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    The document discusses different medical coding systems and provides case studies to demonstrate when each would be used. ICD-CM codes are used by providers to classify diagnoses. CPT codes describe medical services and procedures. ICD-10-PCS tracks various health interventions. HCPCS reports medical procedures and services. The case studies show that CPT codes would be used for outpatient visits and tests ordered, ICD-CM codes for diagnostic test results, and ICD-10-PCS for inpatient surgical procedures.

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    The document discusses different medical coding systems and provides case studies to demonstrate when each would be used. ICD-CM codes are used by providers to classify diagnoses. CPT codes describe medical services and procedures. ICD-10-PCS tracks various health interventions. HCPCS reports medical procedures and services. The case studies show that CPT codes would be used for outpatient visits and tests ordered, ICD-CM codes for diagnostic test results, and ICD-10-PCS for inpatient surgical procedures.

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    27 views1 page

    Assg Codingcasestudies 20171109 Ah102 M

    Uploaded by

    api-415328665
    The document discusses different medical coding systems and provides case studies to demonstrate when each would be used. ICD-CM codes are used by providers to classify diagnoses. CPT codes describe medical services and procedures. ICD-10-PCS tracks various health interventions. HCPCS reports medical procedures and services. The case studies show that CPT codes would be used for outpatient visits and tests ordered, ICD-CM codes for diagnostic test results, and ICD-10-PCS for inpatient surgical procedures.

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    Coding Case Studies

    Name: Maria Jose Ochoa

    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: is used by physician’s and other healthcare providers to classify and code all diagnosis
    2. CPT: codes that describe medical surgical and diagnostic services
    3. ICD-10-PCS: U.S cataloging system for procedural codes that track various health interventions
    4. HCPCS: reporting medical procedures and services

    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?

    The coding system scenario is 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?
    The coding system 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?
    The coding system 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?

    The coding system scenario ICD- 10- PCS

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