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 ]
Hello all, I was just wondering if Derm as a separate E&M leveling score card than a PCP outpatient office visit or are they the same now with the 2021 changes? Sorry, if this seems to be a werid... [ Read More ]
patient presents to urgent care for cystitis with hematuria was given 100mg macrobid orally since pharmacy was closed. how do I bill for the Macrobid? is S5001 correct?... [ Read More ]
Dear all, Physician has documented under outpatient record’s assessment as, “CKD likely due to HTN”. I am doubtful as whether to code this HTN as I12.9 or I10. I know that there is a presumptive... [ 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 ]
Not sure who can help, I have a general surgery provider who is trying to use CPT 15860 for ICG dye during colorectal surgeries, there is minimal coding resources for this. Thus far from what i have r... [ Read More ]
A patient was given a hepatitis b immune globulin intramuscular injection of 8 mL due to an occupational needle stick. I am showing 2 codes for this injection - 90371 and J1571. Am I able to bill both... [ Read More ]
A patient was given a hepatitis b immune globulin intramuscular injection of 8 mL due to an occupational needle stick. I am showing 2 codes for this injection - 90371 and J1571. Am I able to bill both... [ 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 ]
Good morning! I am fairly new in the pain arena and was hoping to get some clarification on this issue. Does Medicare medical necessity have to be met each time a procedure is performed (ex. failed 3... [ Read More ]
Does anybody has ever bill for a respiratory therapist? Can he be credential and bill with his own npi? My understanding was that this as a inparient service is billed under the DRGs and for out-patie... [ Read More ]