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
December 31, 1969
December 31, 1969
December 31, 1969
December 31, 1969
Needing some clarification, do you need to append modifier 52 to an EGD where the duodenum has been surgically removed and the scope goes through the partial stomach through the anastomosis to the sma... [ Read More ]
Hello everyone-my two fellow coders and I are trying to come to a consensus about whether it is allowable for a provider to bill out for an office visit when there is discussion with family members on... [ Read More ]
I am trying to settle a difference of opinion. If the patient has abnormal EKG with, for example, right branch bundle block what is the sequencing of the abnormal test and dx? Thanks,... [ Read More ]
We have a DO that works for us. (PCP office) She also is contracted by a local hospital as a consultant for their residency program. The patients she sees are for another primary care office that is ... [ Read More ]
I passed the CPC exam in the spring of 2020, and the only job I have been able to find is collections. There's not really in room for advancement at this time where I currently work, so I'm job huntin... [ Read More ]
I just took the AAPC CPC certification exam and failed. I got a 67%. They give a breakdown of each section and how you did percentage-wise. What I want to know is how each section is weighted? If... [ Read More ]
Hi all, I was just told that HBCBS of NJ is using Target pricing similar to Cigna MRC 2 policies. Has anyone heard this? We are OON and are used to fighting for our money but this is ridiculous. If an... [ Read More ]
Is anyone aware if RSV 87807 has an age limit to bill? Right on the box it says not to test children 4+ so I don't know if that means insurance won't pay. We've never billed 4+ but just recently I had... [ Read More ]
Currently I'm billing a 96372 along with the Prolia J Code. The plan of care had already been determined, Prolia shots, etc. Office manager feels there should be more profitability in the "visit&... [ Read More ]
Dr stented a patient in the ostium of the RCA. The occlusion is between the aorta and beginning of the RCA I believe. I am not sure if I should use a 92928-RC or if there is another code for this type... [ Read More ]