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ICD-10-PCSICD-10-PCS

The International Classifi cation of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) is a pro posed new procedure coding system that is being developed as a replacement for ICD-9-CM, Volume 3. ICD-10-PCS contains a multi-axial, seven-character alphanumeric code structure that:

• provides a unique code for all substantially different procedures and

• allows new procedures to be easily incorporated as new codes.

ICD-10-PCS is being developed with the support of the Centers for Medicare and Medicaid Ser vices (CMS), and it has not yet been adopted for implementation to replace ICD-9-CM, Volume 3.

Comparison of ICD-9-CM, Volume 3 and ICD-10-PCS

ICD-9-CM, Volume 3 ICD-10-PCS

Follows structure of ICD (designed for diagnosis coding)

Designed/developed to meet health care needs for a procedure code system

Codes are listed in a fi xed/fi nite set Codes are constructed from fl exible code components (values) using tables

Codes are numeric Codes are alphanumeric

Codes are three to four digits long Each code is seven characters in length

Character position

Aspect of the procedure

A right hemicolectomy is assigned ICD-10-PCS code 0DTF0ZZ

1st Section Medical and Surgical - 0

2nd Body system Gastrointestinal System - D

3rd Root operation Resection - T

4th Body part Large Intestine, Right - F

5th Approach Open - 0

6th Device No Device - Z

7th Qualifi er No Qualifi er - Z

Internet LinkCenters for Medicare and Medicaid Services For up-to-date information about the implementation of ICD-10-PCS and to

download the ICD-10-PCS Training Guide, go to http://www.cms.hhs.gov and click on the Medicare link, then scroll down and click on the ICD-10 link, then click on the ICD-10-PCS link to view a list of PDF fi les. Click on each to locate ICD-10-PCS training fi les and coding manuals.