2025 Coders’ Desk Reference for ICD-10-PCS Procedures (Compact)
Optum | 2025 |
The Coders’ Desk Reference for ICD-10-PCS Procedures addresses the challenge of translating common procedural nomenclature used by providers to the corresponding ICD-10-PCS coding terminology. Correct procedure coding is dependent on the coder’s ability to translate the terminology in provider documentation to the appropriate procedural terminology of ICD-10-PCS.
This resource is organized by common procedural nomenclature used in the hospital setting and then linked to the related root operation table(s). The procedure is described in layman’s terms, translated to ICD-10-PCS root operation terminology, and the corresponding root operation table(s) is identified.
This resource is organized by common procedural nomenclature used in the hospital setting and then linked to the related root operation table(s). The procedure is described in layman’s terms, translated to ICD-10-PCS root operation terminology, and the corresponding root operation table(s) is identified.
- Optum Edge — Lay description. Updated with the 2025 ICD-10-PCS codes, lay descriptions are provided for the ICD-10-PCS procedures commonly performed inpatient procedures. Corresponding ICD-10-PCS root operations are identified and defined.
- Optum Edge — Clinical focus points. When more than one root operation may apply, key procedural terms differentiating the root operations are highlighted in focus points to ensure that the correct root operation is selected.
- Optum Edge — Illustrations at the code level. Illustrations of pertinent anatomy and surgical procedures are included to enhance understanding.
- ICD-10-PCS Root Operation Grid. Provides the ICD-10-PCS root operations to assist in locating the PCS code you need.
- Abbreviations, acronyms, symbols, procedure eponyms and surgical. Better understand provider documentation and commonly used terms in these valuable tools for a better understanding of ICD-10-PCS coding.
- Ease of use. Developed to work hand-in-hand with your Optum ICD-10-PCS codebook.
- Enhance understanding of ICD-10-PCS. The lay descriptions were developed to enhance understanding of the ICD-10-PCS terminology and definitions of root operations, body parts, approaches, devices, and qualifiers.
- Designed for novices and seasoned coders. The lay descriptions, illustrations, and other supplemental resources contained in this resource are designed for coders of all skill levels.
Laura Anderson, RN, BSN, CCDS
Ms. Anderson is a Registered Nurse and CDI Specialist/Educator with more than 20 years of experience in the healthcare profession. She obtained her BSN at the University of Minnesota and spent most of her bedside nursing career on Medical-Surgical care units. Her clinical documentation experience began in 2007, covering CDI specialist training, education development, and physician engagement. She has served as a CDI Team Lead and consultant, working with senior leadership to incorporate CDI work into documentation compliance and quality metrics. Ms. Anderson also has a BS degree in Biology (Winthrop University), with research experience in liver cancer and radiation-induced leukemia. She has presented at the state and national levels for the Association of Clinical Documentation Integrity Specialists (ACDIS) and has served as a co-lead for the Minnesota state chapter.
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