P.O. Box 510949 Milwaukee, WI 53203 800 669-3337 414 272-6666 Fax info@medicaldatafiles.com
Record Layout / Sample Data
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MedicalDataFiles.Com
P.O. Box 510949 Milwaukee, WI 53203 800 669-3337 414 272-6666 Fax info@medicaldatafiles.com Record Layout / Sample Data |
|
File Description / Details: |
| Description: | ICD-10-PCS
Procedure Codes & Descriptions (over
72, 000 codes)
*ICD-10-PCS Procedure Reimbursement Mapping *ICD-10-PCS GEM (General Equivalence Mapping (over 82, 000 codes) |
| Formats: | .xlsx, .mdb, .txt |
| File Name: |
ICD10PCS_20YY_Standard.zip ICD10PCS_20YY_Professional.zip |
*Professional Version
|
Record Layout - Standard: |
| Field | Type | Size | Description |
| ICD10PCS | Text | 8 | ICD-10-PCS Code |
| Status | Text | 1 | ICD10PCS
Status:
N - New Code S - Short Description Revision R - Long Description Revision |
| SDesc | Text | 60 | Short ICD-10-PCS Description |
| LDesc | Text | 200 | Long ICD-10-PCS Description |
| ICD10PCS | SDesc | LDesc | status |
|---|---|---|---|
| 047J0ZZ | Dilation of Left External Iliac Artery, Open Approach | ||
| 047J34Z | Dilate L Ext Iliac Art w Drug-elut Intralum, Perc | Dilation of Left External Iliac Artery with Drug-eluting Intraluminal Device, Percutaneous Approach | |
| 047J3DZ | Dilation of L Ext Iliac Art with Intralum Dev, Perc Approach | Dilation of Left External Iliac Artery with Intraluminal Device, Percutaneous Approach | |
| 047J3ZZ | Dilation of Left External Iliac Artery, Perc Approach | Dilation of Left External Iliac Artery, Percutaneous Approach | |
| 047J44Z | Dilate L Ext Iliac Art w Drug-elut Intralum, Perc Endo | Dilation of Left External Iliac Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach | |
| 047J4DZ | Dilate L Ext Iliac Art w Intralum Dev, Perc Endo | Dilation of Left External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach | |
| 047J4ZZ | Dilation of Left External Iliac Artery, Perc Endo Approach | Dilation of Left External Iliac Artery, Percutaneous Endoscopic Approach | |
| 047K041 | Dilate R Fem Art w Drug-elut Intralum, Drug Blln, Open | Dilation of Right Femoral Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Open Approach | N |
| 047K04Z | Dilation of R Fem Art with Drug-elut Intralum, Open Approach | Dilation of Right Femoral Artery with Drug-eluting Intraluminal Device, Open Approach | S |
| 047K0D1 | Dilate R Fem Art w Intralum Dev, Drug Blln, Open | Dilation of Right Femoral Artery with Intraluminal Device, using Drug-Coated Balloon, Open Approach | N |
| 047K0DZ | Dilation of R Fem Art with Intralum Dev, Open Approach | Dilation of Right Femoral Artery with Intraluminal Device, Open Approach | S |
| 047K0Z1 | Dilation of R Fem Art using Drug Blln, Open Approach | Dilation of Right Femoral Artery using Drug-Coated Balloon, Open Approach | N |
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Record Layout - Professional: |
| Field | Type | Size | Description |
| ICD10PCS | Text | 8 | ICD-10-PCS Code |
| Status | Text | 1 | ICD10PCS
Status:
N - New Code S - Short Description Revision R - Long Description Revision |
| *Indicator | Text | 1 | 0 - ICD10PCS Code Header, not valid for submission 1 - ICD10PCS Code, valid for submission |
| SDesc | Text | 60 | Short ICD-10-PCS Description |
| LDesc | Text | 200 | Long ICD-10-PCS Description |
| *ICD9 Number | Text | 1 | Number of ICD9 Procedure Codes codes the ICD10PCS code maps to. Value 1 through 6 |
|
*ICD9_1 |
Text | 6 | ICD10PCS to ICD9 Procedure Code Reimbursement Mapping. First ICD9 Code |
| *ICD9_2 | Text | 6 | ICD10PCS to ICD9 Procedure Code Reimbursement Mapping. Second ICD9 Code |
| *ICD9_3 | Text | 6 | ICD10PCS to ICD9 Procedure Code Reimbursement Mapping. Third ICD9 Code |
| *ICD9_4 | Text | 6 | ICD10PCS to ICD9 Procedure Code Reimbursement Mapping. Fourth ICD9 Code |
| *ICD9_5 | Text | 6 | ICD10PCS to ICD9 Procedure Code Reimbursement Mapping. Fifth ICD9 Code |
| *ICD9_6 | Text | 6 | ICD10PCS to ICD9 Procedure Code Reimbursement Mapping. Sixth ICD9 Code |
Sample ICD-10-PCS Professional File:
| ICD10PCS | status | Indicator | SDesc | LDesc | ICD9_Number | ICD9_1 | ICD9_2 | ICD9_3 | ICD9_4 | ICD9_5 | ICD9_6 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 02Y | 0 | Heart and Great Vessels, Transplantation | Heart and Great Vessels, Transplantation | ||||||||
| 02YA0Z0 | 1 | Transplantation of Heart, Allogeneic, Open Approach | Transplantation of Heart, Allogeneic, Open Approach | 2 | 37.51 | 00.93 | |||||
| 02YA0Z1 | 1 | Transplantation of Heart, Syngeneic, Open Approach | Transplantation of Heart, Syngeneic, Open Approach | 2 | 37.51 | 00.93 | |||||
| 02YA0Z2 | 1 | Transplantation of Heart, Zooplastic, Open Approach | Transplantation of Heart, Zooplastic, Open Approach | 2 | 37.51 | 00.93 | |||||
| 031 | 0 | Upper Arteries, Bypass | Upper Arteries, Bypass | ||||||||
| 0312090 | 1 | Bypass Innom Art to R Up Arm Art w Autol Vn, Open | Bypass Innominate Artery to Right Upper Arm Artery with Autologous Venous Tissue, Open Approach | 1 | 39.29 | ||||||
| 0312091 | 1 | Bypass Innom Art to L Up Arm Art w Autol Vn, Open | Bypass Innominate Artery to Left Upper Arm Artery with Autologous Venous Tissue, Open Approach | 1 | 39.29 | ||||||
| 0312092 | 1 | Bypass Innom Art to Bi Up Arm Art w Autol Vn, Open | Bypass Innominate Artery to Bilateral Upper Arm Artery with Autologous Venous Tissue, Open Approach | 1 | 39.29 | ||||||
| 0312093 | 1 | Bypass Innom Art to R Low Arm Art w Autol Vn, Open | Bypass Innominate Artery to Right Lower Arm Artery with Autologous Venous Tissue, Open Approach | 1 | 39.29 |
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File Description / Details: |
| Description: | *ICD-10-PCS GEM (General Equivalence Mapping (over 82, 000 codes) |
| Formats: | .xlsx, .mdb, .txt |
| File Name: |
I9PCS_20YY_Gem I10PCS_20YY_Gem |
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Record Layout: |
| Field | Type | Size | Description |
| I10PCS | Text | 7 | ICD-10-PCS Code |
| I9P | Text | 5 | ICD-9-CM Volume 3 Procedure |
| Flags | Text | 5 | Grouping of 5 attributes/flags |
| Approximate | Text | 1 | Attribute in a GEM that when turned on indicates that the entry is not considered equivalent; 1= Yes /On O = No Off |
| No Map | Text | 1 | Attribute in a GEM that when turned on indicates that a code in the source system is not linked to any code in the target system; 1= Yes /On O = No Off |
| Combination | Text | 1 |
Attribute in a GEM that when turned on indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system; 1= Yes /On O = No Off |
| Scenario | Text | 1 | In a combination entry, a collection of codes from the target system containing the necessary codes that when combined as directed will satisfy the equivalent meaning of a code in the source system; 0-9 |
| Choice List | Text | 1 | In a combination entry, a list of one or more codes in the target system from which one code must be chosen to satisfy the equivalent meaning of a code in the source system; 0-9 |
| ICD10DESC | Text | 255 | ICD-10-PCS Description |
| ICD9DESC | Text | 255 | ICD-9-CM Volume 3 Procedure Code Description |
Sample Gem Files
ICD9 to ICD10PCS:
| I9P | I10PCS | Flags | Approximate | No Map | Combination | Scenario | Choice List | ICD10DESC | ICD9DESC |
|---|---|---|---|---|---|---|---|---|---|
| 00.01 | 6A751Z4 | 10000 | 1 | 0 | 0 | 0 | 0 | Ultrasound Therapy of Head and Neck Vessels, Multiple | Therapeutic ultrasound of vessels of head and neck |
| 00.01 | 6A750Z4 | 10000 | 1 | 0 | 0 | 0 | 0 | Ultrasound Therapy of Head and Neck Vessels, Single | Therapeutic ultrasound of vessels of head and neck |
| 00.02 | 6A750Z5 | 10000 | 1 | 0 | 0 | 0 | 0 | Ultrasound Therapy of Heart, Single | Therapeutic ultrasound of heart |
| 00.02 | 6A751Z5 | 10000 | 1 | 0 | 0 | 0 | 0 | Ultrasound Therapy of Heart, Multiple | Therapeutic ultrasound of heart |
| 00.03 | 6A750Z6 | 10000 | 1 | 0 | 0 | 0 | 0 | Ultrasound Therapy of Peripheral Vessels, Single | Therapeutic ultrasound of peripheral vascular vessels |
| 00.03 | 6A751Z6 | 10000 | 1 | 0 | 0 | 0 | 0 | Ultrasound Therapy of Peripheral Vessels, Multiple | Therapeutic ultrasound of peripheral vascular vessels |
| 00.09 | 6A751ZZ | 10000 | 1 | 0 | 0 | 0 | 0 | Ultrasound Therapy, Circulatory, Multiple | Other therapeutic ultrasound |
| 00.09 | 6A930ZZ | 10000 | 1 | 0 | 0 | 0 | 0 | Shock Wave Therapy, Musculoskeletal, Single | Other therapeutic ultrasound |
| 00.09 | 6A751Z7 | 10000 | 1 | 0 | 0 | 0 | 0 | Ultrasound Therapy of Other Vessels, Multiple | Other therapeutic ultrasound |
| 00.09 | 6A750ZZ | 10000 | 1 | 0 | 0 | 0 | 0 | Ultrasound Therapy, Circulatory, Single | Other therapeutic ultrasound |
| 00.09 | 6A750Z7 | 10000 | 1 | 0 | 0 | 0 | 0 | Ultrasound Therapy of Other Vessels, Single | Other therapeutic ultrasound |
| 00.09 | 6A931ZZ | 10000 | 1 | 0 | 0 | 0 | 0 | Shock Wave Therapy, Musculoskeletal, Multiple | Other therapeutic ultrasound |
ICD10PCS to ICD9:
| I10PCS | I9P | Flags | Approximate | No Map | Combination | Scenario | Choice List | ICD10DESC | ICD9DESC |
|---|---|---|---|---|---|---|---|---|---|
| 00560ZZ | 02.14 | 10000 | 1 | 0 | 0 | 0 | 0 | Destruction of Cerebral Ventricle, Open Approach | Choroid plexectomy |
| 00563ZZ | 02.14 | 10000 | 1 | 0 | 0 | 0 | 0 | Destruction of Cerebral Ventricle, Percutaneous Approach | Choroid plexectomy |
| 00564ZZ | 02.14 | 10000 | 1 | 0 | 0 | 0 | 0 | Destruction of Cerebral Ventricle, Percutaneous Endoscopic Approach | Choroid plexectomy |
| 00570ZZ | 01.59 | 10000 | 1 | 0 | 0 | 0 | 0 | Destruction of Cerebral Hemisphere, Open Approach | Other excision or destruction of lesion or tissue of brain |
| 00573ZZ | 01.59 | 10000 | 1 | 0 | 0 | 0 | 0 | Destruction of Cerebral Hemisphere, Percutaneous Approach | Other excision or destruction of lesion or tissue of brain |
| 00574ZZ | 01.59 | 10000 | 1 | 0 | 0 | 0 | 0 | Destruction of Cerebral Hemisphere, Percutaneous Endoscopic Approach | Other excision or destruction of lesion or tissue of brain |
| 00580ZZ | 01.42 | 10000 | 1 | 0 | 0 | 0 | 0 | Destruction of Basal Ganglia, Open Approach | Operations on globus pallidus |
| 00583ZZ | 01.42 | 10000 | 1 | 0 | 0 | 0 | 0 | Destruction of Basal Ganglia, Percutaneous Approach | Operations on globus pallidus |
| 00584ZZ | 01.42 | 10000 | 1 | 0 | 0 | 0 | 0 | Destruction of Basal Ganglia, Percutaneous Endoscopic Approach | Operations on globus pallidus |
| 00590ZZ | 01.41 | 10000 | 1 | 0 | 0 | 0 | 0 | Destruction of Thalamus, Open Approach | Operations on thalamus |
| 00593ZZ | 01.41 | 10000 | 1 | 0 | 0 | 0 | 0 | Destruction of Thalamus, Percutaneous Approach | Operations on thalamus |
| 00594ZZ | 01.41 | 10000 | 1 | 0 | 0 | 0 | 0 | Destruction of Thalamus, Percutaneous Endoscopic Approach | Operations on thalamus |
| 005A0ZZ | 01.41 | 10000 | 1 | 0 | 0 | 0 | 0 | Destruction of Hypothalamus, Open Approach | Operations on thalamus |
| 005A3ZZ | 01.41 | 10000 | 1 | 0 | 0 | 0 | 0 | Destruction of Hypothalamus, Percutaneous Approach | Operations on thalamus |
| 005A4ZZ | 01.41 | 10000 | 1 | 0 | 0 | 0 | 0 | Destruction of Hypothalamus, Percutaneous Endoscopic Approach | Operations on thalamus |
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09/24/15 |