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
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 ]
It seems that Medicare has started denying all 96372 codes even when there is a 25 modifier on the E/M. Has anyone else been seeing this or does anybody know what to do?? Thanks in advance ... [ Read More ]
I am coming up with 99213. Problem low data min Risk Low . Using Z30.09 for dx. CHIEF COMPLAINT The Chief Complaint is: Pt id x2, consult removal/ replace nexplanon HISTORY OF PRESENT ILLNESS P... [ Read More ]
I know the split/shared rules are confusing on the hospital side and I am hoping someone can help me. I know critical care and procedures cannot be split shared per CMS but if the APP performs the pr... [ Read More ]
I have a provider who did an EGD and Colonoscopy on at 26 year old with commercial insurance. No findings. Her indications state the JPS with a dx code of K63.5. That would do for the colonoscopy ... [ Read More ]
Unlisted 27299 OR 27599? If so, would the comparison code be 27447 or 27130? Pt has a history of Right Total hip , I&D due to infection and then revision of the femoral stem. According the the x... [ Read More ]
Please help ASAP! I need help with the above CPT . Pt had a total hip 6 months ago and continues to have pain. Is this unlisted? If so, I will need to know a comparison code. Thanks,... [ Read More ]
I have an 18 year old patient, with Medicaid, who is going to undergo bariatric surgery, for Obesity (BMI is over 99% growth percentile). The physician has ordered an EGD, for clearance, before the s... [ Read More ]
I am getting conflicting information about calculations on MDM data points for lab and radiology. Is it double dipping adding 1 point for order/review and 2 points for independent interruption of the ... [ Read More ]
Can someone confirm if 60650 (lap adrenalectomy partial) is included with 50546 (nephrectomy w/partial ureterectomy)? There is no bundle and I have been unable to locate anything on CPT Assist that wo... [ Read More ]