ICD-10-PCS Guidelines at a Glance (Cheat Sheet)

A two-page quick reference to the ICD-10-PCS Official Guidelines, focused on common trouble spots. Each rule is one short, plain-language line with its exact guideline tag (like B3.2a or B4.4), so you can find the full text in your book fast.

WHAT'S INSIDE

• Page 1: body system (B2), root operation components (B3.1), multiple procedures a to d drawn as simple box diagrams (B3.2), discontinued procedures, biopsies, overlapping body layers with a layer diagram, and a table of the root operation rules from B3.6 to B3.18 (bypass, control, excision vs. resection, graft harvest, fusion, inspection, occlusion vs. restriction, release vs. division, fracture reposition, transplantation, transfer, excision followed by replacement)
• Page 2: body part rules B4.1 to B4.8 (branches, bilateral, coronary arteries, upper and lower intestinal tract), approach (B5), device (B6), the selection of principal procedure list, and 5 worked examples with FY2027 ICD-10-PCS codes

FILE FORMAT

• One PDF, US Letter (8.5 x 11 inches), 2 pages. Print it or keep it open on your screen.

HOW IT WORKS

Your download link appears right after payment and is emailed to you.

GOOD TO KNOW

• Based on the 2027 ICD-10-PCS Official Guidelines and the FY2027 ICD-10-PCS code set (in effect October 1, 2026 to September 30, 2027). Guidelines and codes change every October, so check the current year.
• Covers the Medical and Surgical Section guidelines and principal procedure selection. It does not cover the Obstetrics, Radiation Therapy, or New Technology section guidelines.
• This guide covers ICD-10-PCS inpatient procedure coding only. It has no CPT procedure codes.
• Rules are short summaries. Read the full guideline and its examples before you rely on one.
• Educational reference, not legal or billing advice. Payers and facilities can add their own rules.
• Exams have their own rules about what you can bring or write in your books, so this is a study aid and work reference, not an exam aid.
• Not affiliated with or endorsed by CMS, NCHS, AHA, AAPC, or AHIMA.
• Digital items generally can't be returned. If a file is missing, damaged, or different from this listing, email thedenialdesk@gmail.com and I'll help sort it out.
• Drafted with help from AI tools, then reviewed and fact-checked by a certified medical coding professional.

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