The ICD-10 Procedure Coding System (ICD-10-PCS) is a US system of

medical classification A medical classification is used to transform descriptions of medical diagnoses or procedures into standardized statistical code in a process known as clinical coding. Diagnosis classifications list diagnosis codes, which are used to track dise ...

used for procedural coding. The

Centers for Medicare and Medicaid Services The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer ...

, 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 The ICD-10 Clinical Modification (ICD-10-CM) is a set of diagnosis codes used in the United States of America. It was developed by a component of the U.S. Department of Health and Human services, as an adaption of the ICD-10 with authorizatio ...

does not. ICD-10-PCS is the result. ICD-10-PCS was initially released in 1998. It has been updated annually since that time. Despite being named after the WHO's

International Classification of Diseases The International Classification of Diseases (ICD) is a globally used medical classification that is used in epidemiology, health management and clinical diagnosis. The ICD is maintained by the World Health Organization (WHO), which is the dir ...

, it is a US-developed standard which is not used outside the United States.

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. There are no decimals in ICD-10-PCS Of the 72,081 codes in ICD-10-PCS, 62,022 are in the first section, "Medical and surgical".

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 Drainage is the natural or artificial removal of a surface's water and sub-surface water from an area with excess water. The internal drainage of most agricultural soils can prevent severe waterlogging (anaerobic conditions that harm root gro ...

; 0B excision; 0C

extirpation Local extinction, also extirpation, is the termination of a species (or other taxon) in a chosen geographic area of study, though it still exists elsewhere. Local extinctions are contrasted with extinction, global extinctions. Local extinctions ...

; 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: * 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 A tendon transfer is a surgical process in which the insertion (anatomy), insertion of a tendon is moved, but the origin (anatomy), origin remains in the same location. Tendon transfer involves redistribution of muscle power, not recreation. Tend ...

) * take out or eliminate solid matter, fluids, or gases from a body part:

(

incision and drainage Incision and drainage (I&D), also known as clinical lancing, are minor surgical procedures to release pus or pressure built up under the skin, such as from an abscess, boil, or infected paranasal sinus. It is performed by treating the area wit ...

), extirpation ( thrombectomy), fragmentation ( lithotripsy of

gallstones A gallstone is a stone formed within the gallbladder from precipitated bile components. The term cholelithiasis may refer to the presence of gallstones or to any disease caused by gallstones, and choledocholithiasis refers to the presence of ...

) * 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 Spinal fusion, also called spondylodesis or spondylosyndesis, is a surgery performed by Orthopedic surgery#Practice, orthopaedic surgeons or neurosurgeons that joins two or more vertebrae. This procedure can be performed at any level in the spine ...

)

Regions

References

{{Psychotherapy Clinical procedure classification