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

March 29, 2021
Day two of HEALTHCON 2021 began with attendees getting fired up for the day in the HCON Chat. One member wrote, “This is my first ever HEALTHCON conference, I am so excited for today!!!” There wer... [ Read More ]
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 ]
i work for a large oncology practice that has a hospital system doing their coding for them. the coding is provider based & the setting is an outpt clinic within the hospital. my question is: ho... [ Read More ]
One of our providers wishes to charge a cancellation fee for a patient with Horizon NJ Health who has repeatedly cancelled their appointments at the last minute (as the provider was at the door for a ... [ Read More ]
Hello. I need some guidance on billing for the shoulder abduction device after surgery. Basically, is this device billed as a DME product or supply or should it be billed at all as it is part of the... [ Read More ]
Hello everyone - is anyone familiar with the correct CPT code to use for ICG during cholecystectomy? done some research and states it may be integral to main procedure but then I read that you can c... [ Read More ]
In chiropractic bill, which cpt we can key for description "Detox Foot Bath" ?... [ Read More ]
Hi guys, I know that it is illegal to make corrections to a medical record after a denial, in order to get the claim paid, or after documents are requested by a payor. In fact it is not appropriate to... [ Read More ]
If you came across a statement of 'felt to be' or 'believe to be' when the provider is talking about a condition, would you consider this an uncertain diagnosis and not code it? Some stated to me that... [ Read More ]
Had a provider that performed a TEE on a patient then left practice without dictating note. Another provider reviewed films and dictated note. Can this be billed for his part of reviewing films with... [ Read More ]
This one has me doing circles. Any input would be helpful. Especially if I need to query him if this is not a 99205. Currently I get a 99204 I working the problem up as 1 stable chronic condition ... [ Read More ]