ICD-10-PCS 2025 The Complete Official Codebook

What’s New for 2025
Introduction
ICD-10-PCS Manual
Medical and Surgical Section (0)
Obstetrics Section (1)
Placement Section (2)
Administration Section (3)
Measurement and Monitoring Section (4)
Extracorporeal or Systemic Assistance and Performance Section (5)
Extracorporeal or Systemic Therapies Section (6)
Osteopathic Section (7)
Other Procedures Section (8)
Chiropractic Section (9)
Imaging Section (B)
Nuclear Medicine Section (C)
Radiation Therapy Section (D)
Physical Rehabilitation and Diagnostic Audiology Section (F)
Mental Health Section (G)
Substance Abuse Treatment Section (H)
New Technology Section (X)
ICD-10-PCS Index and Tabular Format
Index
Code Tables
ICD-10-PCS Additional Features
Use of Official Sources
Table Notations
Appendixes
ICD-10-PCS Official Guidelines for Coding and Reporting 2025
Conventions
Medical and Surgical Section Guidelines (section 0)
Obstetric Section Guidelines (section 1)
Radiation Therapy Section Guidelines (section D)
New Technology Section Guidelines (section X)
ICD-10-PCS Index
ICD-10-PCS Tables
Central Nervous System and Cranial Nerves
Peripheral Nervous System
Heart and Great Vessels
Upper Arteries
Lower Arteries
Upper Veins
Lower Veins
Lymphatic and Hemic Systems
Eye
Ear, Nose, Sinus
Respiratory System
Mouth and Throat
Gastrointestinal System
Hepatobiliary System and Pancreas
Endocrine System
Skin and Breast
Subcutaneous Tissue and Fascia
Muscles
Tendons
Bursae and Ligaments
Head and Facial Bones
Upper Bones
Lower Bones
Upper Joints
Lower Joints
Urinary System
Female Reproductive System
Male Reproductive System
Anatomical Regions, General
Anatomical Regions, Upper Extremities
Anatomical Regions, Lower Extremities
Obstetrics
Placement
Administration
Measurement and Monitoring
Extracorporeal or Systemic Assistance and Performance
Extracorporeal or Systemic Therapies
Osteopathic
Other Procedures
Chiropractic
Imaging
Nuclear Medicine
Radiation Therapy
Physical Rehabilitation and Diagnostic Audiology
Mental Health
Substance Abuse Treatment
New Technology
Appendixes
Appendix A: Components of the Medical and Surgical Approach Definitions
Appendix B: Root Operation Definitions
Appendix C: Comparison of Medical and Surgical Root Operations
Appendix D: Body Part Key
Appendix E: Body Part Definitions
Appendix F: Device Classification
Appendix G: Device Key and Aggregation Table
Appendix H: Device Definitions
Appendix I: Substance Key/Substance Definitions
Appendix J: Sections B–H Character Definitions
Appendix K: Hospital Acquired Conditions
Appendix L: Procedure Combination Tables
Appendix M: Coding Exercises and Answers
Answers to Coding Exercises

ICD-10-PCS 2025: The Complete Official Codebook contains the complete ICD-10-PCS official guidelines, code set and supplementary appendixes required for reporting inpatient procedures. This illustrated codebook presents the code set in 17 sections of tables arranged by general procedure type. Tables within the extensive Medical and Surgical section are additionally sectioned out by body system, indicated by color-coded page borders.   ICD-10-PCS contains classifications for procedures, devices, and technologies.   FEATURES AND BENEFITS Summary of changes — Quickly see how additions and deletions affect each section of ICD-10-PCS. Complete ICD-10-PCS 2025 code set — The code set is organized in 17 sections. Each section contains a code table by which a code can be built through character selections that reflect the procedure performed. A character meanings table and citations to American Hospital Association’s Coding Clinic® start each section. Official coding and reporting guidelines — Learn how to use the code set appropriately following the guidelines specific for each section. Illustrations — The color illustrations provide a visual explanation of anatomy and procedural approach. Approach illustrations show the access location, method, and instrumentation that determine the approach. Body parts with indicators to applicable code characters (provided immediately after the Character Meaning    tables in the Medical/Surgical sections). Visual alerts —This edition provides color-coding and symbols that identify male/female procedures and new/revised character values. Detailed information on structure and conventions of ICD-10-PCS — Learn about the unique structure and the specific definitions and functions of each character. Practice your skills with sample exercises (answers included). Color-coding and symbols for the Medicare Code Edits — This edition includes color-coding and symbols for the most comprehensive coverage of ICD10 MS-DRG MCEs for procedures including: Non-covered procedures. Limited-coverage procedures. Combination-only procedures. Non-operating room procedures affecting MS-DRG assignment. Non-operating room procedures not affecting MS-DRG assignment. Hospital-acquired condition (HAC)-related procedures. Procedure combination tables — Identify ICD-10-PCS code-combination requirements needed to satisfy certain MS-DRG requirements. Valuable resources to enhance productivity — Resources to help guide the user, including: Root operation definition table for medical/surgical section. Root operation for medical/surgical section, grouped by objective. Operation/Type definition tables for other ICD-10-PCS sections. Body-part definitions and body-part key for accurate identification of correct body-part character. Device key and device aggregation tables. Approach definitions. Substance key.