ICD-10 Procedure Coding System

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The ICD-10 Procedure Coding System (ICD-10-PCS) is an American 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 1993 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]

Section structure[edit]

Each code consists of seven alphanumeric characters. The second through seventh characters mean the same thing within each section, but may mean different things in other sections. 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 excluded to avoid confusion with the numbers 0 and 1.[2] There are no decimals in ICD-10-PCS[3]

Of the 72,081 codes in ICD-10-PCS, 62,022 are in the first section, "Medical and surgical".[4]

Character 1Character 2Character 3Character 4Character 5Character 6Character 7
0 Medical and SurgicalBody System
00 0 Central nervous system; 01 Peripheral nervous system; 02 Heart and Great vessels; 03 Upper arteries; 044 Lower arteries; 05 Upper veins; 06 Lower veins; 07 Lymphatic and Hemic system; 08 Eye; 09 Ear, Nose, Sinus; 0B Respiratory System; 0C Mouth and Throat; 0D Gastrointestinal system; 0F Hepatobiliary System and Pancreas; 0G Endocrine system; 0H Skin and Breast; 0J Subcutaneous tissue; 0K Muscles; 0L Tendons; 0M Bursae and Ligaments; 0N Head and Facial bones; 0P Upper bones; 0Q Lower bones; 0R Upper joints; 0S Lower joints; 0T Urinary system; 0U female reproductive system; 0V Male reproductive system; 0W Anatomical regions, General; 0X Anatomical regions, Upper extremities; 0Y Anatomical regions, Lower extremities
Root Operation
see below
Body PartApproach
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
DeviceQualifier
1 Obstetrics10 Pregnancy102 Change; 109 Drainage; 10A Abortion; 10D Extraction; 10E Delivery; 10H Insertion; 10J Inspection; 10P Removal; 10Q Repair; 10S Reposition; 10T Resection; 10Y TransplantationBody PartApproachDeviceQualifier
2 Placement2W Anatomical Regions; 2Y Anatomical OrificesRoot Operation
2?0 Change; 2?1 Compression; 2?2 Dressing; 2?3 Immobilization; 2?4 Packing; 2?5 Removal; 2?6 Traction
Body Region/OrificeApproachDeviceQualifier
3 Administration30 Circulatory; 3CIndwelling Device; 3E Physiological Systems and Anatomical RegionsRoot OperationBody System/RegionApproachSubstanceQualifier
4 Measurement and Monitoring4A Physiological Systems; 4B Physiological DevicesRoot OperationBody SystemApproachFunctionQualifier
5 Extracorporeal Assistance and Performance5A Physiological SystemsRoot OperationBody SystemDurationFunctionQualifier
6 Extracorporeal Therapies6A Physiological SystemsRoot Operation
6A0 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 SystemDurationQualifierQualifier
7 Osteopathic7W7W0Body RegionApproachMethodQualifier
8 Other Procedures8C Indwelling Device; 8E Physiological Systems and Anatomical RegionsRoot OperationBody RegionApproachMethodQualifier
9 Chiropractic9W9WBBody RegionApproachMethodQualifier
B ImagingBody 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
Root TypeBody PartContrast
0=high osmolar contrast; 1=low osmolar contrast; z=other contrast
QualifierQualifier
C Nuclear medicineBody 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
Root TypeBody PartRadionuclideQualifierQualifier
D Radiation oncologyBody 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
Root TypeBody PartModality QualifierIsotopeQualifier
F Physical rehabilitation and Diagnostic AudiologyF0 Rehabilitation; F1 Diagnostic AudiologyRoot TypeBody System & RegionType QualifierEquipmentQualifier
G Mental healthGZ NoneRoot Type
GZ1 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 QualifierQualifierQualifierQualifier
H Substance abuse TreatmentHZ NoneRoot TypeType QualifierQualifierQualifierQualifier

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; 0X transfer; 0Y transplantation

They can be grouped into several categories:[4]

Regions[edit]

Regions: 0 Head; 1 Cervical, 2 Thoracic, 3 Lumbar, 4 Sacrum, 5 Pelvis, 6 Lower extremities, 7 Upper extremities, 8 Rib cage, 9 Abdomen

See also[edit]

References[edit]

  1. ^ "ICD-10-PCS Reference Manual". Centers for Medicare & Medicaid Services. Retrieved 28 February 2013. 
  2. ^ pcs_final_report2010; Richard F. Averill, M.S., Robert L. Mullin, M.D., Barbara A. Steinbeck, RHIT, Norbert I. Goldfield, M.D, Thelma M. Grant, RHIA, Rhonda R. Butler, CCS, CCS-P. "Development of the ICD-10 Procedure Coding System (ICD-10-PCS)" (PDF). Descriptive Report. Centers for Medicare and Medicaid Services. Retrieved February 25, 2010. 
  3. ^ Aalseth, Patricia T. (2004). Codebusters Coding Connection: A Documentation Guide for Compliant Coding. Jones & Bartlett Publishers. p. 27. ISBN 0-7637-2630-3. 
  4. ^ a b https://www.cms.gov/ICD10/Downloads/pcs_final_report2011.pdf

External links[edit]