Wiki Icd 9- PCS

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ICD-10-PCS codes are replacing ICD-9 Volume 3. These are codes reported on hospitals facility claims and only for inpatient surgeries. The payer I work for will deny the claim for any other provider type and level of care
 
The facility I code for needs the PCS codes on our outpatient invasive procedures. No specific payor has been but it is expected that I am to code them in addition to the CPT codes. Any facility I have worked at has required them on outpatient facility coding. I see all the time folks say that it is not required, but I am not sure why the facilities are having us doing them except it is for internal reporting perhaps.
 
anneliese_crosby said:
The facility I code for needs the PCS codes on our outpatient invasive procedures. No specific payor has been but it is expected that I am to code them in addition to the CPT codes. Any facility I have worked at has required them on outpatient facility coding. I see all the time folks say that it is not required, but I am not sure why the facilities are having us doing them except it is for internal reporting perhaps.
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It must be for internal reporting reasons. Its not being used for reimbursement purposes. For Medicare the only place in my pricing system for me to enter PCS or I9 volume 3 codes is in Inpatient Facility to determine the DRG. Outpatient facility is primarily priced based on APC's which are tied to CPT/HCPCS. ASC rates are based off CPT as well.
 
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