--- title: ICD-10 Codes in the PCR description: How AngelTrack handles ICD-10 codes in the PCR, as well as the implications on the rest of the system --- [Skip to content](https://support.angeltrack.com/help/biller/icd10codes.htm#main-content) English Show submenu for translations ![A.400x400.png\]](https://support.angeltrack.com/hs-fs/hubfs/A.400x400.png?height=40&name=A.400x400.png) Open main navigation Close main navigation - English Show submenu for translations - Go to angeltrack.com Go to angeltrack.com AngelTrack Knowledge Base - There are no suggestions because the search field is empty. 1. [AngelTrack Knowledge Base](https://support.angeltrack.com/help?hsLang=en) 2. [Miscellaneous](https://support.angeltrack.com/help/miscellaneous?hsLang=en) # ICD-10 Codes in the PCR ## How AngelTrack handles ICD-10 codes in the PCR, as well as the implications on the rest of the system #### ICD-10 Codes in the PCR AngelTrack collects the ICD10 codes representing the crew's *impression* of the patient, plus any *acute symptoms* and *injury causes* the patient is experiencing. The codes are set by the attending, and then reviewed (and perhaps revised) by QA. Afterward, they are used for these purposes: - Information for the billers performing the [coding](https://support.angeltrack.com/help/biller/Coding.htm?hsLang=en), - Uploads to a state trauma registry, and - Additional medical justification in the run reports in the unfortunate event you receive an ADR. ### Code Determination by the Crew On the PCR Assessment page, AngelTrack collects these ICD10 codes: - One code for the primary impression, required if you so choose; - One or more codes for a secondary impression, optional; and - One or more codes for acute symptoms required for emergent and ALS calls if you so choose. If a patient has prior transports, a blue ↯ icon appears which will fetch the ICD10 code list from the patient's most recent *non-emergent* transport; likewise a red ↯ icon for the most recent *emergent* transport. Using these icons, once a patient has an accurate ICD10 code list in place, it can be easily carried forward to future dispatches. #### Requiring Codes from the Crew If you wish, AngelTrack can require crews to provide ICD-10 codes before submitting their report to QA. On the "Preferences" page under Settings you can enable these options: > **☑ A primary impression (ICD-10 code) must be recorded for all BLS+ calls.** > **☑ Acute symptoms (ICD-10 codes) must be recorded for emergent and ALS+ calls.** When those options are not checked, then the crew can -- if they wish -- submit their report to QA without providing the codes. ### The Built-In Code Lists AngelTrack has built-in lists of high-level (mostly .XXX) ICD-10 codes that are relevant for an EMS PCR: - 250 codes for the **impressions** on the PCR Assessment page - 340 codes for the **acute symptoms** on the PCR Assessment page - 240 codes for the **cause** on the PCR Injury report - 190 codes for the **origin location type** on the PCR Followup page These code lists are recommended by [NEMSIS…](http://nemsis.org/), but the lists can be edited and expanded at any time from the Settings page, by anyone who has Administrator, Captain, or HR privileges. ### Use During Billing/Coding Your billers/coders may choose to make use of the codes chosen by the attending and during QA review. Although the PCR's code lists are very general (most are .XXX) so as to be suitable for use by the crew, they may nevertheless be useful as starting points for coding the dispatch for insurance. - [General Topics](https://support.angeltrack.com/help/general-topics?hsLang=en#main-content) - [Configuration](https://support.angeltrack.com/help/general-topics?hsLang=en#configuration) - [Integrations](https://support.angeltrack.com/help/general-topics?hsLang=en#integrations) - [State and County Uploads](https://support.angeltrack.com/help/general-topics?hsLang=en#state-and-county-uploads) - [Dispatch](https://support.angeltrack.com/help/dispatch?hsLang=en#main-content) - [Basic Dispatch](https://support.angeltrack.com/help/dispatch?hsLang=en#basic-dispatch) - [Schedules and Recurrences](https://support.angeltrack.com/help/dispatch?hsLang=en#schedules-and-recurrences) - [Connections to Billing](https://support.angeltrack.com/help/dispatch?hsLang=en#connections-to-billing) - [Advanced Topics and Tips](https://support.angeltrack.com/help/dispatch?hsLang=en#advanced-topics-and-tips) - [Vertex AI Dispatch Planner](https://support.angeltrack.com/help/dispatch?hsLang=en#vertex-ai-dispatch-planner) - [Supervisors](https://support.angeltrack.com/help/supervisors?hsLang=en#main-content) - [Fleet](https://support.angeltrack.com/help/supervisors?hsLang=en#fleet) - [Compliance](https://support.angeltrack.com/help/supervisors?hsLang=en#compliance) - [Billing](https://support.angeltrack.com/help/billing?hsLang=en#main-content) - [Invoicing](https://support.angeltrack.com/help/billing?hsLang=en#invoicing) - [Pricing and Contracts](https://support.angeltrack.com/help/billing?hsLang=en#pricing-and-contracts) - [Coding, Claims, and Clearinghouse](https://support.angeltrack.com/help/billing?hsLang=en#coding-claims-and-clearinghouse) - [Prior Authorization and PCS](https://support.angeltrack.com/help/billing?hsLang=en#prior-authorization-and-pcs) - [Billing Workflow](https://support.angeltrack.com/help/billing?hsLang=en#billing-workflow) - [Payments and EOBs](https://support.angeltrack.com/help/billing?hsLang=en#payments-and-eobs) - [Facility and Patient Records](https://support.angeltrack.com/help/billing?hsLang=en#facility-and-patient-records) - [QA Review](https://support.angeltrack.com/help/qa-review?hsLang=en) - [Salesperson](https://support.angeltrack.com/help/salesperson?hsLang=en) - [Human Resources](https://support.angeltrack.com/help/human-resources?hsLang=en#main-content) - [Timeclock](https://support.angeltrack.com/help/human-resources?hsLang=en#timeclock) - [Schedules and Vacations](https://support.angeltrack.com/help/human-resources?hsLang=en#schedules-and-vacations) - [Crew Members](https://support.angeltrack.com/help/crew-members?hsLang=en#main-content) - [Report Completion](https://support.angeltrack.com/help/crew-members?hsLang=en#report-completion) - [Documents](https://support.angeltrack.com/help/crew-members?hsLang=en#documents) - [Fire](https://support.angeltrack.com/help/fire?hsLang=en) - [IT](https://support.angeltrack.com/help/it?hsLang=en#main-content) - [Data Protection](https://support.angeltrack.com/help/it?hsLang=en#data-protection) - [Troubleshooting](https://support.angeltrack.com/help/it?hsLang=en#troubleshooting) - [Miscellaneous](https://support.angeltrack.com/help/miscellaneous?hsLang=en#main-content) - [Articles for patients and facilities](https://support.angeltrack.com/help/miscellaneous?hsLang=en#articles-for-patients-and-facilities) - [Report Builder](https://support.angeltrack.com/help/report-builder?hsLang=en#main-content) - [Walkthroughs](https://support.angeltrack.com/help/report-builder?hsLang=en#walkthroughs) - [Built-In Reports](https://support.angeltrack.com/help/report-builder?hsLang=en#built-in-reports) [![Chill listening crop-3](https://support.angeltrack.com/hs-fs/hubfs/A.400x400.png?width=40&height=40&name=A.400x400.png "Chill listening crop-3")](https://support.angeltrack.com/help/index.htm?hsLang=en) AngelTrack Support Home Copyright © 2026, AngelTrack LLC