COC Certified Outpatient Coder Exam Study Guide 2026-2027
COC Certified Outpatient Coder Exam Study Guide 2026-2027
Comprehensive Review, Practice Questions, and Detailed Answer Explanations Aligned with AAPC Certification
By Capra Academy · Published June 23, 2026 · 220 pages
About This Book
Comprehensive preparation for the AAPC Certified Outpatient Coder (COC) examination. Covers outpatient hospital facility coding, ICD-10-CM, CPT, HCPCS Level II, payment methodologies, compliance, and medical record case coding.
What’s Inside
- Outpatient Hospital Facility Coding
- ICD-10-CM Diagnosis Coding
- CPT and HCPCS Level II
- Payment Methodologies (OPPS)
- Medical Record Case Coding
- Practice Questions with Rationales
Frequently Asked Questions
What is the COC exam?
The Certified Outpatient Coder (COC) exam is administered by AAPC. It validates expertise in coding for outpatient hospital and facility services, including ambulatory surgical centers.
How many questions are on the COC exam?
The COC exam has 100 multiple-choice questions (including 10 medical record cases) with a 4-hour time limit. The passing score is 70% (70 correct answers minimum).
How much does the COC exam cost?
One exam attempt costs $425. A two-attempt package is available for $499. AAPC membership is required to maintain the credential.
What code books can I use on the COC exam?
You may use the CPT Professional Edition (AMA), ICD-10-CM (any publisher), and HCPCS Level II (any publisher). Both printed books and eBooks are allowed. Handwritten notes in print books are permitted if they relate to daily coding activities.