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 have been out of the field for awhile and would appreciate the appropriate way to code simple removal of sutures. The patient presented for ER follow up to get sutures removed. '3 stitches to be r... [ Read More ]
We are getting denials on our 3rd level MBB or Facet injections stating not medically necessary. Are any of you getting this? Any insight on why they would pay for the 1st 2 levels but not the 3rd? cp... [ Read More ]
Hello, I am new to pain coding and needing some guidance for coding that is rejecting by Medicare. The codes billed were 63650,63685 and 95972. Can these be billed together and do they need modifiers?... [ Read More ]
Need advice on how to respond to the provider. The provider performed a sx to excise a benign lesion (28045) which he coded with D36.10. I changed it to D17.24 based on the results of the path repo... [ Read More ]
What code or codes would I use for a patient who sees a provider to see about getting a medical exemption from a COVID vaccine?... [ Read More ]
Hello, A physician is ordering hysterectomy for medical reasons-bleeding and cramping-on a patient that is transgender female to male. He is keeping his ovaries, doesn't take hormones, and no longer ... [ Read More ]
How does one code a triple hit lymphoma with MYC, BCL2 & BCL rearrangements?... [ 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 ]
My physician documented that they " Debridement of skin, partial-thickness including dermal tissue was performed, #15 scalpel used to remove all non-viable soft tissue from ulcer base and ulcer p... [ Read More ]
What is the medicare code for orthotics? i think its a G-Code.... [ Read More ]

Which Codify tool is right for you?

Call 844-334-2816 to speak with a Codify specialist now.