ICD-10 Procedure Coding System

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Template:Short description

The ICD-10 Procedure Coding System (ICD-10-PCS) is a US 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] Despite being named after the WHO's International Classification of Diseases, it is a US-developed standard which is not used outside the United States.[2]

Section structure

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.[3] There are no decimals in ICD-10-PCS[4]

Of the 72,081 codes in ICD-10-PCS, 62,022 are in the first section, "Medical and surgical".[5]

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 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
2 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
3 Administration Template:ICD10PCS Circulatory; Template:ICD10PCSIndwelling Device; Template:ICD10PCS Physiological Systems and Anatomical Regions Root Operation Body System/Region Approach Substance Qualifier
4 Measurement and Monitoring Template:ICD10PCS Physiological Systems; Template:ICD10PCS Physiological Devices Root Operation Body System Approach Function Qualifier
5 Extracorporeal Assistance and Performance Template:ICD10PCS Physiological Systems Root Operation Body System Duration Function Qualifier
6 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
7 Osteopathic Template:ICD10PCS Template:ICD10PCS Body Region Approach Method Qualifier
8 Other Procedures Template:ICD10PCS Indwelling Device; Template:ICD10PCS Physiological Systems and Anatomical Regions Root Operation Body Region Approach Method Qualifier
9 Chiropractic Template:ICD10PCS Template:ICD10PCS 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 Template:ICD10PCS Rehabilitation; Template:ICD10PCS Diagnostic Audiology Root Type Body System & Region Type Qualifier Equipment Qualifier
G 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
H Substance abuse Treatment Template:ICD10PCS None Root Type Type Qualifier Qualifier Qualifier Qualifier
Template:ICD10PCS New Technology

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; 0W revision; 0X transfer; 0Y transplantation

They can be grouped into several categories:[5]

Regions

Region Code
Template:Rh| Head 0
Template:Rh| Cervical 1
Template:Rh| Thoracic 2
Template:Rh| Lumbar 3
Template:Rh| Sacrum 4
Template:Rh| Pelvis 5
Template:Rh| Lower extremities 6
Template:Rh| Upper extremities 7
Template:Rh| Rib cage 8
Template:Rh| Abdomen 9

See also

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Template:Wikidata property

References

Template:Reflist

Template:Medical classification Template:Central nervous system tests and procedures Template:Cardiac surgery Template:Vascular surgery procedures Template:Operations and other procedures of the hemic and lymphatic system Template:Eye surgery Template:Operations and other procedures on the ear Template:Operations and other procedures on the nose, mouth, and pharynx Template:Respiratory system surgeries and other procedures Template:Digestive system surgical procedures Template:Endocrine system operations and other procedures Template:Skin and subcutaneous tissue procedures Template:Breast procedures Template:Muscle/soft tissue procedures Template:Bone/joint procedures Template:Urologic surgical and other procedures Template:Female genital procedures Template:Male genital procedures Template:Obstetrical procedures Template:Medical placement and administration procedures Template:Chiropractic Template:Medical imaging Template:Radiation oncology Template:Physical therapy and rehabilitation Template:Psychologic and psychiatric evaluation and testing Template:Psychotherapy

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