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Assg Codingcasestudies 20171109 Ah102p

ICD-CM codes describe diagnoses and symptoms, CPT codes describe outpatient medical procedures and services, ICD-10-PCS codes describe inpatient medical procedures, and HCPCS codes describe medical supplies and equipment. The document then provides 4 case studies: [1] An outpatient visit would use CPT codes; [2] Ordering medical tests would use HCPCS codes; [3] Diagnosing influenza would use ICD-10-CM codes; [4] Performing an inpatient tonsillectomy would use ICD-10-PCS codes.

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22 views

Assg Codingcasestudies 20171109 Ah102p

ICD-CM codes describe diagnoses and symptoms, CPT codes describe outpatient medical procedures and services, ICD-10-PCS codes describe inpatient medical procedures, and HCPCS codes describe medical supplies and equipment. The document then provides 4 case studies: [1] An outpatient visit would use CPT codes; [2] Ordering medical tests would use HCPCS codes; [3] Diagnosing influenza would use ICD-10-CM codes; [4] Performing an inpatient tonsillectomy would use ICD-10-PCS codes.

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Coding Case Studies

Name: Preslee Presson

Date: July 23, 2018

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: What is wrong with the patient


2. CPT: Current Procedure Terminology (Out Patients)
3. ICD-10-PCS: In Patients (Procedures)
4. HCPCS: National Codes (what tools are being used)

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 code

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-10-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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