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 ]
I am new to coding for plastic surgery and struggling with how to code this from this op report. Can someone please help me with the appropriate coding or direct me to a tool to help with plastics/tra... [ 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 ]
Can we code both diabetes 1 and diabetes 2 if both are mentioned in the assessment and there is MEAT for both in the medical report. Thanks in advance for any help/advice.... [ Read More ]
If diabetes with CKD and hypertension is documented, should we code E11.22, N18 series, and I10 or E11.22, N18 series, and I12 series (I12.9/I12.0) Should we take linkage of CKD with diabetes and CKD... [ Read More ]
I am looking to purchase the CPT & ICD10 books. Before paying full price I was looking to see if anyone out there is done with their 2021 and moving onto 2022 books. If so, would you be interested... [ 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 ]
I am looking for a little clarification on how to appropriately bill co managed claims. Our surgeon performs some of the post op care. example Patient A has cataract surgery on 02/09/21 for OD eye, p... [ Read More ]
Hello, I am new to medical billing and Abacus software. Can someone explain to me if I have a pharmacy claim that was rejected from Caremark and this claim has a copay. Do I write off the copay and wr... [ Read More ]
Hello everyone - is anyone familiar with the correct CPT code to use for ICG during cholecystectomy? done some research and states it may be integral to main procedure but then I read that you can c... [ Read More ]
I have a question for those who have been doing this longer than I have. First, let me set the scene. I'm a recently credentialed CPC (Early March 2021) who is working at a third party biller who shi... [ Read More ]