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
Keep an eye out for Medicarespecific rule. As statespecific COVID19 vaccination mandates start to hit home health and hospice agencies a federal regulation on vaccination for all companies with more t... [ Read More ]
December 31, 1969
Second interim final rule implements additional protections and addresses the independent dispute resolution process. On Sept. 30 2021 the Department of Health and Human Services HHS the Department of... [ Read More ]
December 31, 1969
HEALTHCON Regional 2021 got off to a great start and the level of excitement remained high going into the third day. Many attendees both inperson and virtual began their day with the networking breakf... [ Read More ]
December 31, 1969
Those attending the first day of AAPCs Charleston regional conference hit the ground running and day two was no different. The day began with an early networking breakfast and a barrage of sightseeing... [ Read More ]
December 31, 1969
Education networking and good times drew hundreds of medical billers coders auditors and other healthcare business professionals to an AAPC regional conference today. The threeday conference Oct. 46 c... [ Read More ]
I bill for a SNF and get notes for long term medical drug management, most of which are for Alzheimer's dementia and senile dementia. Is there a code to use for drug managment? 90863 appears to only... [ Read More ]
If you have two or more stable chronic diseases and your provider says to continue the medications that the patient is on; do you consider this prescription management? Is this a 99214? Everyone alway... [ Read More ]
I just got my Associate's coding degree in December and I became certified just this month in February. The vibe I'm getting is that it is all meaningless without actual coding experience. Anything I... [ Read More ]
I have a situation where a client was seen for a CDA and through the evaluation the client refused to talk and a diagnosis could not be determined. However, the client was seen after the initial CDA f... [ Read More ]
I can't find this medication in the HCPCS book. How do we charge for this? It is a powder that is mixed and instilled in the bladder for IC ( interstitial cystitis) and or UTI's (urinary tract infecti... [ Read More ]
I am trying to find a resource that explains when you do or when you don't bill a 76830 versus a 76817. I know the difference is one is non-ob and the other is ob. However, do you bill what the chi... [ Read More ]
Any advise on billing internal fetal monitoring (IUPC) Can code 59050 be billed on same date of delivery? Can IUPC 59050, be billed with 59200 (induction of labor) 59050 be billed with 59070 (Transab... [ Read More ]
I have a new doctor ( Dr A) that starting seeing patients before she was fully contracted with some insurances. The owner/top doctor ( Dr B) wants me to bill all of Dr A's claims as locum tenens using... [ Read More ]
We are considering using oral sedation in the office for ABR’s on young children. Can you give me some information on the codes that might be involved for the drug administration, monitoring and et... [ Read More ]
Can anyone please verify the correct way to bill a pap that was part of annual preventative but was done on a different date of service? A patients comes in we bill 99396 with Z00.00, insurance pays v... [ Read More ]

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