Taking the CRC® exam

Take the CRC exam and become a Certified Risk Adjustment Coder.

The CRC examination consists of questions regarding the correct application of ICD-10-CM diagnosis codes used for risk adjustment coding. Scroll down to view specifics of what is covered on the exam.  

Who should take the CRC exam?

You should take the CRC exam if you have a high-level knowledge of medical terminology, anatomy, and pathophysiology, along with an understanding of the proper application of ICD-10-CM diagnosis codes used for risk adjustment coding. The CRC exam is a difficult, high-level exam and not intended for individuals lacking CRC training or equivalent experience working with risk adjustment models.

Passing the CRC exam elevates your earning potential. CRCs play a valuable role in physician practices and are often tasked with educating physicians on proper documentation and coding. Because CRCs have a direct and significant impact on revenue, they are well compensated.

What to expect on exam day

The exam has a total of 100 questions with a minimum of 70 to be answered in four hours. People often wonder if the CRC exam is hard. If you have taken the training course, studied, and are familiar with your ICD-10-CM code book, the test will be demanding, but not difficult. 

Here's a quick overview of what you can expect: 

Before you begin the test, take a moment, and breathe. You have prepared for this. You have your code book by your side, and you know how to use it. This is your opportunity to demonstrate your coding expertise. 

You'll have four hours to finish the exam, giving you approximately 2.4 minutes to answer each of the 100 multiple-choice questions. You can save time by reading the answer choices before reading each question and by saving the more difficult questions for last. It’s important to answer every question, even if you aren’t sure. Your best guess is better than no answer at all. 

The questions assess several areas of knowledge, most of which are presented as coding scenarios to test application of ICD-10-CM diagnosis codes used for risk adjustment coding. The end of the exam has 10 cases that test the ability to read and accurately code diagnoses on a medical record. 

You will be able to reference an approved medical code book during the exam — your choice of ICD-10-CM, published in the current year. To be clear, this is the only code book you are allowed to use. 

For in-person exams

When you register for the exam, you will be given detailed instructions on where the test will be taken, what time you should arrive, and what you need to bring. 

You should arrive at your exam location 30 minutes early. Be sure to bring all necessary items (photo ID, #2 pencils, an eraser, code book, etc.) and listen carefully as the proctor provides instructions. You will then have the chance to ask any questions. If you are confused or concerned about anything, it’s important to clarify. After all, someone else might be wondering the same thing. 

Location: Local chapter or licensed instructor site 
Exam format: 100 multiple-choice questions  
Time allowed: 4 hours 
Proctor to examinee ratio: 1 to 25 
Cancellation fee: Must be canceled 21 days prior exam date, service charge of $100 
Reschedule fee: Must be rescheduled 21 days prior exam date, service charge of $100 
No show fee: $100 

Schedule now

For electronic exams

Our electronic exam is a four-hour live, remote-proctored* examination completed in one sitting and proctored by Examity). After purchasing or transferring your current exam voucher, you’ll receive a Notice to Schedule from our partner, Meazure Learning (formerly Scantron), and will be able to schedule your exam for a date and time convenient to you. 

On the day of the exam, you will log into your Meazure Learning account, then connect with your Examity proctor to complete a security check and take your exam. Your results will be posted within 7-10 business days from the date you complete your exam. 

*Electronic exams taken outside of the US will be proctored at a local Testing Center. Please refer to the Test Center FAQs or ask your Career Counselor for more information.

Equipment required: Reliable internet connection and an external webcam that can be positioned to show your face, hands, keyboard, and the area around the keyboard (about 10 inches) 
Location: At home in a quiet, private location 
Exam format: 100 multiple-choice questions delivered in one sitting 
Time allowed: 4 hours 
Proctor to examinee ratio: 1 to 2 
Cancellation fee: No fee charged if canceled 24 hours in advance 
Reschedule fee: No fee charged if rescheduled 24 hours in advance 
No show fee: If you do not show up to your scheduled exam OR you do not meet the requirements to take the exam, your exam voucher will be canceled, and you will need to purchase a new voucher in order to take the exam. 

 Schedule now

Passing grades

An overall score of 70% or higher is required to pass the certification exam. For a passing score of 70%, you must get at least 70 questions correct. If you incorrectly answer more than 30 questions, you will not pass. If you don’t pass, you will be notified of the categories/areas of study with sub-scores of 65% or less to help you prepare for retesting. 

All AAPC certification exams exclusively measure proficiencies relating to the one credential named in the exam. To earn additional medical coding credentials, you will be required to pass additional certification exams. 

Your results will be shared with you online in your My AAPC Account Dashboard under My Exams. You can expect the results within 7-10 business days after taking the exam. Once you have passed, your certificate will be sent to you in the mail. 

Materials allowed on the day of the exam

Approved code books

Note: Code sets are updated annually, so it’s essential to use the current calendar year's code books when taking the CRC certification exam. 

Any officially published updates (errata) for the above code books may also be used. 


Manual calculators are allowed on all exams (no smartphones, tablets, or smart watches). For electronic exams, an online calculator will be included for use during the exam.

Book notes

Handwritten notes are acceptable in the code books only if they pertain to daily coding activities. Long passages of information are not permitted on the blank pages. Questions from the study guides, practice exams, or the exam itself are prohibited. Altering, whiting out, painting, or printing over any pages within the code books (e.g., marketing pages, table of contents, reference pages, etc.) to supplement information is prohibited.

Book tabs

Tabs may be inserted, taped, pasted, glued, or stapled in the code books so long as the obvious intent of the tab is to earmark a page with words or numbers, not supplement information in the book.

NOTE: Electronic devices with an on/off switch (phones, tablets, etc.) are not allowed into the examination room. Failure to comply with this policy may result in disqualification of your exam.

Breakdown of the 100-question CRC exam

Passing the CRC exam requires you to correctly answer a minimum of 70 questions from the domains below. The exam will rely on a level of understanding that enables you to identify the domain. 

  •  Compliance (15 questions) 
    These questions will assess your knowledge of the process for prospective audits, for RADV audits, and for retrospective audits, and your ability to identify common coding errors identified in RADV audits. 

  • Diagnosis coding (30 questions) 
    These questions will assess your ability to apply Coding Clinic guidance to coding scenarios, and identify common coding errors in risk adjustment as well as the diagnosis codes that risk adjust. Additionally, you must demonstrate the ability to properly code: 

    • Amputations 

    • Artificial openings 

    • Atherosclerosis 

    • AV fistulas 

    • CHF 

    • CKD 

    • Complications of devices 

    • COPD 

    • CVA/Stroke 

    • Dementia 

    • Depression 

    • DVT 

    • Hypertension 

    • Malnutrition 

    • Manifestations of diseases (e.g., DM, stroke, COPD) 

    • Mental disorders 

    • Neoplasms 

    • Pneumonia 

    • Pressure ulcers 

    • Pulmonary embolism 

    • Pulmonary fibrosis 

    • Seizures 

    • Skin ulcers 

  • Documentation improvement (12 questions) 
    This section will test your knowledge on communicating documentation discrepancies with providers and your ability to identify documentation discrepancies. 

  • Pathophysiology/medical terminology/anatomy (5 questions) 
    This section will assess your ability to identify common acronyms for industry and medical terminology, and identify anatomic structures, locations, and functions. You also will be asked to define common medical terms and explain disease processes and interactions for common chronic conditions. 

  • Purpose and use of risk adjustment models (10 questions) 
    This section will ask that you explain the use of data mining and predictive modeling from data captured through risk adjustment coding. You must also demonstrate the ability to apply trumping in the risk adjustment hierarchy. 

  • Quality of care (3 questions) 
    This area will test your ability to explain the purpose of HEDIS and STAR ratings, as well as their alignment with risk adjustment. 

  • Risk adjustment models (15 questions) 
    This section will assess your ability to apply the ACA, CDPS, HCC, and private payer risk adjustment models. You also will be asked to list the elements needed to determine the risk adjustment score.  

  • Cases (10 cases):  

    Each case will test your ability to accurately code diagnoses based on medical record documentation and to report diagnoses that risk adjust.  

Ready to schedule your CRC Exam?