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

January 08, 2021
Several changes have been recently made to the ICD-10-CM Official Guidelines for Coding and Reporting for fiscal year (FY) 2021. The guidelines changes affect code assignment for conditions and sympto... [ Read More ]
September 01, 2020
Prepare for the impending transition to ICD-11. The post Rules Are Changing: The Impending Transition to ICD-11 appeared first on AAPC Knowledge Center. ... [ Read More ]
July 31, 2020
Develop a plan to transition to and implement ICD-11. The post ICD’s Continued Evolution and Impending Transition to ICD-11: Part 2 appeared first on AAPC Knowledge Center. ... [ Read More ]
July 07, 2020
Uninsured patients don't have to be the downfall of your practice during the COVID-19 pandemic. The post Get Paid for COVID-19 Testing/Treatment of Uninsured appeared first on AAPC Knowledge Center. ... [ Read More ]
July 01, 2020
Insight into the history of ICD and how it has changed over time is key to developing a plan for moving forward and embracing ICD-11. The post The Rules Are Changing: ICD’s Continued Evolution and t... [ Read More ]
We did a depo shot for Contraceptive Injectable Management. Would this be considered a self limited or minor problem? I have an issue with calling it an illness or injury. Thank you for you opinio... [ Read More ]
Is z11.52 to be used during the pandemic? Would you consider this documentation as screening for Covid-19 (z11.52)? Reviewed information and literature on COVID infection in pregnancy. Reviewed... [ Read More ]
Our Pediatric office is looking for the best/correct CPT code to use when performing a Rapid Covid test in our office. We've tried 87635, 87426 and now 87301. Has anyone had success with any of thes... [ Read More ]
When patients want to be tested at our office for Covid 19, what should we be coding for? Currently, we code for an Office Visit & Sample Collection. The sample is sent to a lab for testing and ... [ Read More ]
Hello, If a consult and admission were billed on same dos, which would you bill? The providers are in the same specialty. The inpatient consult was billed first. Should the admission replace it? Th... [ Read More ]
I'm am still learning surgeries and this is the first that I've had to review one for cytoreductive surgery. We are not doing the HIPEC portion. Everything that I research states there is not specific... [ Read More ]
Patient had a vaginal exam under anesthesia w/ pap smear. Would I code just 57410 or would I code 57410 with 99395? Thanks... [ Read More ]
Hello, we are looking to start a drive by covid testing center. We have the CLIA waived tests 87635. If a patient comes specifically for the testing (no e/m) may we bill 99211 & 87635QW? From what... [ Read More ]
Good Morning, I have what might be a somewhat simple question, but I’m stuck in an inpatient thought process and just want to make sure I’m on the right path. Does the physician billing for his v... [ Read More ]
Hello Everyone: Can anyone guide me as to roughly what cpt code this should be? Looking in the "Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, wit... [ Read More ]