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Does ICD-10-PCS need an accompanying CM code? - coding noob

Posted: Aug 9th, 2018 - 10:07 pm

Am I right in assuming that in many cases PCS codes require an accompanying ICD-10-CM code in order to identify a procedure?

For example, I tried finding a PCS code for a Pilonidal Sinus Excision.  The closest code I see if fairly generic: 0HB8XZZ Excision of Buttock Skin, External Approach. Unless I’m wrong, this same PCS code looks like the only option for other similar conditions, like:

Pilonidal cyst with abscess,

Pilonidal cyst without abscess,

Pilonidal sinus with abscess,

Pilonidal sinus without abscess.

The above look like multiple ICD DX per 1 PCS.  It happens the other way too.  For example, when looking up a vasectomy, I see one ICD-10-CM code: Z98.52, however there appear to be multiple PCS codes for the same diagnosis --I’m guessing traditional and no scalpel(?):

0VBQ0ZZ  Excision of Bilateral Vas Deferens, Open Approach

0VBQ3ZZ  Excision of Bilateral Vas Deferens, Percutaneous

So, if the combination of PCS and CM codes are needed, how can I get the list of valid combinations?



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