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 ]
Hi, the physician (pulmonary) I work for would like to purchase a X-Ray Machine to have in the office. He found a good deal and feels it would be very useful in diagnosing patients better. I'm not ver... [ 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 need best code LSC rt ovarian cystectomy with bilateral salpinectomy and removal IUD?... [ Read More ]
Hello- We are possibly going to be adding Athletic Trainers to one of our VT practices and I have had a hard time finding any kind a reimbursement rate for Medicare. I looked on the Medicare website ... [ Read More ]
Hello Everyone, I have a physician who performed low transverse cervical cesarean and also excision of 2 subserosal fibroids. I am not sure how to code for the fibroids the report states two fundal ... [ Read More ]
When it says Metastatic carcinoma of the bronchus, is that referring to the bronchus as the secondary site with an unknown primary?? Thanks!... [ Read More ]
Medicare has denied smoking cessation codes 99406/99407 since 1/1/21 stating not medically necessary. According to the guidelines, we are meeting all of the documentation requirements and adding a mod... [ Read More ]
How do I need to bill only Medicaid for unrelated diagnosis from Hospice, I have used GW as modifier and still get a denial from Medicaid. Thanks for any input.... [ Read More ]
Can we code both diabetes 1 and diabetes 2 if both are mentioned in the assessment and there is MEAT for both in the medical report. Thanks in advance for any help/advice.... [ Read More ]
If diabetes with CKD and hypertension is documented, should we code E11.22, N18 series, and I10 or E11.22, N18 series, and I12 series (I12.9/I12.0) Should we take linkage of CKD with diabetes and CKD... [ Read More ]