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 ]
Does anyone have a reference/document they are willing to share that assists the student with highlighting the CPT book in preparation for the exam as well as tabbing CPT and ICD-10-CM? Thanks in adv... [ Read More ]
Can I get some clarification on billing for anesthesia when performed by Anesthesiologist supervising and the CRNA. I was told to use the anesthesia code with QK and the anesthesia code with QX. I th... [ Read More ]
Hello, I am wondering if 43242 and 43239 can be billed together, I looked it up both codes thru the NCCI edits and both are allowed with a 59 modifier on the 43239, please advise. Thank you... [ Read More ]
Can someone please help me on the proper coding for the following scenario: labor analgesic provided from 0840 pm to 0916 pm on day one (08-23-18) csection provided from 0503 am to 0643 am on day tw... [ Read More ]
We started a few years ago billing cyst etc removals as cash pay, they are cosmetic in nature. We have found in the past that we were simply not getting paid for them. Closure would get paid but th... [ Read More ]
Good Morning We have a locum tenen for the next 60 days and although I know how the billing is done, I have a question about which name should appear on the registration side If we register the acct ... [ Read More ]
Hello all! Hoping to get some insight regarding the following scenario for Botox. Provider orders 200 units of Botox via (2) 100 unit vials = 200 units. Office gets approval for 200 units. Provider ... [ Read More ]
For Rheumatology if a provider starts and infusion does he need to be present the whole time of the infusion? Or can a NP step in? I've been looking for guide lines but cant seem to find any.... [ Read More ]
I'm hoping someone can point me in the right direction, I don't have much experience with hospice. Patient has Aetna PPO Medicare Replacement/Advantage plan. My doc performed an ORIF for fractured fe... [ Read More ]
I need some help! The provider scheduled for 56700 partial hymenectomy or revision of hymenal ring. During the procedure the provider discovered that it was not hymenal tissue but vaginal tissue measu... [ Read More ]