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 ]
When an RN performs the Medicare annual wellness visit, is a cosign required by the physician? We've gotten contradicting information. As of 5/20/21, Palmetto GBA said a cosign is required because it ... [ Read More ]
Is anyone else having Anthem downcoding their claims without asking for notes. So for example we billed a 99214 but they're processing it as a 99213. The denial code is CO-186 (payment adjusted since ... [ Read More ]
I'm trying to get a feel for what an average time passing between exam/procedure being completed and documentation being ready to code is for the rest of you. I work at a neurosurgery clinic with 2 cu... [ Read More ]
How do I need to bill only Medicaid for unrelated diagnosis from Hospice, I have used GW as modifier and still get a denial from Medicaid. Thanks for any input.... [ Read More ]
We have a patient that has Aetna Primary. They allowed $109.56 and it was all put to deductible. Patient has BCBS secondary. They processed the claim as Secondary but allowed $140.45. They paid $1... [ Read More ]
Is anyone using Durysta? The code is J3510 and is for 1 mcg. The injection comes as 10 mcg's and that is what is injected. Thus, it is billed with 10 units. Anthem paid for one unit even though it was... [ Read More ]
How would you all code this? I feel like the doc is not documenting enough on cath? Technique: Informed written consent was obtained. A 5-French sheath was inserted in the right common femoral arte... [ Read More ]
Our Billing and Practice managers want us to charge the assist on ALL surgeries, even if an assistant isn't allowed. I told the billing manager that I think we're going to get flagged for an audit if ... [ Read More ]
Have a patient with a 22 french drainage partially disloged from a hepatic abscess cavity. The catheter was exchanged for three 14 french drainage catheters thru the same access, and placed in differe... [ Read More ]
I am coming up with 99213. Problem low data min Risk Low . Using Z30.09 for dx. CHIEF COMPLAINT The Chief Complaint is: Pt id x2, consult removal/ replace nexplanon HISTORY OF PRESENT ILLNESS P... [ Read More ]