ICD-10-PCS Code Lookup

The Centers for Medicare & Medicaid Services (CMS), the agency responsible for maintaining the inpatient procedure code set in the US, contracted with 3M Health Information Systems in 1993 to design and develop a procedural classification system that would replace Volume 3 of ICD-9-CM. ICD-10 Procedure Coding System (ICD-10-PCS) was released in 1998, with PCS codes and guidelines updated every year.

Inpatient medical coders and billers rely on the ICD-10-PCS, which is distinct from ICD-10-CM. ICD-10-PCS is also distinct from CPT® — the other procedural code set used to report services and procedures in outpatient healthcare settings. Among its challenges, facility coders need working knowledge of anatomy and medical terminology — and access to lay terms written in everyday language — to code in ICD-10-PCS.

Codify by AAPC is an inpatient online coding platform developed by expert ICD-10-PCS coding analysts and trainers to be efficient and intuitive. With Codify, you can view DRGs that differ based solely on patient condition, alerting nurses to significant complications or comorbidities (MCCs or CCs) that qualify for higher DRGs and more pay. For ICD-10-PCS, you get helpers like guidelines at the code level and color-coded character definitions to spot family differences. And with everything at your fingertips, you can search from CPT® to ICD-10-PCS to DRG, or the reverse!

Match codes and more to ensure you’ve captured all required information on your claims with features that include:

  • Code lookup using codes, keywords, and abbreviations like DM and CABG
  • ICD-10-PCS pages with simple icons, character definitions, official guidelines, and crosswalks
  • DRG pages with MS-DRG range, official descriptor, related DRGs, and MDC cross reference
  • DRG codes plus ICD-10-PCS, ICD-10-CM, CPT®, and HCPCS
  • ICD-10-PCS tables showing complete character options
  • Separate fields to track principal, secondary, and admitting diagnoses

Subscribe to Codify and get the code details in a flash.

PCS Tables

December 31, 1969
Limit this code to administration of the PfizerBioNTech vaccine. On May 17 2022 the U.S. Food and Drug Administration FDA amended the emergency use authorization EUA for the PfizerBioNTech COVID19 vac... [ Read More ]
December 31, 1969
But many of the changes to the Medicare Claims Processing System are retroactive. A quarterly update to the Medicare Physician Fee Schedule Database MPFSDB requires Medicare Administrative Contractors... [ Read More ]
December 31, 1969
Legal actions continue concerning the NSAs independent dispute resolution process. The second interim final rule IFR related to the No Surprises Act NSA legislation that regulates surprise billing in... [ Read More ]
December 31, 1969
Adverse side effects make the Janssen vaccine an option of last resort. Emergency use authorization guidelines for Johnson 38 Johnsons COVID19 vaccine labeled as Janssen and reported with CPT code 913... [ Read More ]
December 31, 1969
Recipients still have time to report Provider Relief Fund payments if they can prove extenuating circumstances. The deadline for requesting lateProvider Relief Fund PRF reporting for Period 1 has pass... [ Read More ]
Hi I need some help here in regards to c/section with uterine extension is there anything I can bill in addition to the primary c-section code 59510 or is it bundled? see below The uterus was closed... [ Read More ]
This was performed in an ASC but I am billing for the physician. Would modifier 52 be appropriate here? Thanks. POSTOPERATIVE DIAGNOSES: 1. Fertile male. 2. Morbid obesity. PROCEDURE PERFORMED: Attem... [ Read More ]
Procedures​ Coronary angiographyPercutaneous coronary intervention Pre Procedure Diagnosis​ STEMI Post Procedure Diagnosis​ STEMI Indications​ STEMI (ST elevation myocardia... [ Read More ]
Can anyone offer any resources to help with claim denials due to no auth/referral on file? I know it varies from payer to payer. Also, is there anyone with experience involving Anthem Blue Cross rega... [ Read More ]
Can a provider apply a no-show fee to a patient who is a resident of a nursing home?... [ Read More ]
Description of Procedure:.....A transverse incision was made overlying the distal interphalangeal joint. Subcutaneous tissues were divided. The joint was identified and a white granular appearing tiss... [ Read More ]
We have a post transplant patient who had a colonoscopy in 2016. We used Z12.11 and Medicare paid. Patient did not have any other dx findings on report. Our transplant patients need to have routine co... [ Read More ]
I have a physician that came into the operating room and placed trocars for another doctor and then left. Is this billable? I cannot find a CPT code for this at all.... [ Read More ]
Passed my CPC exam and got my CPC-A certification. Looking for some entry level job/ internship. Ready to work ASAP. Willing to work remotely. Created my Linkedin profile. Please help how to contact ... [ Read More ]
I just wanted to get recommendations everyone would have to someone who would like to get back into coding full time. 8 years ago, the practice I work in restructured positions and outsourced the bill... [ Read More ]