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Icd-10-pcs

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

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
Template:ICD10PCS Medical and Surgical Body System
Template:ICD10PCS 0 Central nervous system; Template:ICD10PCS Peripheral nervous system; Template:ICD10PCS Heart and Great vessels; Template:ICD10PCS Upper arteries; Template:ICD10PCS4 Lower arteries; Template:ICD10PCS Upper veins; Template:ICD10PCS Lower veins; Template:ICD10PCS Lymphatic and Hemic system; Template:ICD10PCS Eye; Template:ICD10PCS Ear, Nose, Sinus; Template:ICD10PCS Respiratory System; Template:ICD10PCS Mouth and Throat; Template:ICD10PCS Gastrointestinal system; Template:ICD10PCS Hepatobiliary System and Pancreas; Template:ICD10PCS Endocrine system; Template:ICD10PCS Skin and Breast; Template:ICD10PCS Subcutaneous tissue; Template:ICD10PCS Muscles; Template:ICD10PCS Tendons; Template:ICD10PCS Bursae and Ligaments; Template:ICD10PCS Head and Facial bones; Template:ICD10PCS Upper bones; Template:ICD10PCS Lower bones; Template:ICD10PCS Upper joints; Template:ICD10PCS Lower joints; Template:ICD10PCS Urinary system; Template:ICD10PCS female reproductive system; Template:ICD10PCS Male reproductive system; Template:ICD10PCS Anatomical regions, General; Template:ICD10PCS Anatomical regions, Upper extremities; Template:ICD10PCS 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
Template:ICD10PCS Obstetrics Template:ICD10PCS 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
Template:ICD10PCS Placement Template:ICD10PCS Anatomical Regions; Template:ICD10PCS 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
Template:ICD10PCS Administration Template:ICD10PCS Circulatory; Template:ICD10PCSIndwelling Device; Template:ICD10PCS Physiological Systems and Anatomical Regions Root Operation Body System/Region Approach Substance Qualifier
Template:ICD10PCS Measurement and Monitoring Template:ICD10PCS Physiological Systems; Template:ICD10PCS Physiological Devices Root Operation Body System Approach Function Qualifier
Template:ICD10PCS Extracorporeal Assistance and Performance Template:ICD10PCS Physiological Systems Root Operation Body System Duration Function Qualifier
Template:ICD10PCS Extracorporeal Therapies Template:ICD10PCS Physiological Systems Root Operation
Template:ICD10PCS Atmospheric control; Template:ICD10PCS Decompression; Template:ICD10PCS Electromagnetic therapy; Template:ICD10PCS Hyperthermia; Template:ICD10PCS Hypothermia; Template:ICD10PCS Pheresis; Template:ICD10PCS Phototherapy; Template:ICD10PCS Ultrasound therapy; Template:ICD10PCS Ultraviolet light therapy; Template:ICD10PCS Shock wave therapy
Body System Duration Qualifier Qualifier
Template:ICD10PCS Osteopathic Template:ICD10PCS Template:ICD10PCS Body Region Approach Method Qualifier
Template:ICD10PCS Other Procedures Template:ICD10PCS Indwelling Device; Template:ICD10PCS Physiological Systems and Anatomical Regions Root Operation Body Region Approach Method Qualifier
Template:ICD10PCS Chiropractic Template:ICD10PCS Template:ICD10PCS Body Region Approach Method Qualifier
Template:ICD10PCS 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
Template:ICD10PCS 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
Template:ICD10PCS 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
Template:ICD10PCS Physical rehabilitation and Diagnostic Audiology Template:ICD10PCS Rehabilitation; Template:ICD10PCS Diagnostic Audiology Root Type Body System & Region Type Qualifier Equipment Qualifier
Template:ICD10PCS Mental health Template:ICD10PCS None Root Type
Template:ICD10PCS Psychological tests; Template:ICD10PCS Crisis intervention; Template:ICD10PCS Medication management; Template:ICD10PCS Individual psychotherapy; Template:ICD10PCS Counseling; Template:ICD10PCS Family psychotherapy; Template:ICD10PCS Electroconvulsive therapy; Template:ICD10PCS Biofeedback; Template:ICD10PCS Hypnosis; Template:ICD10PCS Narcosynthesis; Template:ICD10PCS Group psychotherapy; Template:ICD10PCS Light therapy
Type Qualifier Qualifier Qualifier Qualifier
Template:ICD10PCS Substance abuse Treatment Template:ICD10PCS None Root Type Type Qualifier Qualifier Qualifier Qualifier

Root operations

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]

  • 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)
  • 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

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

References

External links

  • 2011 ICD-10-PCS and GEMs
  • ICD-10-PCS Code Browser
  • Browser
  • Search Engine for ICD-10 PCS and ICD-10 WHO 2010

Template:Medical classification

Template:Muscle/soft tissue procedures

Template:Medical placement and administration procedures Template:Extracorporeal assistance, performance, and therapy

Template:Radiation oncology Template:Physical therapy and rehabilitation Template:Psychologic and psychiatric evaluation and testing

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