Coding Case Studies

Name: Tanesia Mas

Date: 3/22/2018

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: codes for diseases treatments and diagnosis

2. CPT: category one: procedure and contemporary medical practices category 2: clinical and laboratory Category
3: emerging technologies, procedures, and services
3. ICD-10-PCS: centered on Medicaid and Medicare
4. HCPCS: also for Medicaid and medicare

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 Coding

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?
ICD9 and 10

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 9 and 10

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

cpt
Coding Case Studies