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 came across something today that I'm not sure how to go about doing. A provider documented that a patient has both type 1 and type 2 diabetes. Of course, category E10 and category E11 co... [ Read More ]
For UHC ..what is the best way to appeal the ENRP RATE for additional payment on a claim. OON FAC/Free-Standing ER... [ Read More ]
I earned my medical billing and coding certificate in December 2019. A few months after, I took my CPC exam. In february 2021, I finished practicode of 600 medical cases and removed my apprenticeship.... [ Read More ]
Hello, I work for a dermatology office, and we are seeing a LOT of denials for new patient office visits when they are billed with *any* procedure--biopsy, premalignant destruction, malignant destruc... [ 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 ]
The Provider did a snare --but the polyp wasn't retrieved because it got lost when he was trying to bring it out. No specimen was sent to pathology. I can still code this 45385 because technically did... [ Read More ]
I had a patient (non-medicare) that came in for a Screening. The dr only advanced to the sigmoid colon. Since he only reached the sigmoid colon do I bill the Sigomoidoscopy 45330 or Colonoscopy 4537... [ 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 ]