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 ]
Are there any payers who require the AT modifier with 58661 (or any 58000 series of CPT codes) in place of a consent form?... [ Read More ]
Prostate cancer is mentioned in the Assessment. But there is no MEAT found in the report to validate the diagnosis of prostate cancer (no evidence found in the current medication list). In the lab, th... [ Read More ]
I'm having trouble differentiating between all of the cystoscopy codes. Can anyone recommend a resource or a webinar where I can do a bit of extra reading.... [ Read More ]
I initially attempted to pass a catheter using tactile guidance but I could not advance the tip beyond the meatus. I then prepped the patient and performed bedside cystoscopy. Consent was obtained. I ... [ Read More ]
Hi, I'm working in the Cardiology Dept. and I'm new and, I really could use someone's help on interpretative some of the providers EKG's. Thank you so kindly... [ Read More ]
We treat children with autism and since summer has begun we are starting social groups (97158). Is it ok for a BCBA to run a group with a patient that is on another BCBA's caseload..(Commercial insura... [ Read More ]
I code BH, this is a brand specialty to me. Many of the pts have depression and anxiety. These are documented separately, sometimes there is a different level of depression like moderate, severe, recu... [ Read More ]
We are a family practice office that frequently will see our patients after a hospital stay. We have always billed just a regular E&M but, are wondering if we should be billing transitional care ... [ 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 ]
Good evening fellow coders! I recently accepted my first coding job in a physical therapy clinic. I am searching for some great resources on modifiers and how/when to use them appropriately with the p... [ Read More ]