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.
What is ICD-10-PCS? The CMS ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.
The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. The 2022 ICD-10-PCS is the latest code set revision and is valid for discharges occurring from October 1st, 2021 through September 30, 2022.
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.
A spontaneous delivery is a vaginal delivery that is manually assisted with no use of instrumentation such as forceps or vacuum extraction. In ICD-10-PCS, the code for this procedure will be the same every time, 10E0XZZ.
ICD-10 CM Guidelines, may be found at the following website: https://www.cdc.gov/nchs/icd/Comprehensive-Listing-of-ICD-10-CM-Files.htm.
ICD-10-PCS has a seven character alphanumeric code structure. Each character contains up to 34 possible values. Each value represents a specific option for the general character definition (e.g., stomach is one of the values for the body part character).
All ICD-10-PCS codes have an alphanumeric structure, with all codes made up of seven characters. All complete ICD-10-PCS codes can be located within the Index. The letters "O" and "I" are not used as ICD-10-PCS values so as not to be confused with the digits "0" and "1."
A Five-Step ProcessStep 1: Search the Alphabetical Index for a diagnostic term. ... Step 2: Check the Tabular List. ... Step 3: Read the code's instructions. ... Step 4: If it is an injury or trauma, add a seventh character. ... Step 5: If glaucoma, you may need to add a seventh character.
ICD-10-PCS codes are alphanumeric and seven characters long.
87,000ICD-10-PCS has about 87,000 available codes while ICD-10-CM has about 68,000. An ICD-10-PCS code can be made up of any combination of numbers and letters while with ICD-10-CM, the first digit has to be either a number or letter and all other digits are numbers.
All ICD-10-PCS codes are seven characters long, with the fifth character from the medical and surgical section identifying the approach. The approach is defined as the technique used to reach the site of the procedure. Approaches may be through the skin or mucous membrane, through an orifice or external.
Category codes are user defined codes to which you can assign a title and a value. The title appears on the appropriate screen next to the field in which you type the code.
The tables are arranged in alphanumeric order, and organized into separate tables according to the first three characters of the seven-character code. The ICD-10-PCS Index contains entries based on the terms (known as values) used in the ICD-10- PCS Tables, as well as entries based on common procedure terms.
A9 Within a PCS table, valid codes include all combinations of choices in characters 4 through 7 contained in the same row of the table. In the example below, 0JHT3VZ is a valid code, and 0JHW3VZ is not a valid code.
The ICD-10-PCS is divided into 17 sections of Code tables, which are organized by general type procedure. The largest of these sections-- The Medical and Surgical Section-- contains 31 body system values and 31 root operations.