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What are ICD 10 CM PCS coders?

Aug 14

It is challenging for physicians to remember the medical codes because there are different variations of ICD codes. U Control Billing is an excellent source of help that will handle medical billing and credentialing services. They have a skillful and proficient team to satisfy clients with accurate results because the International Classification of Diseases codes changes frequently.

International Classification of Diseases (ICD) assigns the set of codes for the hospitals' treatments, procedures and diagnoses, including physician offices, outpatient and inpatient settings. International Classification of Diseases permits the code classification, processing and comparison. They are used internationally in the United States for the convenience of medical billers and coders. U Control billing can also help with all the medical and coding-related processes, including medical transcription services

International Classification of Procedure Codes (PCS) is only for the procedure codes used in the hospitals for the inpatient processes. People with upgraded ICD codes include different departments, professional billing, patient billing, hospital billing, registries, and financial and clinical administrations. 

What is the coding set of PCS and ICD?

ICD and PCS were made for the medical claims on 1st October 2015, but both are very different because one is for the hospital inpatient and the other for the healthcare setting.

PCS: (Hospital Inpatient)

PCS consists of seven digits and every digit and character, including alphanumeric (0 and 1). Alphanumerics do not have any upper or lower case restrictions. 

For example,n 0FB03ZX is a code that is a percutaneous diagnostic approach, and it is also the excision of the liver. 

ICD-10-CM: (Healthcare setting)

ICD consists of three to seven alphanumeric digits. The initial digit is alphabetic, and next is the number; then, it can mix the rest of the code with alphanumeric digits. Alphanumerics do not have any upper or lower case restrictions. 

For example, the coding set of fever is n A78 – n A69.21. 

What are the characteristics of the International Classification of Diseases? 

  • Specific standardized level 
  • Standardized terminology
  • Uniqueness
  • Ability to expand

Specific standardized level 

These codes are particular because the seven digits of the ICD-10 tell about the instruments, body parts and approach. The PCS and ICD codes use the data descriptor covering unified forms, such as the same level of specificity of principles with the same type of disease. 

Standardized terminology

The standardized terminology of ICD and PCS is associated with standardized and stable procedures. The characters and the digits are mainly related to the system of codes and diseases.  

For example, the medical report includes the word excision, which tells the various surgical operations. In PCS coding, it describes removing, cutting, and not replacing the parts of the body. 


There are unique medical codes associated with every procedure. They have procedure codes if the medical process is applied to various body parts, and every approach has a unique and different code. 

Ability to expand

The PCS is used to adjust arising techniques and advancements and take into account the making of new codes without upsetting the framework. Here's a clue: An entire code is never added in PCS, yet another incentive for an alphabet is to add up. It is the ability to expand the medical claims of procedure codes with the expansion of codes, which are all different and developed medical codes. 

Significance of International Classification of Diseases (ICD-10)

As we know, the ICD-9 is vanishing from the history of medical coding, so the ICD 10 and its conversions are taking the place of these past codes. The ICD-9 is fading due to the unspecified code classification of the diseases, injuries and patient conditions. ICD-10 and its conversions are unique, expanded, specified and standardized. It is better to hire medical coders to avoid the complexities regarding patient illness, etiologies, anatomy and comorbidities. 

ICD-10 diagnosis codes are significant for payers and providers because these codes can easily keep track of the patient’s illness, treatments and diagnosis. 

Some of the benefits of analyzing the code use are as follows:

  • To determine the costs of healthcare
  • To determine efficient patient care and patient safety
  • To determine the risk factors of the patients and to measure their health status
  • To monitor the performance of providers
  • To analyze and solve the medical billing and coding errors

What are the advantages of the coding sets for public health?

According to AHIMA, Medical coding is frequently changing and upgrading the guidelines, so the code sets are unique, specific and improved. The advantages of ICD and PCS coding sets for public health are as follows:

  • Comparison between morbidity and mortality report

Mortal means death, which is the report that includes the statistics of dead people. In contrast, a morbidity report is about the disease and illness of the patients. In the United States, morbidity data is still in use, although the ICD and its conversions are more effective than ICD-9 codes. The United States is the leading industrialized country using ICD-9-CM codes for morbidity information. However, we have previously progressed to ICD-10 for mortality, which restricts contrasting United States mortality information to U.S. state and public mortality information and global illness. When the United States changes to ICD-10 code sets for dismalness and methods, it will empower a more precise and direct comparison of U.S. mortality information with U.S. morbidity information and permit the correlation of both data reports. 

  • Enhanced data quality

ICD-10 codes are more efficient than ICD-9 codes, and ICD-10 gives enhanced and improved data quality. They are more appropriate and specific when identifying health-related problems. ICD-10 offers excellent patient care and keeps a clear tracking record of the patients. 

  • In ICD-9, there are no unique ideas, for example, under the Glasgow Coma Scale, alcohol level, blood classification, and dosing.
  • Infection arrangement and terminology are presently reliable with current clinical practice and innovations.
  • The more prominent detail in the new code sets incorporates laterality, seriousness, and intricacy of sickness conditions, empowering more exact ID and following explicit circumstances.
  • Postoperative codes are extended and presently recognize intraoperative and postprocedural technology.
  • The pregnancy trimester is assigned for ICD-10-CM codes in the pregnancy, conveyance and puerperium.
  • Wounds, poisonings and outer grounds are substantially more itemized in ICD-10-CM, including the seriousness of wounds and how and where damages occurred. Expansions are likewise used to give extra data to multiple injury codes.

Wrap up!

The process of clinical coding and billing is autonomous. Each cycle is fundamental for the financial health of the training. It gets postponed or denied. Many clinical practices choose to outsource medical billing services. 

Moreover, the billing and coding systems are complicated because the guidelines and rules for clinical coding continue to change. Consequently, it is difficult for an unpracticed clinical coder to remain refreshed with the changes. When a medical practice outsources medical services from a well-reputed medical billing company, they get access to expert coders with the experience and understanding to deal with guarantee dissents and dismissals!

U Control Billing has talented medical coders and billers for medical coding and billing services. You can contact them if you want to outsource your medical claims for your medical practice.