ICD-10 PCS Procedure Codes 2020

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The International Classification of Diseases, Clinical Modification, 10th Edition (ICD-10-PCS) 2020 file contains information on the new procedure coding system, ICD-10-PCS, that is a replacement for ICD-9-CM, Volume 3. These 2019 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2019 through September 30, 2020.

Complexity

The International Classification of Diseases tenth revision Procedure Coding System (ICD-10-PCS) is a system of medical classification used for procedural codes that track various health interventions taken by medical professionals.

The International Classification of Diseases 11th Revision Procedure Coding System (ICD-10-PCS) has been developed as a replacement for Volume 4 of the International Classification of Diseases 9th Revision (ICD-9-CM). The development of ICD-10-PCS was funded by the U.S. Centers for Medicare and Medicaid Services (CMS).1 ICD-10- PCS has a multiaxial 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. ICD10-PCS was under development for over five years. The initial draft was formally tested and evaluated by an independent contractor; the final version was released in the Spring of 1998, with annual updates since the final release. The design, development and testing of ICD-10-PCS are discussed.

Date Created

2017-07-26

Last Modified

2019-08-08

Version

2019-0808

Update Frequency

Annual

Temporal Coverage

2019-10-01 to 2020-09-30

Spatial Coverage

United States

Source

John Snow Labs; Centers for Medicare and Medicaid Services;

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

Clinical Software, CCS, Clinical Classifications Software, Clinical Classifications Software for Services and Procedures, Code Book, ICD-10-CM Definition, ICD-10-CM Book, ICD-10-CM Manual, ICD-10-CM and ICD-10-PCS Coding Handbook, ICD 10 Codes

Other Titles

Clinical Classifications Software for Services and Procedures for ICD-10-PCS Procedure Codes, ICD-10-PCS Procedure Codes Code Book, ICD-10-PCS Procedure Codes Coding Handbook

NameDescriptionTypeConstraints
Order_NumberA unique five-digit “order number”. The codes are numbered in “tabular order,” i.e., the order in which the contents of the code system are displayed in the official document containing the system.stringunique : 1 required : 1
Procedure_Code7-digit ICD 10 PCS code that uniquely identifies an illness.string-
Is_Valid"false" if the code is a “header” –not valid for HIPAA (Health Insurance Portability and Accountability Act) covered transactions. "true" if the code is valid for submission for HIPAA-covered transactions.boolean-
Short_DescriptionShortened, fixed-length description of the code.string-
Long_DescriptionLong (full line / sentence) description of the code.stringunique : 1
Order NumberProcedure CodeIs ValidShort DescriptionLong Description
11FalseCentral Nervous System and Cranial Nerves, BypassCentral Nervous System and Cranial Nerves, Bypass
216070TrueBypass Cereb Vent to Nasophar with Autol Sub, Open ApproachBypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach
316071TrueBypass Cereb Vent to Mastoid Sinus w Autol Sub, OpenBypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach
416072TrueBypass Cereb Vent to Atrium with Autol Sub, Open ApproachBypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach
516073TrueBypass Cereb Vent to Blood Vess w Autol Sub, OpenBypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach
616074TrueBypass Cereb Vent to Pleural Cav w Autol Sub, OpenBypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach
716075TrueBypass Cereb Vent to Intestine with Autol Sub, Open ApproachBypass Cerebral Ventricle to Intestine with Autologous Tissue Substitute, Open Approach
816076TrueBypass Cereb Vent to Periton Cav w Autol Sub, OpenBypass Cerebral Ventricle to Peritoneal Cavity with Autologous Tissue Substitute, Open Approach
916077TrueBypass Cereb Vent to Urinary Tract w Autol Sub, OpenBypass Cerebral Ventricle to Urinary Tract with Autologous Tissue Substitute, Open Approach
1016078TrueBypass Cereb Vent to Bone Mar with Autol Sub, Open ApproachBypass Cerebral Ventricle to Bone Marrow with Autologous Tissue Substitute, Open Approach