If you code for a dermatology practice, the AAPC Certified Professional Coder in Dermatology (CPCD) is the specialty credential and the CPC is the broad one. Both put 100 questions in front of you across 240 minutes with a 70% pass mark, so the decision rests on scope, fee and where your career is heading, not on stamina.
Most coders weigh this choice for a practical reason: the voucher costs money and the study hours cost more. This guide sets the two exams side by side using AAPC's own pages and MedicoExam's records, then ends with a checklist you can answer honestly. If you already know you want the specialty, start with the CPCD practice test and come back to plan the weak areas.

Which should a dermatology coder sit first, the CPCD or the CPC?
It depends on how much coding you already do. AAPC presents the CPC as the foundation credential for outpatient and physician-service coding, and calls it "the best place to start your coding career." It presents the CPCD as a validation of advanced dermatology skill, and it names CPC-certified coders who want to specialize among the people the CPCD is for. If you are new to coding, that wording points you toward the CPC first. If you already code dermatology charts every day, the CPCD describes the work you do.