses using ICD-10, and supplies
  • Ability to apply provided medical policy standards in making coding decisions.
  • Ability to differentiate modalities and procedures based on descriptions of services provided
  • Ability to apply AMA and CMS rules pertaining to time-based services
  • Ability to apply provided CMS bundling relationships and ability to determine the appropriate use of modifier 59.
  • Ability to differentiate between various types of manipulative procedures under AMA standards
  • Ability to code radiologic, neurologic, and musculoskeletal diagnostic procedures
  • 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
  • $325
  • Open code book (manuals)

Reviewed by a Chiropractic Steering Committee:

  • Michael Miscoe, JD, CPC, CASCC, CUC, CCPC – Chair
  • Greg Lonscak, DC, CCPC
  • Michael Massey, DC, CPC, CCPC
  • Denise L. Laudenberger, CPC, CCPC
  • Chris Emerman, CPC, CCPC

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.
  • Your choice of HCPCS Level II.

Highly Recommended References:

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:

  • Any Procedural Coding Expert
  • Any Procedural Professional
  • CPT® Plus! - PMIC
  • CPT® Insider's View - AMA
  • ICD-10-CM Easy Coder
  • Study Guides


Each examination is separate and distinct from one another. To obtain all certifications, each examination must be taken separately and passed.

An overall score of 70% or higher is required to pass an exam. For examinees who do not pass, only the areas of study/categories with a score of 65% or less are provided for examinees’ preparation.

The areas of study reported reflect scores based on the number of questions in each category/section of the exam; each of the category/section may vary in the number of questions asked.

Continuing Education Unit (CEU) submissions are required for all certifications. For CEU requirements please see our CEU Information page.