Coding Case Studies

Name: Cierra Patillo

Date: 9/25/2018

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: giving a diagnosis of the patients illness

2. CPT: outpatient at hospital/ physician office service
3. ICD-10-PCS: hospital inpatient service
4. HCPCS: outpatient at hospital/ physician office service

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?

ICD-CM 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?
CPT/HCPCS Code

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-PCS Code

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

HCPCS Code