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Certified Surgical Foot & Ankle Coder (CSFAC) Credential


The Certified Surgical Foot & Ankle Coder (CSFAC) exam was developed by AAPC in cooperation with the American Podiatric Medical Association (APMA) to provide a means for professional coders, podiatrists, orthopedists, and billing staff to demonstrate their expertise in coding medical services and surgical procedures performed on the foot and ankle.

The CSFAC examinee will be tested on:

  • The ability to read and abstract physician office notes and procedure notes then apply correct ICD-10-CM, CPT®, HCPCS Level II codes, as well as apply correct modifiers
  • Correct evaluation and management code usage using both 1995 and 1997 guidelines
  • Medicare billing rules and regulations, including, but not limited to incident to, consultations, NCCI edits, and global surgery
  • Coding of surgical procedures performed by foot and ankle specialists
  • Medical terminology
  • Anatomy and physiology of the lower extremity

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 a Surgical Foot and Ankle Steering Committee:

  • Harry Goldsmith, DPM
  • Richard Horsman, DPM
  • David Freedman, DPM, FASPS, CPC, CPMA
  • Joan Gilhooly, CPC
  • Leslie Johnson, CPC

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.

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:

  • 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.

Which certification is right for you?

Call 877-290-0440 or have a career counselor call you.

Questions about what books to order?

Call 877-524-5027 to speak with a specialist.