International system of medical classification used for procedural coding
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]
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.[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]
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
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 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
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
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)
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
9
See also[edit]
Wikisource has original text related to this article:
ICD-10-PCS (2011)
ICD-10 Clinical Modification
Wikidata has the property:
ICD-10-PCS (P1690) (see uses)
References[edit]
^"ICD-10-PCS Reference Manual" (ZIP). Centers for Medicare & Medicaid Services. Retrieved 25 February 2019.
^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. ISBN 0-7637-2630-3.
^ a bhttps://www.cms.gov/ICD10/Downloads/pcs_final_report2011.pdf
vteMedical classification
Topographical codes
Terminologia
TA
TH
TE
SNOMED T axis
MeSH A axis
Diagnostic codes
general:
ICD
11 (upcoming)
10
9
ICPC-2
DRC
NANDA
Read codes
SNOMED D axis
specialized:
ICD-O
ICSD
ICHD
ILDS
DSM
IV
5
BPA
CCMD-3
Procedural codes
HCPCS (CPT, Level 2)
ICD
10 PCS
9-CM Volume 3
ICHI
NIC
SNOMED P axis
OPS-301
Read codes/OPCS-4
CCAM
LOINC
Pharmaceutical codes
ATC
NDC
SNOMED C axis
DIN
Outcomes codes
NOC
vteTests and procedures involving the central nervous system
Neurosurgery
Skull
Craniotomy
Decompressive craniectomy
Cranioplasty
Brain
thalamus and globus pallidus
Thalamotomy
Thalamic stimulator
Pallidotomy
ventricular system
Cerebral shunt
Ventriculostomy
Suboccipital puncture
Intracranial pressure monitoring
cerebrum
Psychosurgery
Lobotomy
Bilateral cingulotomy
Multiple subpial transection
Hemispherectomy
Corpus callosotomy
Anterior temporal lobectomy
Other
pituitary gland
Hypophysectomy
hippocampus
Amygdalohippocampectomy
Brain biopsy
Meninges
Meningeal biopsy
Spinal cord and spinal canal
Spinal decompression
Discectomy
Intervertebral disc annuloplasty
Cordotomy
Rhizotomy
Imaging
Neuroimaging
Head CT
Cerebral angiography
Pneumoencephalography
Echoencephalography/Transcranial Doppler
Brain MRI
Brain PET
Magnetoencephalography
Myelography
Wada test
Microneurography
Diagnostic
Electroencephalography
Lumbar puncture
CSF tap test
Polysomnography
Clinical prediction rules
Glasgow Coma Scale
Mini–Mental State Examination
National Institutes of Health Stroke Scale
CHADS2 score
vteTests and procedures involving the heart
Cardiac surgery · Interventional cardiology · Cardiology diagnostic tests and procedures · Cardiac imaging
Surgery
Heart valvesand septa
Valve repair
Valvulotomy
Mitral valve repair
Valvuloplasty
aortic
mitral
Valve replacement
Aortic valve repair
Aortic valve replacement
Ross procedure
Percutaneous aortic valve replacement
Mitral valve replacement
Percutaneous pulmonary valve implantation
production of septal defect in heart
enlargement of existing septal defect
Atrial septostomy
Balloon septostomy
creation of septal defect in heart
Blalock–Hanlon procedure
shunt from heart chamber to blood vessel
atrium to pulmonary artery
Fontan procedure
left ventricle to aorta
Rastelli procedure
right ventricle to pulmonary artery
Sano shunt
compound procedures
for transposition of the great vessels
Arterial switch operation
Mustard procedure
Senning procedure
for univentricular defect
Norwood procedure
Kawashima procedure
shunt from blood vessel to blood vessel
systemic circulation to pulmonary artery shunt
Blalock–Taussig shunt
SVC to the right PA
Glenn procedure
Cardiac vessels
CHD
Angioplasty
Bypass/Coronary artery bypass
MIDCAB
Off-pump CAB
TECAB
Coronary stent
Bare-metal stent
Drug-eluting stent
Bentall procedure
Valve-sparing aortic root replacement
LeCompte maneuver
Other
Pericardium
Pericardiocentesis
Pericardial window
Pericardiectomy
Myocardium
Cardiomyoplasty
Dor procedure
Septal myectomy
Ventricular reduction
Alcohol septal ablation
Conduction system
Maze procedure
Cox maze and minimaze
Catheter ablation
Cryoablation
Radiofrequency ablation
Pacemaker insertion
Left atrial appendage occlusion
Cardiotomy
Heart transplantation
Tests
Electrophysiology
Electrocardiography
Vectorcardiography
Holter monitor
Implantable loop recorder
Cardiac stress test
Bruce protocol
Electrophysiology study
Cardiac imaging
Angiocardiography
Echocardiography
TTE
TEE
Myocardial perfusion imaging
Cardiovascular MRI
Ventriculography
Radionuclide ventriculography
Cardiac catheterization/Coronary catheterization
Cardiac CT
Cardiac PET
sound
Phonocardiogram
Function tests
Impedance cardiography
Ballistocardiography
Cardiotocography
Pacing
Cardioversion
Transcutaneous pacing
Category
vteVascular surgery
Vascular and Endovascular surgery
Arterial disease
Vascular bypass
Angioplasty
Atherectomy
Endarterectomy
Carotid endarterectomy
Stenting
Carotid stenting
Venous disease
Ambulatory phlebectomy
Laser surgery
Sclerotherapy
Vein stripping
Arterial and venous access
Venous cutdown
Arteriotomy
Phlebotomy
Aortic aneurysm / dissection:
Endovascular aneurysm repair
Open aortic surgery
Other
Cardiopulmonary bypass
Cardioplegia
Isolated organ perfusion technique
Extracorporeal membrane oxygenation
Vascular access
Revascularization
First rib resection
Seldinger technique
Vascular snare
Medical imaging
Angiography
Digital subtraction angiography
Cerebral angiography
Aortography
Fluorescein angiography
Radionuclide angiography
Magnetic resonance angiography
Venography
Portography
Impedance phlebography
Ultrasound
Intravascular ultrasound
Carotid ultrasonography
Other diagnostic
Angioscopy
Ankle–brachial pressure index
Toe pressure
vteProcedures relating to the haematopoetic and lymphatic systems
Bone marrow
Stem cell transplantation
Hematopoietic stem cell transplantation
Thymus
Removal
Transplantation
Spleen
Removal
Transplantation
Lymph nodes
Lymphadenectomy
Neck dissection
Retroperitoneal lymph node dissection
Lymph node biopsy
Tonsils
see Template:Procedures on the mouth and pharynx
Imaging
Lymphogram
vteTests and procedures involving the eyes
Eye surgery · Eye examination
Adnexa
Eyelids
Blepharoplasty
East Asian blepharoplasty
Epicanthoplasty
Tarsorrhaphy
Lacrimal system
Dacryocystorhinostomy
Punctoplasty
Globe
Cornea
Radial keratotomy
LASIK
Keratomileusis
SMILE
Epikeratophakia
Corneal transplantation
Photorefractive keratectomy
Intrastromal corneal ring segment
Corneal collagen cross-linking
Other
Glaucoma surgery
Trabeculectomy
Iridectomy
Phacoemulsification
Cataract surgery
Capsulorhexis
Vitrectomy
Enucleation
Extraocular muscles
Harada–Ito procedure
Strabismus surgery
Botulinum toxin therapy of strabismus
Medical imaging
Fluorescein angiography
Indocyanine green angiography
Fundus photography
Corneal topography
Optical coherence tomography
Electrodiagnosis: Electrooculography
Electroretinography
Electronystagmography
Eye examination
Gonioscopy
Dilated fundus examination
Ocular tonometry
Ophthalmoscopy
Retinoscopy
Color perception test
Visual field test/Perimetry
Radiotherapy
Plaque radiotherapy
vteTests and procedures on the ear
Outer ear
Otoplasty
Middle ear
Myringotomy
Stapedectomy
Tympanoplasty
Tympanocentesis
Myringoplasty
Inner ear
Mastoidectomy
Tests
Epley maneuver
Caloric reflex test
Auditory brainstem response
Electronystagmography
vteProcedures relating to the mouth and pharynx
Mouth
lip:
Labial frenectomy
Lip lift
Lip augmentation
Cheiloplasty
tongue:
Lingual frenectomy
Genioglossus advancement
Glossectomy
teeth:
see Template:Endodontology
gingiva:
see Template:Periodontology
Oropharynx
palate:
Palatoplasty
Pharyngeal flap surgery
tonsil:
Tonsillectomy
Adenoidectomy
uvula:
Uvulotomy
Uvulopalatoplasty
Uvulopalatopharyngoplasty
vteTests and procedures involving the respiratory system
Surgery
Upper RT
nose
Rhinoplasty
Septoplasty
Somnoplasty
Alarplasty
Rhinectomy
Rhinomanometry
Acoustic rhinometry
sinus
Sinusotomy
larynx
Laryngoscopy
Laryngectomy
Laryngotomy
Thyrotomy
Laryngotracheal reconstruction
Lower RT
trachea
Cricothyrotomy
Tracheoesophageal puncture
Tracheotomy
bronchus
Bronchoscopy
lung
Pneumonectomy
Lobectomy
Wedge resection
Transplantation
Decortication
Heart–lung transplant
Chest wall, pleura,mediastinum,and diaphragm
pleura/pleural cavity
Thoracentesis
Pleurodesis
Thoracoscopy
Thoracotomy
Chest tube
mediastinum
Mediastinoscopy
Nuss procedure
Tests
Medical imaging
Bronchography
CT pulmonary angiogram
High-resolution computed tomography
Spiral CT
Ventilation/perfusion scan
Clinical prediction rule
Pneumonia severity index
CURB-65
Lung function test
Body plethysmography
Spirometry
Bronchial challenge test
Capnography
Diffusion capacity
Cytology
Bronchoalveolar lavage
Nasopharyngeal swab
Sputum culture
Other
Blood gas test
Other procedures
Oxygen therapy
Intubation
Surgical airway management
Mechanical ventilation
Negative pressure ventilator
Positive pressure ventilation
Respiratory therapy
Artificial respiration
CPR
Hyperbaric medicine
Decompression chamber
Heliox
Nebulizer
Postural drainage
Hyperinflation therapy
Pulmonary hygiene
Pulmonary rehabilitation
vteTests and procedures involving the digestive system