Welcome to the official MedicoExam syllabus guide for the AAPC Certified Ambulatory Surgery Center Coder certification. This page delivers a clear, structured overview of the AAPC CASCC exam, including key exam details, syllabus topics, and preparation references to support effective study planning. The AAPC Certified Ambulatory Surgery Center Coder (CASCC) is intended for professionals pursuing roles aligned with Specialty Coding + Medical coding, with assessment centered on applied competencies such as ASC operative report coding, CPT®/ICD-10-CM/HCPCS Level II code assignment, ASC reimbursement and compliance reasoning within real-world settings like Ambulatory surgery centers, hospital outpatient departments, multispecialty surgical practices and related settings.
The syllabus outline below reflects the core domains and expectations defined by the official AAPC certification framework and aligns with the cognitive and professional standards assessed in the AAPC CASCC exam. Candidates can use this guide alongside official vendor resources and structured practice to align their preparation with current exam standards and professional expectations for Medical coders, ASC coders, outpatient surgical coding professionals and related roles
AAPC CASCC Exam Summary and Key Details
| Exam Name | AAPC Certified Ambulatory Surgery Center Coder |
| Credential | AAPC Certified Ambulatory Surgery Center Coder (CASCC) |
| Vendor | American Academy of Professional Coders (AAPC) |
| Exam Code | CASCC » AAPC CASCC Certification Practice Exam |
| Exam Delivery Mode | Testing center or online proctored exam |
| Exam Duration | 240 mins |
| Number of Questions | 100 |
| Passing Score | 70% |
| Exam Price |
$325 for one attempt $399 for two exam attempts |
| Scheduling Window | Scheduling availability depends on exam purchase status and testing center or online proctoring appointment availability |
| Schedule Exam | AAPC |
| Trainings/Resources | Certified Ambulatory Surgery Center Coder (CASCC) Online Training Course |
| Sample Questions | AAPC CASCC Exam Sample Questions |
| Recommended Practice | AAPC CASCC Certification Practice Exam |
AAPC CASCC Exam Syllabus Topics and Weighting
| Topic Areas | Topic Details, Courses, Books |
|---|---|
| Core knowledge areas |
- ICD-10-CM diagnosis coding for conditions treated in outpatient surgical settings - CPT® and HCPCS Level II coding for ASC procedures across multiple specialties - Proper use of modifiers, payer-specific rules, and ASC compliance regulations |
| Outpatient surgical specialties |
- Orthopedic procedures including arthroscopy, fracture repair, and joint procedures - Ophthalmologic surgeries such as cataract removal and retinal procedures - Gastroenterology procedures including colonoscopy, endoscopy, and polyp removal - Pain management procedures, urology surgeries, and other ASC-based interventions |
| ASC-specific reporting and billing |
- Facility reporting requirements unique to ASCs - Knowledge of revenue codes, Ambulatory Payment Classifications (APCs), and ASC payment systems - Bundling rules, global periods, and documentation guidelines for outpatient surgery |
| Compliance and regulatory standards |
- Payer and CMS guidelines for ASC coding and billing - Avoidance of common coding errors in outpatient surgical documentation - Ensuring compliance to minimize audits and denials |
The AAPC CASCC certification exam is designed to assess both theoretical knowledge and applied professional judgment in Specialty Coding + Medical coding. The exam evaluates competencies such as ASC operative report coding, CPT®/ICD-10-CM/HCPCS Level II code assignment, ASC reimbursement and compliance reasoning, ensuring candidates are prepared for real-world responsibilities as Medical coders, ASC coders, outpatient surgical coding professionals and related roles working in settings such as Ambulatory surgery centers, hospital outpatient departments, multispecialty surgical practices and related settings.
To prepare effectively for the AAPC Certified Ambulatory Surgery Center Coder exam, candidates are encouraged to review official vendor materials, complete structured practice assessments, and gain hands-on experience relevant to their professional role.
