The International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) is a U.S. cataloging system for procedural codes that track various health interventions taken by medical professionals. Show ICD-10 replaced the ninth revision of the system in 1993, and ICD-10-PCS is a U.S.-specific clinical modification of the original ICD-10. The ICD-10-PCS code set is used in inpatient and hospital settings. The updated ICD-10-PCS code set has more codes than the ICD-9 version, and this helps support current health information needs. ICD-10-PCS codes must be used on all Health Insurance Portability and Accountability Act (HIPAA) transactions. Code structureICD-10-PCS is developed by the Centers for Medicare and Medicaid Services (CMS) in conjunction with 3M Health Information Management to track international morbidity and mortality statistics in a comparable way. The system uses three- to seven-digit alphanumeric codes to specify medical procedures. The first digit indicates the section of medical practice (surgery, administration, measuring and monitoring, etc.) and the following digits specify the body system, root operation, body part, approach and the device used. The seventh character is a qualifying digit. The crucial first three digits of a code are stored in the ICD manual for reference. For example, a code beginning in 0C0 would be a medical/surgical procedure on the mouth or throat -- specifically, an alteration. Example of an ICD-10-PCS codeHere is an example of what an ICD-10-PCS code looks like: 047K0ZZ. This is the ICD-10-PCS code for the dilation of a right femoral artery using an open approach. ICD-10-PCS vs. ICD-10-CMThe U.S. also uses ICD-10-CM (Clinical Modification) for diagnostic coding. The main differences between ICD-10 PCS and ICD-10-CM include the following:
ICD-10-PCS sectionsThere are 17 sections to ICD-10-PCS. The sections relate to the type of procedure being performed. They are the following:
ICD-10-PCS guidelinesApproved by the four organizations -- the American Hospital Association, the American Health Information Management Association, CMS and the National Center for Health Statistics -- the guidelines for ICD-10-PCS are a set of rules that have been developed to accompany and complement the instructions provided within the coding system. However, the instructions provided within ICD-10-PCS take precedence over these guidelines. The guidelines provide additional instruction to the coding and sequencing instructions in the tables, index and definitions of ICD-10-PCS. The purpose of these guidelines is to assist healthcare providers and coders to identify the procedures that need to be reported. Changes to the ICD-10-PCS code set for 2017All the changes made to the ICD-10-PCS guidelines for 2017 occurred in the Medical and Surgical Section Guidelines. Changes were made to the Body System General Guidelines section, Root Operation (removing a body part) Guidelines section and more.
Since the time we have come to know that ICD-9-CM will be replaced by ICD10 codes in future, we are more eager to learn these new codes. For the diagnosis part, that is Volume 1 and 2 part of ICD9 is same compared to ICD10 because the guidelines remains the same. The only difference will be the use of new alphanumeric codes in ICD10. Until now, everyone has only thought about diagnosis what about ICD Volume 3 procedure codes? So, here are the main challenges who don’t know What is ICD-10-PCS coding. So, I am just here to give some information about this coding system. ICD-10-PCS (Procedure coding system) is going to replace ICD 9 volume 3 procedure codes completely. So, for coders especially inpatient coders need to know What ICD-10-PCS is? So we go ahead and learn few important things about ICD-10-PCS. image courtesy: http://www.medicaldatamanagementgroup.com/
Read also: Difference between ICD9 and ICD10 codesICD1-10-PCS is a combination of alpha and numeric to form procedure codes to provide a coding system of medical classification to determine payment and support EHR (electronic health record) for all the inpatient procedure performed in United States. The codes are designed in such a way that the coders can filter the codes on the basic of section, root operation, body part, approach, device etc. to reach out to the correct procedure codes. First let use checkout how these codes are different from ICD 9 volume 3 codes. 1. ICD-CM has only Numeric for Procedure codes but ICD-10-PCS codes are alphanumeric  All codes in ICD-10-PCS are seven characters long. Each character in the seven-character code represents an aspect of the procedure, as shown in the following diagram of characters from the main section of ICD-10-PCS, called Medical and Surgical. Characters of ICD-10-PCS
ICD-10-PCS codes, (International Classification of Diseases, 10th Revision, Procedure Coding System) is the new procedure coding system developed by 3M as a replacement for ICD-9-CM, volume 3. These are used as diagnostic codes, serving as a tool for reporting basic health statics, as well as for indexing/ reporting the following:
Due to the table structure of ICD-10-PCS, the specification of many codes can be on one page. Currently, there are about 87,000 codes, which are ONLY used in US hospitals. SECTIONS
FORMAT7 Alphanumeric Characters _ _ _ _ _ _ _ PUBLICATIONCreated by 3M Health Information Systems; Funded / Mantained by by CMS The ICD-10-PCS manual is divided into an index, followed by 17 sections of code tables. Index The Index is located at the beginning of the manual and is an alphabetical list of terms, which can be used to locate the appropriate code table. The main terms include root operations, root procedure types, or common names, and thus the index reflects the structure of the table. The index is based upon the third character, lists anatomic sites, uses device terms, and contains common procedures. It will always provide at least the first three or four values of the codes, while it will sometimes provide the entire code. It should be noted that the index is used ONLY to assist in locating the tables where the codes are constructed and it does not have to be consulted before proceeding to the tables. Code Tables 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. The first three characters of procedures define each table, while the columns provide the last four characters and rows providing values for each character. Code Format ICD-10-PCS codes are consist of 7 alphanumeric characters. ALL seven characters MUST be specified in order to be a valid code. A character specifies the same type of information in that particular axis of classification when within a defined code range. For each axis, one of 34 possible values can be assigned, including numbers 0-9 and letters of the alphabet, sans the letters "I" and "O". (These letters are not used, as they are easily confused with numbers "1" and "0.") Code Ranges (Color coded table of code ranges coming soon.) Appendices The back of the manual includes Appendices A-L, which provide valuable references for coding efficiency:
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The ICD-10-PCS has a seven character alphanumeric code structure
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