ICD-10-PCS Code Lookup

Facility medical coders and billers rely on the ICD-10-Procedure Coding System (PCS) to completely describe the procedures performed in the inpatient setting. Based on 'smart codes' that describe the anatomical regions, body part, approach, device used, and any qualifiers, the ICD-10-PCS coding system uses tables to help the medical coder find one of 87,000 codes that best describes the service.

The ICD-10-PCS coding system is essential to hospital coding because it is often paired with the ICD-10-CM diagnosis code to determine the Diagnostic Related Group (DRG) through the hospital reports to be paid. Codify helps determine the proper code via table and operation, along with the following aids:

  • Official ICD-10-PCS Guidelines from the current set to 2020, when the codes became effective
  • Official CMS Index linked to tables
  • Search by keyword, operation, or code
  • Current and previous changes to the code set
  • Up-to-date changes as released by CMS
  • Ability to cross-walk to DRGs

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PCS Tables

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 ]
May 01, 2020
Understand what the physician is documenting to improve coding accuracy. Since the beginning of grade school, we are encouraged to expand our vocabulary, read literature, and improve our grammar. We q... [ Read More ]
I would like to confirm that when coding E&M for the emergency department, when a patient gets a IM, IV, etc... of a controlled substance that it is a high level on the MDM risk.... [ Read More ]
Can an LPC bill Medicare part B incident to, if an LCSW does the treatment plan, and signs off on all notes? Can an LMSW bill Medicare part B incident to, if the supervising LCSW signs off on all note... [ Read More ]
I work with a substance abuse facility that has a CLIA waiver. We recently had an individual reach out to us about a new COVID-19 antibody test that gives results in 15 minutes. I am wondering if any ... [ Read More ]
I can't find much guidance on how to code an intercostobrachial nerve block. I've seen 64420 which is for "intercostal," and 64450 (other peripheral nerve or branch). Descriptions of inter... [ Read More ]
I would love to get some feedback on how other practices are billing for OB ultrasounds. We are encountering more and more denials. Our usual policy is to do the first US at 1st ob visit (6 weeks) an... [ Read More ]
When a provider takes a phone call from a patient and the patient is in the parking lot of the facility would the visit be billed as a face to face or a telephone encounter? We are a FQHC facility.... [ Read More ]
When a PCP sees a patient for Pre-op and does EM, EKG and draws labs, which modifier(s) do I use? I put 25 on EM, but does EKG need one too?... [ Read More ]
This is actually regarding the codes of 11102,11104 and 11106 when billed with the 17000 and 17004. I believe there were questions as to which codes the 59 modifier should be added to according to NCC... [ Read More ]
Hello, A patient comes in through the ER and is admitted for a femoral shaft fracture and a physician did surgery on the patient. The next day one of my ortho physicians ended up seeing the patient p... [ Read More ]
Has anyone heard of this code for additional PPE that can be billed with office visits? Are insurance companies reimbursing for it? Are there any additional CPT and/or ICD10 codes to bill during CO... [ Read More ]