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]
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 ; 4 ; 5 ; 6 ; 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 ; Q ; R ; S ; T Urinary system; U Female reproductive system; V Male reproductive system; W , General; X , Upper extremities; Y , 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
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 (), 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 ()
involve putting in or on, putting back, or moving living body part: bypass (gastrojejunal bypass), dilation (), occlusion (fallopian tube ligation), restriction (cervical cerclage)
always involve devices: insertion (), replacement (total hip replacement), supplement (herniorrhaphy using mesh), removal (), change (), revision ()
involve cutting and separation only: division (osteotomy), release (peritoneal adhesiolysis)
involving other repair: control (), repair ()
with other objectives: alteration (face lift), creation (artificial vagina creation), fusion (spinal fusion)
Regions[]
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[]
Wikisource has original text related to this article:
^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.