DOWNLOAD ICD-10-PCS Table 4A0 & CODES PDF
ICD-10-PCS Implementation Exercise: Audit the Documentation found in “Measurement” Reports:
- Generate a report citing all 2011 inpatient cases that contain any of the “measurement” ICD-9-CM procedure codes listed above. The report’s data elements should include, at minimum, patient account numbers, discharge dates, the “measurement” ICD-9-CM procedure codes and surgeon names/ID numbers.
Review each operative report or diagnostic study report assigned to a “measurement” ICD-9-CM procedure code and try to re-code the report in ICD-10-PCS (a sample of reports can be used for the high-volume “measurement” services).
- Document the ICD-10-PCS code assigned to each report, and when appropriate include any comments on why the case could not be coded in ICD-10-PCS (i.e. insufficient documentation).
- Use the audit findings to educate physicians and other clinicians on the additional level of documentation that will be needed for timely and accurate coding of measurement procedures and tests under ICD-10-PCS.
References:
In order to access the 2012 ICD-10-PCS mapping files, go online to
http://www.cms.gov/Medicare/Coding/ICD10/2012-ICD-10-PCS.html.
Under the “Downloads” subheading, scroll down and download the folder titled 2012 Mapping - "ICD-10-PCS to ICD-9-CM" and "ICD-9-CM to ICD-10-PCS"; and User Guide, Reimbursement Guide - Procedures [ZIP, 827KB]
Once the folder is open, you will find several files; you will need the following file to view the ICD-9-CM procedure codes that are mapped to the ICD-10-PCS Table 4A0:
“gem_pcsi9” – This file lists the ICD-10-PCS codes in the first column and the ICD-9-CM procedure codes in the second column.
In order to access the 2012 ICD-10-PCS code book electronic files, go online to http://www.cms.gov/Medicare/Coding/ICD10/2012-ICD-10-PCS.html.
Under the “Downloads” subheading, scroll down and download the folder titled 2012 Code Tables and Index [ZIP, 4MB]
Once the folder is open, you will find several files; you will need the following file:
“pcs_2012.pdf” – This is the ICD-10-PCS index and root operation tables.