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

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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 ]
Hello, My name is William Stephens. I just recently received my CPC-A, and I am currently starting the practicode program as well. I have 8 years of experience as an inpatient RN (registered nurse) an... [ Read More ]
Just wanted to verify the correct codes for the flu shot with NDC #70461-421-11. 90756 and 90471 or G0008 if Medicare?... [ Read More ]
BCBS denied 99310 with POS 61 saying the place of service is not compatible with the procedure. Per the documentation, the pt was seen in an inpatient rehab facility. I'm a little stuck on if I should... [ Read More ]
Can someone please help me with this. I am not sure if this is the correct way to code this many sebaceous cyst? The patient came in to get 18 sebaceous cyst of the scrotum removed with each measurin... [ Read More ]
Question! Patient is 59 and has a commercial Blue Cross plan - no diabetes, PVD, etc. New pt came into the office for a corn and hammertoes on LT 4th and 5th toes - her corn is on the LT 4th toe. I... [ Read More ]
Here is a statement/question from my provider.... Partial vasectomy performed today. Was able to normally ligate left vas, had difficult anatomy that did not allow safe ligation of right vas today. Wi... [ Read More ]
Here is a statement/question from my provider.... "Partial vasectomy performed today. Was able to normally ligate left vas, had difficult anatomy that did not allow safe ligation of right vas tod... [ Read More ]
I need help with this one please. Dr. did a simple complete mastectomy on 9/14. Path showed positive margins. Now taking additional breast tissue. Positive anterior margin, status post left mastectom... [ Read More ]
Can surg prep codes 15002-15005 be used with tissue tx codes 14000-14350? My providers want to bill for debridement along with the ATT codes but I believe debridement is included.... [ Read More ]
Context: Urgent care, physician fee. When doing charge entry and there is an injury, we have an injury code (S code) and an external cause with sometimes a place of occurrence code. When we bill for ... [ Read More ]

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