Certified Coder in



With the Special Coder Institute, all credential exams are fill-in-the-blank.  SCI does not utilize the multiple-choice format as real-world coding is not multiple choice.  With the fill-in-the-blank CCANES™ examination, those who have earned the credential with the minimum passing score of 90% have shown they are experts in the field of anesthesia.

The Certified Coder in Anesthesia™ examinee will be tested on:

Selection of correct CPT® and ICD-10-CM codes for surgical cases

Cross walking CPT code selection to the correct ASA code

Correct use of anesthesia modifiers

Calculating time units and total units for anesthesia cases

Rules for incident-to, teaching scenarios, and global surgery package

National Correct Coding Initiative

Medical terminology


Exam Information

100 fill-in-the-blank codes with multiple case studies

3 hours and 0 minutes time permitted


90% or higher score required for exam passing

Exam Requirement

An examinee must hold current SCI membership.

Exam Approved References

CPT® book (only AMA Standard or Professional is permitted.  Professional recommended.)

ICD-10-CM (any publisher)

HCPCS (any publisher)

One additional reference per the examinee's choosing.

NOTE: Procedural Coding Expert and Procedure Desk Reference books are permitted for SCI exams.

Available Education

The Specialty Coder Institute has created an 8 hour, on-demand, high quality education class to prepare for the exam.  Tuition includes textbook.  CPT, ICD-10-CM, and HCPCS books are not provided.  Class education includes pre-recorded classroom video, PowerPoint video, practice case studies.

Credential Requirements

Once a member earns their CCANES™ credential, CEUs (continuing education units) are required to maintain membership.  For CEU information, visit SCI's CEU page.

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CCANES class w/ shipping