Each code consists of seven alphanumeric characters. The first character is the 'section'. The second through seventh characters mean different things in each section. Each character can be any of 34 possible values the ten digits 0-9 and the 24 letters A-H, J-N and P-Z may be used in each character. The letters O and I are excluded to avoid confusion with the numbers 0 and 1.3 There are no decimals in ICD-10-PCS4
Of the 72,081 codes in ICD-10-PCS, 62,022 are in the first section, "Medical and surgical".5
For medical/surgical, these are the root operation codes:
00 alteration; 01 bypass; 02 change; 03 control; 04 creation; 05 destruction; 06 detachment; 07 dilation; 08 division; 09 drainage; 0B excision; 0C extirpation; 0D extraction; 0F fragmentation; 0G fusion; 0H insertion; 0J inspection; 0K map; 0L occlusion; 0M reattachment; 0N release; 0P removal; 0Q repair; 0R replacement; 0S reposition; 0T resection; 0U supplement; 0V restriction; 0W revision; 0X transfer; 0Y transplantation
They can be grouped into several categories:6
"ICD-10-PCS Reference Manual" (ZIP). Centers for Medicare & Medicaid Services. Retrieved 25 February 2019. https://www.cms.gov/Medicare/Coding/ICD10/2018-ICD-10-PCS-and-GEMs.html ↩
"ICD-10 FAQ" (PDF). Experian. Retrieved 2023-07-12. The ICD-10-PCS code set is not used internationally https://www.experian.com/content/dam/marketing/na/healthcare/brochures/icd-10-faq.pdf ↩
Richard F. Averill; Robert L. Mullin; Barbara A. Steinbeck; Norbert I. Goldfield; Thelma M. Grant; Rhonda R. Butler. "Development of the ICD-10 Procedure Coding System (ICD-10-PCS)" (PDF). Centers for Medicare and Medicaid Services. Retrieved February 25, 2010. https://www.cms.hhs.gov/ICD10/Downloads/pcs_final_report2010.pdf ↩
Aalseth, Patricia T. (2004). Codebusters Coding Connection: A Documentation Guide for Compliant Coding. Jones & Bartlett Publishers. p. 27. ISBN 0-7637-2630-3. 0-7637-2630-3 ↩
Averill, R. F.; Mullin, R. L.; Steinbeck, B. A.; Goldfield, N. I.; Grant, T. M.; Butler, R. R. "Development of the ICD-10 Procedure Coding System" (PDF). Centers for Medicare & Medicaid Services. https://www.cms.gov/Medicare/Coding/ICD10/downloads/pcs_final_report2011.pdf ↩