The ICD-10 Procedure Coding System (ICD-10-PCS) is a US system of medical classification used for procedural coding. The Centers for Medicare and Medicaid Services, the agency responsible for maintaining the inpatient procedure code set in the U.S., contracted with 3M Health Information Systems in 1995 to design and then develop a procedure classification system to replace Volume 3 of ICD-9-CM. ICD-9-CM contains a procedure classification; ICD-10-CM does not. ICD-10-PCS is the result. ICD-10-PCS was initially released in 1998. It has been updated annually since that time.[1] Despite being named after the WHO's International Classification of Diseases, it is a US-developed standard which is not used outside the United States.[2]
Each code consists of seven alphanumeric characters. The first character is the 'section'. The second through seventh characters mean different things in each section. Each character can be any of 34 possible values the ten digits 0-9 and the 24 letters A-H, J-N and P-Z may be used in each character. The letters O and I are excluded to avoid confusion with the numbers 0 and 1.[3] There are no decimals in ICD-10-PCS[4]
Of the 72,081 codes in ICD-10-PCS, 62,022 are in the first section, "Medical and surgical".[5]
Approach 0 Open; 3 Percutaneous; 4 Percutaneous Endoscopic; 7 Via Natural or Artificial Opening; 8 Via Natural or Artificial Opening Endoscopic; F Via Natural or Artificial Opening Endoscopic with Percutaneous Endoscopic Assistance; X External
Body System 0 Central Nervous System; 2 Heart; 3 Upper Arteries; 4 Lower Arteries; 5 Veins; 7 Lymphatic System; 8 Eye; 9 Ear, Nose, Mouth and Throat; B Respiratory System; D Gastrointestinal System; F Hepatobiliary System and Pancreas; G Endocrine System; H Skin, Subcutaneous Tissue and Breast; L Connective Tissue; N Skull and Facial Bones; P Non-Axial Upper Bones; Q Non-Axial Lower Bones; R Axial Skeleton, Except Skull and Facial Bones; T Urinary System; U Female Reproductive System; V Male Reproductive System; W Anatomical Regions; Y Fetus and Obstetrical
Body System 0 Central Nervous System; 2 Heart; 5 Veins; 7 Lymphatic and Hematologic System; 8 Eye; 9 Ear, Nose, Mouth and Throat; B Respiratory System; D Gastrointestinal System; F Hepatobiliary System and Pancreas; G Endocrine System; H Skin, Subcutaneous Tissue and Breast; P Musculoskeletal System; T Urinary System; V Male Reproductive System; W Anatomical Regions
Body System 0 Central and Peripheral Nervous System; 7 Lymphatic and Hematologic System; 8 Eye; 9 Ear, Nose, Mouth and Throat; B Respiratory System; D Gastrointestinal System; F Hepatobiliary System and Pancreas; G Endocrine System; H Skin; M Breast; P Musculoskeletal System; T Urinary System; U Female Reproductive System; V Male Reproductive System; W Anatomical Regions
^Richard F. Averill; Robert L. Mullin; Barbara A. Steinbeck; Norbert I. Goldfield; Thelma M. Grant; Rhonda R. Butler. "Development of the ICD-10 Procedure Coding System (ICD-10-PCS)" (PDF). Centers for Medicare and Medicaid Services. Retrieved February 25, 2010.
^Aalseth, Patricia T. (2004). Codebusters Coding Connection: A Documentation Guide for Compliant Coding. Jones & Bartlett Publishers. p. 27. ISBN0-7637-2630-3.
^ abAverill, R. F.; Mullin, R. L.; Steinbeck, B. A.; Goldfield, N. I.; Grant, T. M.; Butler, R. R. "Development of the ICD-10 Procedure Coding System" (PDF). Centers for Medicare & Medicaid Services.
January 01, 1970
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The ICD 10 Procedure Coding System ICD 10 PCS is a US system of medical classification used for procedural coding The Centers for Medicare and Medicaid Services the agency responsible for maintaining the inpatient procedure code set in the U S contracted with 3M Health Information Systems in 1995 to design and then develop a procedure classification system to replace Volume 3 of ICD 9 CM ICD 9 CM contains a procedure classification ICD 10 CM does not ICD 10 PCS is the result ICD 10 PCS was initially released in 1998 It has been updated annually since that time 1 Despite being named after the WHO s International Classification of Diseases it is a US developed standard which is not used outside the United States 2 Contents 1 Section structure 1 1 Root operations 1 2 Regions 2 See also 3 ReferencesSection structure editEach code consists of seven alphanumeric characters The first character is the section The second through seventh characters mean different things in each section Each character can be any of 34 possible values the ten digits 0 9 and the 24 letters A H J N and P Z may be used in each character The letters O and I are excluded to avoid confusion with the numbers 0 and 1 3 There are no decimals in ICD 10 PCS 4 Of the 72 081 codes in ICD 10 PCS 62 022 are in the first section Medical and surgical 5 Character 1 Character 2 Character 3 Character 4 Character 5 Character 6 Character 7 0 Medical and Surgical Body System0 Central nervous system 1 Peripheral nervous system 2 Heart and Great vessels 3 Upper arteries 4 Lower arteries 5 Upper veins 6 Lower veins 7 Lymphatic and Hemic system 8 Eye 9 Ear Nose Sinus B Respiratory System C Mouth and Throat D Gastrointestinal system F Hepatobiliary System and Pancreas G Endocrine system H Skin and Breast J Subcutaneous tissue K Muscles L Tendons M Bursae and Ligaments N Head and Facial bones P Upper bones Q Lower bones R Upper joints S Lower joints T Urinary system U Female reproductive system V Male reproductive system W Anatomical regions General X Anatomical regions Upper extremities Y Anatomical regions Lower extremities Root Operationsee below Body Part Approach0 Open 3 Percutaneous 4 Percutaneous Endoscopic 7 Via Natural or Artificial Opening 8 Via Natural or Artificial Opening Endoscopic F Via Natural or Artificial Opening Endoscopic with Percutaneous Endoscopic Assistance X External Device Qualifier 1 Obstetrics 10 Pregnancy 102 Change 109 Drainage 10A Abortion 10D Extraction 10E Delivery 10H Insertion 10J Inspection 10P Removal 10Q Repair 10S Reposition 10T Resection 10Y Transplantation Body Part Approach Device Qualifier 2 Placement 2W Anatomical Regions 2Y Anatomical Orifices Root Operation2 0 Change 2 1 Compression 2 2 Dressing 2 3 Immobilization 2 4 Packing 2 5 Removal 2 6 Traction Body Region Orifice Approach Device Qualifier 3 Administration 30 Circulatory 3CIndwelling Device 3E Physiological Systems and Anatomical Regions Root Operation Body System Region Approach Substance Qualifier 4 Measurement and Monitoring 4A Physiological Systems 4B Physiological Devices Root Operation Body System Approach Function Qualifier 5 Extracorporeal Assistance and Performance 5A Physiological Systems Root Operation Body System Duration Function Qualifier 6 Extracorporeal Therapies 6A Physiological Systems Root Operation6A0 Atmospheric control 6A1 Decompression 6A2 Electromagnetic therapy 6A3 Hyperthermia 6A4 Hypothermia 6A5 Pheresis 6A6 Phototherapy 6A7 Ultrasound therapy 6A8 Ultraviolet light therapy 6A9 Shock wave therapy Body System Duration Qualifier Qualifier 7 Osteopathic 7W 7W0 Body Region Approach Method Qualifier 8 Other Procedures 8C Indwelling Device 8E Physiological Systems and Anatomical Regions Root Operation Body Region Approach Method Qualifier 9 Chiropractic 9W 9WB Body Region Approach Method Qualifier B Imaging Body System0 Central Nervous System 2 Heart 3 Upper Arteries 4 Lower Arteries 5 Veins 7 Lymphatic System 8 Eye 9 Ear Nose Mouth and Throat B Respiratory System D Gastrointestinal System F Hepatobiliary System and Pancreas G Endocrine System H Skin Subcutaneous Tissue and Breast L Connective Tissue N Skull and Facial Bones P Non Axial Upper Bones Q Non Axial Lower Bones R Axial Skeleton Except Skull and Facial Bones T Urinary System U Female Reproductive System V Male Reproductive System W Anatomical Regions Y Fetus and Obstetrical Root Type Body Part Contrast0 high osmolar contrast 1 low osmolar contrast z other contrast Qualifier Qualifier C Nuclear medicine Body System0 Central Nervous System 2 Heart 5 Veins 7 Lymphatic and Hematologic System 8 Eye 9 Ear Nose Mouth and Throat B Respiratory System D Gastrointestinal System F Hepatobiliary System and Pancreas G Endocrine System H Skin Subcutaneous Tissue and Breast P Musculoskeletal System T Urinary System V Male Reproductive System W Anatomical Regions Root Type Body Part Radionuclide Qualifier Qualifier D Radiation oncology Body System0 Central and Peripheral Nervous System 7 Lymphatic and Hematologic System 8 Eye 9 Ear Nose Mouth and Throat B Respiratory System D Gastrointestinal System F Hepatobiliary System and Pancreas G Endocrine System H Skin M Breast P Musculoskeletal System T Urinary System U Female Reproductive System V Male Reproductive System W Anatomical Regions Root Type Body Part Modality Qualifier Isotope Qualifier F Physical rehabilitation and Diagnostic Audiology F 0 Rehabilitation F 1 Diagnostic Audiology Root Type Body System amp Region Type Qualifier Equipment Qualifier G Mental health GZ None Root TypeGZ1 Psychological tests GZ2 Crisis intervention GZ3 Medication management GZ5 Individual psychotherapy GZ6 Counseling GZ7 Family psychotherapy GZB Electroconvulsive therapy GZC Biofeedback GZF Hypnosis GZG Narcosynthesis GZH Group psychotherapy GZJ Light therapy Type Qualifier Qualifier Qualifier Qualifier H Substance abuse Treatment HZ None Root Type Type Qualifier Qualifier Qualifier Qualifier X New Technology Root operations edit For medical surgical these are the root operation codes 00 alteration 01 bypass 02 change 03 control 04 creation 05 destruction 06 detachment 07 dilation 08 division 09 drainage 0B excision 0C extirpation 0D extraction 0F fragmentation 0G fusion 0H insertion 0J inspection 0K map 0L occlusion 0M reattachment 0N release 0P removal 0Q repair 0R replacement 0S reposition 0T resection 0U supplement 0V restriction 0W revision 0X transfer 0Y transplantationThey can be grouped into several categories 5 take out or eliminate all or a portion of a body part excision sigmoid polypectomy resection total nephrectomy extraction toenail extraction destruction rectal polyp fulguration detachment below knee amputation For biopsies extraction is used when force is required as with endometrial biopsy and excision is used when minimal force is involved as with liver biopsy See also ectomy involve putting in or on putting back or moving living body part transplantation heart transplant reattachment finger reattachment reposition reposition undescended testicle transfer tendon transfer take out or eliminate solid matter fluids or gases from a body part drainage incision and drainage extirpation thrombectomy fragmentation lithotripsy of gallstones only involve examination of body parts and regions inspection diagnostic arthroscopy map cardiac mapping involve putting in or on putting back or moving living body part bypass gastrojejunal bypass dilation coronary artery dilation occlusion fallopian tube ligation restriction cervical cerclage always involve devices insertion pacemaker insertion replacement total hip replacement supplement herniorrhaphy using mesh removal cardiac pacemaker removal change drainage tube change revision hip prosthesis adjustment involve cutting and separation only division osteotomy release peritoneal adhesiolysis involving other repair control control of postprostatectomy bleeding repair suture of laceration with other objectives alteration face lift creation artificial vagina creation fusion spinal fusion Regions edit Region Code Head 0 Cervical 1 Thoracic 2 Lumbar 3 Sacrum 4 Pelvis 5 Lower extremities 6 Upper extremities 7 Rib cage 8 Abdomen 9See also edit nbsp Wikisource has original text related to this article ICD 10 PCS 2011 ICD 10 Clinical Modification nbsp Wikidata has the property nbsp ICD 10 PCS P1690 see uses References edit ICD 10 PCS Reference Manual ZIP Centers for Medicare amp Medicaid Services Retrieved 25 February 2019 ICD 10 FAQ PDF Experian Retrieved 2023 07 12 Richard F Averill Robert L Mullin Barbara A Steinbeck Norbert I Goldfield Thelma M Grant Rhonda R Butler Development of the ICD 10 Procedure Coding System ICD 10 PCS PDF Centers for Medicare and Medicaid Services Retrieved February 25 2010 Aalseth Patricia T 2004 Codebusters Coding Connection A Documentation Guide for Compliant Coding Jones amp Bartlett Publishers p 27 ISBN 0 7637 2630 3 a b Averill R F Mullin R L Steinbeck B A Goldfield N I Grant T M Butler R R Development of the ICD 10 Procedure Coding System PDF Centers for Medicare amp Medicaid Services Retrieved from https en wikipedia org w index php title ICD 10 Procedure Coding System amp oldid 1165010307, wikipedia, wiki, book, books, library,
