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    The document discusses different medical coding systems and provides case studies to demonstrate when each would be used. CPT codes are used for outpatient medical office visits and procedures. ICD-CM codes are used for diagnoses. ICD-10-PCS codes are used for inpatient procedures in hospitals. The case studies show that CPT codes are used for outpatient provider visits and rapid tests, ICD-CM codes are used for diagnoses, and ICD-10-PCS codes are used for inpatient hospital procedures like a tonsillectomy.

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    The document discusses different medical coding systems and provides case studies to demonstrate when each would be used. CPT codes are used for outpatient medical office visits and procedures. ICD-CM codes are used for diagnoses. ICD-10-PCS codes are used for inpatient procedures in hospitals. The case studies show that CPT codes are used for outpatient provider visits and rapid tests, ICD-CM codes are used for diagnoses, and ICD-10-PCS codes are used for inpatient hospital procedures like a tonsillectomy.

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    16 views1 page

    Coding 1

    Uploaded by

    api-415589660
    The document discusses different medical coding systems and provides case studies to demonstrate when each would be used. CPT codes are used for outpatient medical office visits and procedures. ICD-CM codes are used for diagnoses. ICD-10-PCS codes are used for inpatient procedures in hospitals. The case studies show that CPT codes are used for outpatient provider visits and rapid tests, ICD-CM codes are used for diagnoses, and ICD-10-PCS codes are used for inpatient hospital procedures like a tonsillectomy.

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    Coding Case Studies

    Name: Yvonna Francis

    Date: June 18, 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: Only for diagnosis coding


    2. CPT: is used for medical office also including office visits
    3. ICD-10-PCS: inpatients that are having procures done in the hospitals
    4. HCPCS: Patients that have Medicaid and Medicare that are having procedures done.

    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 The patient is coming in
    to be seen.

    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? CPT Because the procedure is done in the office.

    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 Because the patients were diagnosed with the influenza virus.

    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 Because it was an inpatient that is going to have a procedure done in the hospital.

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