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

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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 ]
Can a provider bill 99214 and 99422 the same day and be payable for a Medicare member? I believe they 99422 bundles into 99214 and a modifier would not be appropriate.... [ Read More ]
Currently working on an encounter in which 18 year patient seen for an OB Visit (OB001) . EGA is 29 weeks ICD Codes used (Z3A.29) / (Z34.83). Patient also received TDAP Vaccine CPT codes used ( 9... [ Read More ]
If our NP is billing under her own NPI, does there need to be a statement in the encounter that she reviewed the case with the physician on site?... [ Read More ]
Can anyone provide me with a description of the documentation required/expected for H0018? PLease?... [ Read More ]
Surgical Technique: After informed consent and adequate anesthesia patient was placed in the supine position. The penis scrotum perineum and abdomen were scrubbed with Betadine scrub for 10 minutes a... [ Read More ]
Hi, is anyone aware of a guideline that gives direction on the correct billing if a patient see's 2 different MD's of the same specialty , on the same day, with different problems.?Same taxonomy code.... [ Read More ]
Have a BCBS patient level 3 only seen for low back pain dx M54.50 as primary. Clearinghouse denied as unprocessable date of service 10/8/2021.... [ Read More ]
Hi, Can someone tell me which would be the appropriate code for revision of internal fixation. The provider states the correct code is hardware removal 20680, but after reading the note, no hardware ... [ Read More ]
Hi, I was wondering those who recently took the CPMA exam- what auditing tool did you use? How many did you bring? I took the course in February and it was still going by old E/M guidelines for OVs, i... [ Read More ]
If a patient is uninsured in the state of Kansas or Missouri, is there any law that would indicated what type of discount is to be given to the patient for any office exam's or procedures? Do we have ... [ Read More ]

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