Procedure Classes for ICD-10-PCS (beta version)

The Procedure Classes for the ICD-10-PCS (beta version) is one in a family of databases and software tools developed as part of the Healthcare Cost and Utilization Project (HCUP), a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality (AHRQ). HCUP databases, tools, and software inform decision making at the national, State, and community levels.

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The Procedure Classes for ICD-10-PCS (beta version) facilitates health services research by allowing the researcher to readily determine (1) whether a procedure is diagnostic or therapeutic and (2) whether a procedure is expected to be performed in an operating room. The Procedure Classes for ICD-10-PCS (beta version) assign all ICD-10-PCS procedure codes to one of four categories:

  • Minor Diagnostic—Nonoperating room procedures that are diagnostic (e.g. B244ZZZ, Ultrasonography of Right Heart)
  • Minor Therapeutic—Nonoperating room procedures that are therapeutic (e.g. 02HQ33Z, Insertion of Infusion Device into Right Pulmonary Artery, Percutaneous Approach)
  • Major Diagnostic—Procedures that are considered operating room procedures that are performed for diagnostic reasons (e.g. 02BV0ZX, Excision of Superior Vena Cava, Open Approach, Diagnostic)
  • Major Therapeutic—Procedures that are considered operating room procedures that are performed for therapeutic reasons (e.g. 0210093, Bypass Coronary Artery, One Site from Coronary Artery with Autologous Venous Tissue, Open Approach).
The Procedure Classes for ICD-10-PCS (beta version) is updated annually to coincide with fiscal year updates to the ICD-10-PCS coding system and retains procedure codes valid from the start of ICD-10-PCS in October 2015. For this reason, it is advisable to always use the most recent version of the tool.

In 2021, AHRQ expects to conduct additional empirical analyses of the beta version of the tool and transition it out of beta status. User feedback on v2021.1 is appreciated and will be taken into consideration. Comments can be sent to hcup@ahrq.gov.
 
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The following table provides information on where to find the various resources available for the Procedure Classes for ICD-10-PCS (beta version) tool. The download section includes all of the referenced materials.

Descriptions Procedure Classes for ICD-10-PCS (beta version) Resource
Development of Procedure Classes for ICD-10-PCS (beta version) User Guide: Procedure Classes for ICD-10-PCS (beta version), Description of the Procedure Classes for ICD-10-PCS (beta version) and Appendix A
 
Technical guidance for applying the Procedure Classes for ICD-10-PCS (beta version) to administrative data Procedure Classes for ICD-10-PCS (beta version) Resource
System requirements User Guide: Procedure Classes for ICD-10-PCS (beta version), Using the Downloadable Procedure Classes for ICD-10-PCS (beta version) Files, System Requirements
Input files User Guide: Procedure Classes for ICD-10-PCS (beta version), Using the Downloadable Procedure Classes for ICD-10-PCS (beta version) Files, Downloadable Files
Running the SAS program User Guide: Procedure Classes for ICD-10-PCS (beta version), Using the Downloadable Procedure Classes for ICD-10-PCS (beta version) Files, Downloadable Files and Running the SAS Program to Add Surgery Flags to Data
 
Additional resources Procedure Classes for ICD-10-PCS (beta version) Resource
Searchable log of changes across versions Procedure Classes for ICD-10-PCS (beta version) Change Log

 
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The ZIP folder includes the CSV mapping file, a SAS mapping program, and all of the user documentation. At this time, the Procedure Classes for ICD-10-PCS (beta version) is only available as a SAS program.

Procedure Classes for ICD-10-PCS (beta version) v2021.1: Fiscal Year 2021, Released October 2020 - valid for ICD-10-PCS procedure codes through September 2021
For convenience, the user documentation for the Procedure Classes for ICD-10-PCS (beta version) v2021.1 is also provided as separate documents:
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Copies of previous versions of the Procedure Classes for ICD-10-PCS (beta version) are available for users who need to replace or access the old programs and documentation.
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Questions regarding the Procedure Classes for ICD-10-PCS (beta version) may be directed to HCUP User Support through the following channels:

 
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Internet Citation: Procedure Classes for ICD-10-PCS (beta version). Healthcare Cost and Utilization Project (HCUP). November 2020. Agency for Healthcare Research and Quality, Rockville, MD. www.hcup-us.ahrq.gov/toolssoftware/procedureicd10/procedure_icd10.jsp.
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Last modified 11/12/20