Coding Case Studies

Name: Susana Empedrado

Date: 01/29/2018

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: International classification of disease

2. CPT: procedure
3. ICD-10-PCS: disease
4. HCPCS: Healthcare Common Procedure Coding System

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?

On this case, its code: 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?

On this case, its code: 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?

On this case, its code: ICD-10-PCS

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

On this case, its code ICD-CM