CPC vs. CPC-A: Understanding the Difference

Learn the crucial differences between CPC and CPC-A certifications and how they impact your coding journey.

You studied for months, sat for the exam, and passed. Then your certificate shows up with an extra letter on it: CPC-A. If you're wondering what that "A" means, whether it will hurt your job search, and how to get rid of it, you're in the right place.

What is the CPC® credential?

The Certified Professional Coder (CPC®) credential from AAPC shows that you know how to code physician and outpatient services using CPT®, ICD-10-CM and HCPCS Level II. It's one of the most recognized credentials for professional fee coding, and it's the one most new coders start with.

What does the "A" in CPC-A mean?

The "A" stands for apprentice. Everyone takes the same CPC exam. If you pass but don't yet have enough documented coding experience or education, AAPC awards the credential with the apprentice designation, so it reads CPC-A.

In other words, a CPC-A passed the exact same exam as a CPC. The only difference is verified, real-world experience. You know the material; you just haven't had the chance to prove it on the job yet.

CPC vs. CPC-A at a glance

Same exam: Both passed the same CPC exam.
Same knowledge base: Both are expected to know the same code sets and guidelines.
Different experience: A CPC has met AAPC's experience or education requirements. A CPC-A hasn't submitted proof of them yet.
Temporary: AAPC describes the apprentice designation as a temporary step. Once you meet the requirements, you apply to have the "A" removed. You don't retake the exam.

Does CPC-A hurt your job search?

Honestly, it can make the first job a little harder to land. Many coding job postings ask for one to two years of experience, and some specifically say "no apprentices." That's frustrating, but it's not a dead end.

Plenty of employers hire CPC-As, especially for entry-level and coding-adjacent roles. Look for postings that say things like "CPC-A welcome," "new graduates welcome" or "entry level." Roles like charge entry, billing, claims follow-up and coding support can also get your foot in the door and help you build the experience you need.

How to remove the apprentice designation

As of this writing, AAPC offers three main paths to remove the "A." Always check AAPC's apprentice removal page for the current requirements before you apply, because they can change.

Option 1: Two years of coding experience

Document at least two years of on-the-job experience using CPT®, ICD-10-CM or HCPCS Level II codes. Experience from before and after you earned your credential can both count.

Option 2: One year of experience plus education

Document at least one year of on-the-job coding experience, plus either an 80-contact-hour coding course or AAPC's Practicode program (a minimum number of practice cases completed with a passing overall score).

Option 3: Education only

Complete both Practicode and an 80-contact-hour coding course. This path doesn't require any work experience.

Tips to make the process easier

Keep records from day one. Write down your start date, your supervisor's name and the code sets you use. It's much easier than tracking it down later.
Know what the letter needs. AAPC asks for employment verification on company letterhead, signed and dated by an employer, supervisor or HR, with your coding duties and dates of employment.
Save your course paperwork. If you're using education hours, keep your certificate, transcript or instructor letter showing contact hours. Note that contact hours aren't the same as CEUs.
Apply as soon as you qualify. Submit everything through AAPC's apprentice removal application. AAPC says most applications are processed within a few weeks.

Should you list CPC-A on your resume?

Yes. List your credential exactly as it's issued, CPC-A, and be proud of it. Then use the rest of your resume to show what you can do: the specialties you've practiced, the code sets you know, any encoder or EHR experience, and coding-related work like billing or charge entry. Once the "A" is removed, update your resume and LinkedIn right away.

The bottom line

CPC-A isn't a lesser credential. It means you passed a tough exam and you're at the start of your coding career. Focus on getting relevant experience, keep good records, and that "A" will be gone before you know it.

Requirements described here are based on AAPC's published apprentice removal information at the time of writing. Contempo Coding is not affiliated with AAPC. Check AAPC's website for the most current details.