ICD-10 Procedure Coding System

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

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 1 Character 2 Character 3 Character 4 Character 5 Character 6 Character 7
0 Medical and Surgical Body System
0 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 Operation
see below
Body Part 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
Device Qualifier
1 Obstetrics [1] 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 [2] Anatomical Regions; [3] Anatomical Orifices Root Operation
2?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 [4] Circulatory; [5]Indwelling Device; [6] Physiological Systems and Anatomical Regions Root Operation Body System/Region Approach Substance Qualifier
4 Measurement and Monitoring [7] Physiological Systems; [8] Physiological Devices Root Operation Body System Approach Function Qualifier
5 Extracorporeal Assistance and Performance [9] Physiological Systems Root Operation Body System Duration Function Qualifier
6 Extracorporeal Therapies [10] Physiological Systems Root Operation
[11] Atmospheric control; [12] Decompression; [13] Electromagnetic therapy; [14] Hyperthermia; [15] Hypothermia; [16] Pheresis; [17] Phototherapy; [18] Ultrasound therapy; [19] Ultraviolet light therapy; [20] Shock wave therapy
Body System Duration Qualifier Qualifier
7 Osteopathic [21] [22] Body Region Approach Method Qualifier
8 Other Procedures [23] Indwelling Device; [24] Physiological Systems and Anatomical Regions Root Operation Body Region Approach Method Qualifier
9 Chiropractic [25] [26] Body Region Approach Method Qualifier
B Imaging 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
Root Type Body Part Contrast
0=high osmolar contrast; 1=low osmolar contrast; z=other contrast
Qualifier Qualifier
C Nuclear medicine 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
Root Type Body Part Radionuclide Qualifier Qualifier
D Radiation oncology 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
Root Type Body Part Modality Qualifier Isotope Qualifier
F Physical rehabilitation and Diagnostic Audiology [27] Rehabilitation; [28] Diagnostic Audiology Root Type Body System & Region Type Qualifier Equipment Qualifier
G Mental health [29] None Root Type
[30] Psychological tests; [31] Crisis intervention; [32] Medication management; [33] Individual psychotherapy; [34] Counseling; [35] Family psychotherapy; [36] Electroconvulsive therapy; [37] Biofeedback; [38] Hypnosis; [39] Narcosynthesis; [40] Group psychotherapy; [41] Light therapy
Type Qualifier Qualifier Qualifier Qualifier
H Substance abuse Treatment [42] 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; 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.  Cite uses deprecated parameter |coauthors= (help)
  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]