The most direct source of the ICD-10-PCS code set is the Centers for Medicare and Medicaid Services. CMS is responsible for maintaining the ICD-10-PCS code set. There is no cost to download ICD-10-PCS from the CMS website. For convenience CMS also makes the ICD-10-CM code set available on this website, too, but it should be noted the National Center for Health Statistics is responsible for maintaining the ICD-10-CM code set.
ICD-10-PCS primarily consists of the ICD-10-PCS Official Guidelines for Coding and Reporting and the ICD-10-PCS Tables and Index.
The code set is also commercially published in both print and electronic format by a number of publishers and vendors.
A crucial component of the ICD-10-PCS code set is the document, ICD-10-PCS Official Guidelines for Coding and Reporting. Before working with ICD-10-PCS, the user of ICD-10-PCS should become familiar with all of these guidelines. Additionally the ICD-10-PCS user needs to learn the conventions, rules, and definitions related to the code set.
Figure 1 outlines the basic ICD-10-PCS coding steps. Refer to the official coding guidelines for additional information on steps 1, 2, and 3. In addition to the ICD-10-PCS Official Guidelines for Coding and Reporting, coding professionals should also be familiar with applicable coding advice found in American Hospital Association’s Coding Clinic for ICD-10-CM and ICD-10-PCS as well as relevant payer-specific coding guidelines and facility-specific coding guidelines.
Coding Clinic for ICD-10-CM and ICD-10-PCS
American Hospital Association publishes Coding Clinic for ICD-10-CM and ICD-10-PCS. It contains coding advice as designated by the four Cooperating Parties (American Hospital Association, American Health Information Management Association, Centers for Medicare and Medicaid Services, and National Center for Health Statistics) and the Editorial Advisory Board. This quarterly newsletter is available for purchase at www.codingclinicadvisor.com/