ICD-10 Procedure Coding System - AbsoluteAstronomy.com

The ICD-10 Procedure Coding System (ICD-10-PCS) is an American

United States

The United States of America is a federal constitutional republic comprising fifty states and a federal district...

Medical classification

Medical classification, or medical coding, is the process of transforming descriptions of medical diagnoses and procedures into universal medical code numbers...

used for procedural codes. The National Center for Health Statistics

National Center for Health Statistics

National Center for Health Statistics is a division of the United States federal agency the Centers for Disease Control and Prevention . As such, NCHS is under the United States Department of Health and Human Services...

(NCHS) received permission from the World Health Organization

World Health Organization

The World Health Organization is a specialized agency of the United Nations that acts as a coordinating authority on international public health. Established on 7 April 1948, with headquarters in Geneva, Switzerland, the agency inherited the mandate and resources of its predecessor, the Health...

(WHO) (the body responsible for publishing the International Classification of Diseases [ICD]) to create the ICD-10-PCS as a successor to Volume 3

ICD-9-CM Volume 3

ICD-9-CM Volume 3 is a system of procedural codes. It is a subset of ICD-9-CM - Procedures and interventions, not elsewhere classified :* Procedures and interventions, not elsewhere classified...

of ICD-9-CM and a clinical modification of the original ICD-10

ICD-10

The International Statistical Classification of Diseases and Related Health Problems, 10th Revision is a medical classification list for the coding of diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases, as maintained by the...

Section structure

Each code consists of seven alphanumeric characters. The second through seventh characters mean the same thing within each section, but may mean different things in other sections. 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 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".

Character 1	Character 2	Character 3	Character 4	Character 5	Character 6	Character 7
Medical and Surgical	Body System 0 Central nervous system Central nervous system The central nervous system is the part of the nervous system that integrates the information that it receives from, and coordinates the activity of, all parts of the bodies of bilaterian animals—that is, all multicellular animals except sponges and radially symmetric animals such as jellyfish... ; Peripheral nervous system Peripheral nervous system The peripheral nervous system consists of the nerves and ganglia outside of the brain and spinal cord. The main function of the PNS is to connect the central nervous system to the limbs and organs. Unlike the CNS, the PNS is not protected by the bone of spine and skull, or by the blood–brain... ; Heart Heart The heart is a myogenic muscular organ found in all animals with a circulatory system , that is responsible for pumping blood throughout the blood vessels by repeated, rhythmic contractions... and Great vessels Great vessels Great vessels is a term used to refer collectively to the four large vessels that bring blood to and from the heart. These are:Superior vena cavaInferior vena cavaPulmonary arteryAortaAll four pulmonary veins are considered apart of the great vessels... ; Upper arteries; 4 Lower arteries; Upper veins; Lower veins; Lymphatic and Hemic system; Eye Human eye The human eye is an organ which reacts to light for several purposes. As a conscious sense organ, the eye allows vision. Rod and cone cells in the retina allow conscious light perception and vision including color differentiation and the perception of depth... ; Ear Ear The ear is the organ that detects sound. It not only receives sound, but also aids in balance and body position. The ear is part of the auditory system.... , Nose Human nose The visible part of the human nose is the protruding part of the face that bears the nostrils. The shape of the nose is determined by the ethmoid bone and the nasal septum, which consists mostly of cartilage and which separates the nostrils... , Sinus Paranasal sinus Paranasal sinuses are a group of four paired air-filled spaces that surround the nasal cavity , above and between the eyes , and behind the ethmoids... ; Respiratory System Respiratory system The respiratory system is the anatomical system of an organism that introduces respiratory gases to the interior and performs gas exchange. In humans and other mammals, the anatomical features of the respiratory system include airways, lungs, and the respiratory muscles... ; Mouth Mouth The mouth is the first portion of the alimentary canal that receives food andsaliva. The oral mucosa is the mucous membrane epithelium lining the inside of the mouth.... and Throat Throat In vertebrate anatomy, the throat is the anterior part of the neck, in front of the vertebral column. It consists of the pharynx and larynx... ; Gastrointestinal system; Hepatobiliary System Hepatobiliary system This refers to the liver, gall bladder and bile ducts, and how they work together to make bile. Bile consists of water, electrolytes, bile acids, cholesterol, phospholipids and conjugated bilirubin. Some components are synthesised by liver cells, the rest are extracted from the blood by the... and Pancreas Pancreas The pancreas is a gland organ in the digestive and endocrine system of vertebrates. It is both an endocrine gland producing several important hormones, including insulin, glucagon, and somatostatin, as well as a digestive organ, secreting pancreatic juice containing digestive enzymes that assist... ; Endocrine system Endocrine system In physiology, the endocrine system is a system of glands, each of which secretes a type of hormone directly into the bloodstream to regulate the body. The endocrine system is in contrast to the exocrine system, which secretes its chemicals using ducts. It derives from the Greek words "endo"... ; Skin Skin -Dermis:The dermis is the layer of skin beneath the epidermis that consists of connective tissue and cushions the body from stress and strain. The dermis is tightly connected to the epidermis by a basement membrane. It also harbors many Mechanoreceptors that provide the sense of touch and heat... and Breast Breast The breast is the upper ventral region of the torso of a primate, in left and right sides, which in a female contains the mammary gland that secretes milk used to feed infants.Both men and women develop breasts from the same embryological tissues... ; Subcutaneous tissue Subcutaneous tissue The hypodermis, also called the hypoderm, subcutaneous tissue, or superficial fascia is the lowermost layer of the integumentary system in vertebrates. Types of cells that are found in the hypodermis are fibroblasts, adipose cells, and macrophages... ; Muscle Muscle Muscle is a contractile tissue of animals and is derived from the mesodermal layer of embryonic germ cells. Muscle cells contain contractile filaments that move past each other and change the size of the cell. They are classified as skeletal, cardiac, or smooth muscles. Their function is to... s; Tendons; Bursae and Ligaments; Head Human head In human anatomy, the head is the upper portion of the human body. It supports the face and is maintained by the skull, which itself encloses the brain.-Cultural importance:... and Facial bones Facial bones The facial skeleton, splanchnocranium or viscerocranium consists of part of skull that is derived from branchial arches. The facial bones are the bones of the anterior and lower human skull.Most sources include:* Inferior nasal concha... ; Upper bones; Lower bones; Upper joints; Lower joints; Urinary system Urinary system The urinary system is the organ system that produces, stores, and eliminates urine. In humans it includes two kidneys, two ureters, the bladder and the urethra.-Kidney:... ; Female reproductive system; Male reproductive system; Anatomical regions, General; Anatomical regions, Upper extremities; Anatomical regions, Lower extremities	Root Operation see below	Body Part	Approach 0 Open; 3 Percutaneous Percutaneous In surgery, percutaneous pertains to any medical procedure where access to inner organs or other tissue is done via needle-puncture of the skin, rather than by using an "open" approach where inner organs or tissue are exposed .The percutaneous approach is commonly used in vascular procedures... ; 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
Obstetrics Obstetrics Obstetrics is the medical specialty dealing with the care of all women's reproductive tracts and their children during pregnancy , childbirth and the postnatal period...	Pregnancy Pregnancy Pregnancy refers to the fertilization and development of one or more offspring, known as a fetus or embryo, in a woman's uterus. In a pregnancy, there can be multiple gestations, as in the case of twins or triplets...	102 Change; 109 Drainage Drainage (medical) In medicine, drainage refers to the removal of fluids from a body.Examples include thoracentesis and incision and drainage.... ; 10A Abortion Abortion Abortion is defined as the termination of pregnancy by the removal or expulsion from the uterus of a fetus or embryo prior to viability. An abortion can occur spontaneously, in which case it is usually called a miscarriage, or it can be purposely induced... ; 10D Extraction; 10E Delivery Childbirth Childbirth is the culmination of a human pregnancy or gestation period with the birth of one or more newborn infants from a woman's uterus... ; 10H Insertion; 10J Inspection Inspection An inspection is, most generally, an organized examination or formal evaluation exercise. In engineering activities inspection involves the measurements, tests, and gauges applied to certain characteristics in regard to an object or activity... ; 10P Removal; 10Q Repair; 10S Reposition; 10T Resection; 10Y Transplantation Organ transplant Organ transplantation is the moving of an organ from one body to another or from a donor site on the patient's own body, for the purpose of replacing the recipient's damaged or absent organ. The emerging field of regenerative medicine is allowing scientists and engineers to create organs to be...	Body Part	Approach	Device	Qualifier
Placement	Anatomical Regions; Anatomical Orifices	Root Operation 2?0 Change; 2?1 Compression; 2?2 Dressing Dressing (medical) A dressing is an adjunct used by a person for application to a wound to promote healing and/or prevent further harm. A dressing is designed to be in direct contact with the wound, which makes it different from a bandage, which is primarily used to hold a dressing in place... ; 2?3 Immobilization; 2?4 Packing; 2?5 Removal; 2?6 Traction Traction (orthopedics) In orthopedic medicine, traction refers to the set of mechanisms for straightening broken bones or relieving pressure on the spine and skeletal system.There are two types of traction: skin traction and skeletal traction....	Body Region/Orifice	Approach	Device	Qualifier
Administration	Circulatory; Indwelling Device; Physiological Systems and Anatomical Regions	Root Operation	Body System/Region	Approach	Substance	Qualifier
Measurement and Monitoring	Physiological Systems; Physiological Devices	Root Operation	Body System	Approach	Function	Qualifier
Extracorporeal Extracorporeal An extracorporeal medical procedure is a medical procedure which is performed outside the body.-Circulatory procedures:A procedure in which blood is taken from a patient's circulation to have a process applied to it before it is returned to the circulation... Assistance and Performance	Physiological Systems	Root Operation	Body System	Duration	Function	Qualifier
Extracorporeal Therapies	Physiological Systems	Root Operation Atmospheric control; Decompression Decompression sickness Decompression sickness describes a condition arising from dissolved gases coming out of solution into bubbles inside the body on depressurization... ; Electromagnetic therapy Electromagnetic therapy Electromagnetic therapy, is a form of alternative medicine which claims to treat disease by applying electromagnetic radiation or pulsed electromagnetic fields to the body.... ; Hyperthermia Hyperthermia Hyperthermia is an elevated body temperature due to failed thermoregulation. Hyperthermia occurs when the body produces or absorbs more heat than it can dissipate... ; Hypothermia Hypothermia Hypothermia is a condition in which core temperature drops below the required temperature for normal metabolism and body functions which is defined as . Body temperature is usually maintained near a constant level of through biologic homeostasis or thermoregulation... ; Pheresis; Phototherapy; Ultrasound therapy; Ultraviolet light therapy; Shock wave therapy Shock wave therapy Shock wave therapy can refer to:* Extracorporeal shockwave therapy* Extracorporeal shock wave lithotripsy...	Body System	Duration	Qualifier	Qualifier
Osteopathic			Body Region	Approach	Method	Qualifier
Other Procedures	Indwelling Device; Physiological Systems and Anatomical Regions	Root Operation	Body Region	Approach	Method	Qualifier
Chiropractic Chiropractic Chiropractic is a health care profession concerned with the diagnosis, treatment and prevention of disorders of the neuromusculoskeletal system and the effects of these disorders on general health. It is generally categorized as complementary and alternative medicine...			Body Region	Approach	Method	Qualifier
Imaging Medical imaging Medical imaging is the technique and process used to create images of the human body for clinical purposes or medical science...	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
Nuclear medicine Nuclear medicine In nuclear medicine procedures, elemental radionuclides are combined with other elements to form chemical compounds, or else combined with existing pharmaceutical compounds, to form radiopharmaceuticals. These radiopharmaceuticals, once administered to the patient, can localize to specific organs...	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
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
Physical rehabilitation and Diagnostic Audiology Audiology Audiology is the branch of science that studies hearing, balance, and related disorders. Its practitioners, who treat those with hearing loss and proactively prevent related damage are audiologists. Employing various testing strategies Audiology (from Latin , "to hear"; and from Greek , -logia) is...	Rehabilitation; Diagnostic Audiology	Root Type	Body System & Region	Type Qualifier	Equipment	Qualifier
Mental health Mental health Mental health describes either a level of cognitive or emotional well-being or an absence of a mental disorder. From perspectives of the discipline of positive psychology or holism mental health may include an individual's ability to enjoy life and procure a balance between life activities and...	None	Root Type Psychological tests; Crisis intervention Crisis intervention Crisis Intervention can be defined as emergency psychological care aimed at assisting individuals in a crisis situation to restore equilibrium to their biopsychosocial functioning and to minimise the potential for psychological trauma... ; Medication management; Individual psychotherapy; Counseling; Family psychotherapy; Electroconvulsive therapy Electroconvulsive therapy Electroconvulsive therapy , formerly known as electroshock, is a psychiatric treatment in which seizures are electrically induced in anesthetized patients for therapeutic effect. Its mode of action is unknown... ; Biofeedback Biofeedback Biofeedback is the process of becoming aware of various physiological functions using instruments that provide information on the activity of those same systems, with a goal of being able to manipulate them at will... ; Hypnosis Hypnosis Hypnosis is "a trance state characterized by extreme suggestibility, relaxation and heightened imagination."It is a mental state or imaginative role-enactment . It is usually induced by a procedure known as a hypnotic induction, which is commonly composed of a long series of preliminary... ; Narcosynthesis Narcosynthesis In psychology, narcosynthesis refers to a group of techniques which has its origins in the practice of "narco-hypnosis". Narco-hypnosis, as its name implies, is the use of various narcotics to induce various types of hypnotic states... ; Group psychotherapy Group psychotherapy Group psychotherapy or group therapy is a form of psychotherapy in which one or more therapists treat a small group of clients together as a group... ; Light therapy Light therapy Light therapy or phototherapy consists of exposure to daylight or to specific wavelengths of light using lasers, light-emitting diodes, fluorescent lamps, dichroic lamps or very bright, full-spectrum light, usually controlled with various devices...	Type Qualifier	Qualifier	Qualifier	Qualifier
Substance abuse Substance abuse A substance-related disorder is an umbrella term used to describe several different conditions associated with several different substances .A substance related disorder is a condition in which an individual uses or abuses a... Treatment	None	Root Type	Type Qualifier	Qualifier	Qualifier	Qualifier

Root operations

For medical/surgical, these are the root operation codes:

00 alteration; 01 bypass

Bypass surgery

Bypass surgery refers to a class of surgeries involving rerouting a tubular body part.Types include:*Cardiopulmonary bypass*Partial ileal bypass surgery*Roux-en-Y gastric bypass surgery*Vascular bypass, e.g. Coronary artery bypass surgery...

; 02 change; 03 control; 04 creation; 05 destruction; 06 detachment; 07 dilation; 08 division; 09 drainage

Drainage (medical)

In medicine, drainage refers to the removal of fluids from a body.Examples include thoracentesis and incision and 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; 0X transfer; 0Y transplantation

Organ transplant

Organ transplantation is the moving of an organ from one body to another or from a donor site on the patient's own body, for the purpose of replacing the recipient's damaged or absent organ. The emerging field of regenerative medicine is allowing scientists and engineers to create organs to be...

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
Endometrial biopsy
The endometrial biopsy is a medical office procedure that is used to remove a sample of the lining of the uterus. The tissue subsequently undergoes a histologic evaluation which is supplied to the physician to aid in the diagnosis.-Indications:...

), and "excision" is used when minimal force is involved (as with liver biopsy
Liver biopsy
Liver biopsy is the biopsy from the liver. It is a medical test that is done to aid diagnosis of liver disease, to assess the severity of known liver disease, and to monitor the progress of treatment.-History:...

). See also ectomy.

involve putting in or on, putting back, or moving living body part: transplantation
Organ transplant
Organ transplantation is the moving of an organ from one body to another or from a donor site on the patient's own body, for the purpose of replacing the recipient's damaged or absent organ. The emerging field of regenerative medicine is allowing scientists and engineers to create organs to be...

(heart transplant), reattachment (finger reattachment), reposition (reposition undescended testicle), transfer (tendon transfer
Tendon transfer
A Tendon transfer is a surgical process in which the insertion of a tendon is moved, but the origin remains in the same location....

)

take out or eliminate solid matter, fluids, or gases from a body part: drainage
Drainage (medical)
In medicine, drainage refers to the removal of fluids from a body.Examples include thoracentesis and incision and drainage....

(incision and drainage
Incision and drainage
Incision and drainage and 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...

), extirpation (thrombectomy), fragmentation (lithotripsy
Lithotripsy
Lithotripsy refers to the physical destruction of gallstones or kidney stones. The term is derived from the Greek words meaning "breaking stones" .Forms include:* Extracorporeal shock wave lithotripsy...

of gallstones)

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
Bypass surgery
Bypass surgery refers to a class of surgeries involving rerouting a tubular body part.Types include:*Cardiopulmonary bypass*Partial ileal bypass surgery*Roux-en-Y gastric bypass surgery*Vascular bypass, e.g. Coronary artery bypass surgery...

(gastrojejunal bypass), dilation (coronary artery dilation), occlusion (fallopian tube ligation), restriction (cervical cerclage
Cervical cerclage
Cervical cerclage , also known as a cervical stitch, is used for the treatment of cervical incompetence , a condition where the cervix has become slightly open and there is a risk of miscarriage because it may not remain closed throughout pregnancy...

)

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
Osteotomy
An osteotomy is a surgical operation whereby a bone is cut to shorten, lengthen, or change its alignment. It is sometimes performed to correct a hallux valgus, or to straighten a bone that has healed crookedly following a fracture. It is also used to correct a coxa vara, genu valgum, and genu varum...

), 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
Spinal fusion, also known as spondylodesis or spondylosyndesis, is a surgical technique used to join two or more vertebrae. Supplementary bone tissue, either from the patient or a donor , is used in conjunction with the body's natural bone growth processes to fuse the vertebrae.Fusing of the...

)

Regions

Regions: 0 Head

Human head

In human anatomy, the head is the upper portion of the human body. It supports the face and is maintained by the skull, which itself encloses the brain.-Cultural importance:...

; 1 Cervical

Neck

The neck is the part of the body, on many terrestrial or secondarily aquatic vertebrates, that distinguishes the head from the torso or trunk. The adjective signifying "of the neck" is cervical .-Boner anatomy: The cervical spine:The cervical portion of the human spine comprises seven boney...

, 2 Thoracic

Chest

The chest is a part of the anatomy of humans and various other animals. It is sometimes referred to as the thorax or the bosom.-Chest anatomy - Humans and other hominids:...

, 3 Lumbar

Lumbar

In tetrapod anatomy, lumbar is an adjective that means of or pertaining to the abdominal segment of the torso, between the diaphragm and the sacrum ...

, 4 Sacrum

Sacrum

In vertebrate anatomy the sacrum is a large, triangular bone at the base of the spine and at the upper and back part of the pelvic cavity, where it is inserted like a wedge between the two hip bones. Its upper part connects with the last lumbar vertebra, and bottom part with the coccyx...

, 5 Pelvis, 6 Lower extremities, 7 Upper extremities, 8 Rib cage

Human rib cage

-See also:*Terms for bones*Terms for anatomical location*Articulation of head of rib-References:* Clinically Oriented Anatomy, 4th ed. Keith L. Moore and Robert F. Dalley. pp. 62–64...

, 9 Abdomen

Abdomen

In vertebrates such as mammals the abdomen constitutes the part of the body between the thorax and pelvis. The region enclosed by the abdomen is termed the abdominal cavity...

External links

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