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 ]
I have several providers that will document diastolic dysfunction but will code CHF. When queried they will say and argue that they are the same thing. I saw in 2002 AAPC had an article that they are... [ Read More ]
I passed the CPC exam in the spring of 2020, and the only job I have been able to find is collections. There's not really in room for advancement at this time where I currently work, so I'm job huntin... [ Read More ]
Addition of the QW Modifier to HCPCS Code 87636​MLN Matters Number: MM12269 Related CR Release Date: April 26, 2021 Related CR Transmittal Number: R10732OTN Related Change Request (CR) Number: 1... [ Read More ]
My provider did surgery on the foot, the note reads "identified ganglion cyst, which was excised, and underneath this was a small bone spur that was debrided with a rongeur." Are we able to... [ Read More ]
Pre op diagnosis: Vaginal lesions In pathology report " Epidermal inclusion cyst" OPERATIVE FINDING: There was a vaginal lesion noted to be arising at the right upper vulvar area approxi... [ Read More ]
I have a provider that is doing a Laparoscopic Bilateral Tubal Ligation (58661) vs. a VNotes Bilateral Tubal ligation. Can anyone help with the proper cpt code for the Vnotes BLT? from reading the d... [ Read More ]
If a tumor is removed at hospital A and a sample is sent to pathology at hospital B, would both the technical and the professional portion be charged as hospital B for the place of service?... [ Read More ]
I have a patient treated with radiation 2019 for endometrial cancer. She was s/p TLH/BSO at that time and is back and per the physician with: Recurrent endometrial adenocarcinoma to the vaginal cuf... [ Read More ]
Hey all! I work for a busy orthopedic group who has PAs do orthopedic consults at the hospital..we were originally told when billing for orthopedic consults to use the 99221 range. Is this accurate? W... [ Read More ]
Our provider was on call at hospital let orthopedic resident see pt in ER then the patient came into Doctors office for a " follow up". Since the provider didnt actually see pt in hospital w... [ Read More ]