ICD-10-PCS Reference Manual - Preface - Manual organization - Conventions used

Oct 22, 2026

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ICD-10-PCS Reference Manual introduces the International Classification of Diseases, Tenth Revision, Procedure Coding System as a new inpatient procedure coding framework developed for Centers for Medicare and Medicaid Services. It explains the manual’s target audience and overall structure, including chapters covering procedure coding by medical/surgical sections and ancillary sections, plus appendices for definitions and draft coding guidelines. It also details conventions used throughout the manual for terminology presentation, code-component formatting, and standardized table examples.

LanguageEnglish

CategoryTechnology

FormatPDF

Pages236

Reading Time9 h 55 min

AccessFree to download

Preface

Manual organization

Conventions used

Contents overview

Chapter 1

ICD-10-PCS overview

ICD-10-PCS code structure

Chapter 2

ICD-10-PCS design

ICD-10-PCS applications

ICD-10-PCS Reference Manual ii ICD-10-PCS Reference Manual THE INTERNATIONAL CLASSIFICATION OF DISEASES Tenth Revision Procedure Coding System (ICD-10-PCS) was developed with the support of the Centers for Medicare and Medicaid Services, under contract Nos. 90-1138, 91-22300, 500-95-0005, and HHSM-500-2004-00011C to 3M Health Information Systems. Rhonda R. Butler, CCS, CCS-P Robert L. Mullin, M.D. Thelma M. Grant, MBA, RHIA Richard F. Averill, M.S. Barbara A. Steinbeck, RHIT The opinions expressed are solely those of the authors and do not necessarily represent those of the Centers for Medicare and Medicaid Services. iv ICD-10-PCS Reference Manual Preface THE INTERNATIONAL CLASSIFICATION OF DISEASES Tenth Revision Procedure Coding System (ICD-10-PCS) is a new system for coding inpatient procedures that was developed for the Centers for Medicare and Medicaid Services (CMS) . This manual is written as a general introduction for data managers, payers, administrators, and medical record coders. For readers who do not need a detailed understanding of ICD-10-PCS but would like a general introduction, the material in chapter 1 and the appendices is recommended. Manual organization The manual is organized into the following chapters and appen dices. A glossary also provides a list of terms introduced in the manual. Chapter 1 Overview. Includes a general introduction to ICD-10-PCS, a brief history of its development, and a presentation of the code structure, organization, and characteristics. The first part of the overview contains basic information; the second and third parts discuss structure, characteristics, and applications in more detail. Chapter 2 Procedures in the Medical and Surgical section. Provides reference material for each root operation in the MEDICAL AND SURGICAL section (0), with the full definition, additional explanation as needed, a code example, and coding exercises for each root operation. Chapter 3 Procedures in the Medical and Surgical-related sections. Provides reference material for each of the Medical and Surgical-related sections (1 through 9), with definitions, additional explanation as needed, a code example, and coding exercises for each section. Chapter 4 Procedures in the ancillary sections. Provides reference material for each of the ancillary sections (B through D, F through H), with definitions, additional explanation as needed, a code example, and coding exercises for each section. Appendix A ICD-10-PCS definitions. Tables listing the full definitions of all root operations and approaches in the MEDICAL AND SURGICAL section. Appendix B ICD-10-PCS draft coding guidelines. Contains draft guidelines for coding procedures with ICD-10-PCS. Conventions used This manual uses several conventions throughout, as described below. Small capital letters Small capital letters are used to distinguish words that define code components, as in the root operation TRANSPLANTATION. Root operation boxes Root operation boxes are used to present the full definition of root operations in the MEDICAL AND SURGICAL section, including explanation and examples. A root operation box is shown below. Root operation boxes are used in chapter 2. | 9 | Definition | Taking or letting out fluids and/or gases from a body part | | --- | --- | --- | | | Explanation | The fluids or gases may be normal or abnormal | | | Examples | Incision and drainage, thoracentesis | Table excerpts Table excerpts present a single code in the ICD-10-PCS Table format, identifying all components of the code. Text descriptions are truncated as needed to fit the compressed format, as in the example below. | Character 1 Section | Character 2 Body System | Character 3 Root Operation | Character 4 Body Part | Character 5 Approach | Character 6 Device | Character 7 Qualifier | | --- | --- | --- | --- | --- | --- | --- | | MEDICAL AND
SURGICAL | RESPIRATORY | EXCISION | LOWER LOBE
BRONCHUS, RT | OPEN

FAQs

What is ICD-10-PCS and who developed it?

ICD-10-PCS is a procedure coding system for inpatient procedures. It was developed with support of the Centers for Medicare and Medicaid Services (CMS).

Who is the manual written for?

The manual is written as a general introduction for data managers, payers, administrators, and medical record coders.

How is the manual organized?

It is organized into chapters covering medical and surgical procedures, medical and surgical-related sections, ancillary sections, plus appendices for definitions and draft coding guidelines.

Oct 22, 2026

Upload by Grenda