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
Keep an eye out for Medicarespecific rule. As statespecific COVID19 vaccination mandates start to hit home health and hospice agencies a federal regulation on vaccination for all companies with more t... [ Read More ]
December 31, 1969
Second interim final rule implements additional protections and addresses the independent dispute resolution process. On Sept. 30 2021 the Department of Health and Human Services HHS the Department of... [ Read More ]
December 31, 1969
HEALTHCON Regional 2021 got off to a great start and the level of excitement remained high going into the third day. Many attendees both inperson and virtual began their day with the networking breakf... [ Read More ]
December 31, 1969
Those attending the first day of AAPCs Charleston regional conference hit the ground running and day two was no different. The day began with an early networking breakfast and a barrage of sightseeing... [ Read More ]
December 31, 1969
Education networking and good times drew hundreds of medical billers coders auditors and other healthcare business professionals to an AAPC regional conference today. The threeday conference Oct. 46 c... [ Read More ]
PREOPERATIVE DIAGNOSIS: Left back/pelvic pain POSTOPERATIVE DIAGNOSIS: Severe left common iliac compression. Significant left gonadal vein reflux. PROCEDURE NAME: U... [ Read More ]
Hello, I have a charge for a placement of an initial jejunostomy tube without flouroscopy. Placement through the abdomen to the ligament of Treitz secured with a purse string end catheter was brough... [ Read More ]
I work for a provider based clinic, and now a Provider based Rural Health Clinic. All of of labs are billed through our Hospital as out patient Place of service. We have had patients come in for Welln... [ Read More ]
Below are the codes, I figured out...My physician wants me to include CPT 34813 for large bore closure...But it is an add-on code for CPT 34812 which is not performed. Can someone correct me if I am w... [ Read More ]
Hey Everyone, Has anyone had success billing Care Plan Oversight to Medicaid primary? Utah Medicaid does not cover any of the codes generally used for this (G0180, G0179, G0181, 99375, 99378, etc) so ... [ Read More ]
Blue Shield has sent Covid testing payment to patients because we are OON. We have sent bills to patients but not received many payment from them. We don't want to send them to collections as they s... [ Read More ]
Hello, My name is Deanna Dattilo. I have my CPC-A and have been working on the practicode program. I have 6 years of experience as a Registered Respiratory Therapist. I am looking for medical coding ... [ Read More ]
Pt presented in the office with a large left sided pleual effusion. Pt already has a pleurex drain in place. Attempt to drain through the pleurex only yields very small amount of fluid. Provider att... [ Read More ]
My physician did and exploration of the left forearm due to believed possible retained foreign body, however, there was no foreign body found during the exploration. The only code I am coming up with ... [ Read More ]
Could anyone actually tell me, that has taken the COSC exam, about how many spinal surgery questions are on it? I am getting conflicting information, some say not many while others say a lot. We are o... [ Read More ]

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