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Assg Codingcasestudies 20171109 Ah102 1 b-1

The document discusses different medical coding systems and provides case studies to demonstrate when each would be used. ICD-CM codes are used to indicate diagnoses, CPT codes are used for outpatient procedures, ICD-10-PCS codes are used for inpatient procedures, and HCPCS codes are used for supplies. Case studies show that CPT codes would be used for an outpatient visit, HCPCS codes for rapid tests ordered during the visit, ICD-CM codes for reporting the diagnosis from test results, and ICD-10-PCS codes for an inpatient tonsillectomy procedure.

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0% found this document useful (0 votes)
29 views

Assg Codingcasestudies 20171109 Ah102 1 b-1

The document discusses different medical coding systems and provides case studies to demonstrate when each would be used. ICD-CM codes are used to indicate diagnoses, CPT codes are used for outpatient procedures, ICD-10-PCS codes are used for inpatient procedures, and HCPCS codes are used for supplies. Case studies show that CPT codes would be used for an outpatient visit, HCPCS codes for rapid tests ordered during the visit, ICD-CM codes for reporting the diagnosis from test results, and ICD-10-PCS codes for an inpatient tonsillectomy procedure.

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Coding Case Studies

Name: Brooklyne Gates

Date:

Define the Coding Systems


Write a short explanation in your own words of what is the difference between ICD-CM codes, CPT codes, and ICD-10-
PCS, and HCPCS.

1. ICD-CM: whats wrong (diagnosis)


2. CPT: current procedural terminology (outpatient procedure)
3. ICD-10-PCS: in patient procedures
4. HCPCS: health care common procedure coding systems (spplys)

Case Study 1
A patient presents at an outpatient urgent care facility with an acute illness and is seen by a provider. A detailed history
with physical examination is performed. What coding system is used in this scenario? CPT

Case Study 2
Upon review of the symptoms, the provider orders a rapid strep test and a rapid flu test. What coding system is used
in this scenario? HCPCS

Case Study 3
The results of the rapid strep test were negative, but the rapid flu test was positive for the influenza virus, type A. What
coding system is used in this scenario? ICD-CM

Case Study 4
A patient presents to the hospital for a tonsillectomy. What coding system would the hospital use to bill for this service?
ICD-10-PCs

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