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
December 31, 1969
December 31, 1969
December 31, 1969
December 31, 1969
I have a provider who did an EGD and Colonoscopy on at 26 year old with commercial insurance. No findings. Her indications state the JPS with a dx code of K63.5. That would do for the colonoscopy ... [ Read More ]
Medicare patient- If a doctor fits/inserts a pessary the code should be 57160 + pessary code. Doctor also inserted Estring vaginal ring on same visit (medical necessity per pt condition). My questio... [ Read More ]
Needing some clarification, do you need to append modifier 52 to an EGD where the duodenum has been surgically removed and the scope goes through the partial stomach through the anastomosis to the sma... [ Read More ]
Patient was having abdominal and vaginal pain. Had a very faintly positive urine pregnancy test. Dr. performed a transvaginal ultrasound to confirm viable intrauterine pregnancy and found no gestati... [ Read More ]
I could use some help and advice on how to code this. At first I thought it was fairly simple but now I'm second guessing myself. Help! PREOPERATIVE DIAGNOSIS: 1. Marfan syndrome with acute ... [ Read More ]
I am getting conflicting information about calculations on MDM data points for lab and radiology. Is it double dipping adding 1 point for order/review and 2 points for independent interruption of the ... [ Read More ]
​The provider performed a block at the Right L5 paravertebral space. There is a code for Thoracic PVB - 64461 but not for a lumbar PVB. How should this be reported? 64493 is for the paravertebr... [ Read More ]
patient was scheduled for total knee replacement, during surgery they noticed a femur fracture says intraoperative femur fracture causing conversion to a mega prosthesis, I'm thinking 27447 with a 2... [ Read More ]
Hi Everyone, I was just told that HBCBS of NJ is using Target pricing similar to Cigna MRC 2 policies. Has anyone heard this? We are OON and are used to fighting for our money but this is ridiculous. ... [ Read More ]
Can I get some direction of where to start with these CPT codes please. Thank you all in advance. Lynn ext 00443 PREPROCEDURE DIAGNOSIS: Stab wound to right upper quadrant of abdomen. PROCEDURE P... [ Read More ]