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 am currently billing L8641 L8642 L8658 L8659 on my professional claims to Medicare very rarely they pay and sometimes it’s denied with CO -16 claim service lacks information or has submission/bill... [ Read More ]
I am looking to see if anyone has some study or test taking tips for the CPPM exam. Feeling very nervous anything helps! Thank you!... [ Read More ]
Can we code J96.11 (Chronic respiratory failure with hypoxia) and J44.9 (Chronic obstructive pulmonary disease, unspecified) both together in risk adjustment coding? This is an outpatient visit. Tha... [ Read More ]
Recurrent major depressive disorder, in partial remission (F33.41), is documented in past medical history, and in the assessment, unspecified depression (F32.9) is mentioned. Current medications are T... [ Read More ]
Can an RN bill for a cast change if no provider is in the office?... [ 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 have always had a physician order or mention vaccines given in an encounter. Even when patient sees nurse only, physician co-signs the note. There is a MCR regulation which states an order is... [ Read More ]
With the new ETD Balloon Dilatation code 69705/69706 we are getting denials when we are preforming 69436 Tympanostomy at the same time on the same side. NCCI is stating: Misuse of column two code wit... [ Read More ]
If you came across a statement of 'felt to be' or 'believe to be' when the provider is talking about a condition, would you consider this an uncertain diagnosis and not code it? Some stated to me that... [ Read More ]
I have received a denial from a carrier for a telehealth visit and a nurse visit later in the day for an injection as recommended by the provider. 2 claims went out for this date of service. I am be... [ Read More ]