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Assg Codingcasestudies 20171109 Ah102 - 1

The document discusses different medical coding systems and provides case studies to demonstrate when each would be used. It defines ICD-CM codes as used for medical billing and diagnoses, CPT codes which include procedure codes ending in a letter, ICD-10-PCS codes made for large procedures with 7 characters, and HCPCS codes used for Medicaid starting with a letter. Case studies demonstrate CPT would be used for provider visits and tests ordered, ICD-10-CM for test results, and ICD-10-PCS for inpatient procedures like a tonsillectomy.

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35 views2 pages

Assg Codingcasestudies 20171109 Ah102 - 1

The document discusses different medical coding systems and provides case studies to demonstrate when each would be used. It defines ICD-CM codes as used for medical billing and diagnoses, CPT codes which include procedure codes ending in a letter, ICD-10-PCS codes made for large procedures with 7 characters, and HCPCS codes used for Medicaid starting with a letter. Case studies demonstrate CPT would be used for provider visits and tests ordered, ICD-10-CM for test results, and ICD-10-PCS for inpatient procedures like a tonsillectomy.

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Coding Case Studies

Name: Savannah Mohr

Date: 10/11/18

Course: AH102

Instructor: Dr. Ley

Time Spent: 30 min.

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: ICD-CM is used to pay medical bills and diagnoses.


2. CPT: CPT, current procedure coding system. CPT has 3 coding categories and it always ends with a letter.
3. ICD-10-PCS: Made for big procedures, 7 characters, alpha or numeric.
4. HCPCS: HCPCS, healthcare common procedures coding system, made for Medicaid, pregnant women, and
elders. Codes always start with a letter.

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?

For this scenario the coding system that would be used is CPT category 1.

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?
The coding system you would use for this scenario is CPT

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?
This scenario is 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?
Coding Case Studies
The coding system for this one is ICD-10-PCS.

Source: https://www.medicalbillingandcoding.org/qnas/what-are-the-different-types-of-medical-coding-classification-
systems/

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