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 over 17 years of experience in the medical field. I am proficient in Microsoft Office and Excel. Experienced billing Medicare, Medicaid, all commercial insurances. I also have experience with w... [ Read More ]
Does anyone add the 25 modifier on an E/M visit and also has an EKG done? I have always added the 25 on the E/M code and was told yesterday not to as Blue Cross was denying visit with the 25 mod. Th... [ Read More ]
Hello, I am taking my CHONC in August. I am taking the class and have the study guides/practice exam. I also currently work in a Hematology Oncology practice. I have three questions: 1.) Is the speci... [ Read More ]
Because the codes for hip x-rays state “with pelvis when performed”, does this mean that the pelvis would count as a separate view when it is performed? So if AP and Lateral views of right hip, A... [ 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 ]
Hello, Does anyone have any information about a benefit max for 77300. Payer is Aetna Medicare- we billed 8 units and they denied. Appreciate any input Thanks!... [ Read More ]
How do I bill 0.5 ml depomedrol 80 mg used for Trigger point injection. I entered 0.5 units for J1040 and I got a rejection from insurance. please advise! Code Description 16Cla... [ Read More ]
I am currently a Medical Biller/RCM Specialist and recently got my CPC certification. What is the best way to find a coding job that is fully remote? Thanks... [ Read More ]
Would appreciate help coding this procedure. I'm thinking 44187? Preoperative Diagnosis Small-bowel obstruction Postoperative Diagnosis Same Operation Exploratory laparotomy and creation of ile... [ Read More ]
Do you use phone automation to call patients for statement balances? If so, what company do you use? Do you have any figures on the revenue you brought in WITH the calls vs without?... [ Read More ]