ICD-10-PCS Code For Shoulder Muscle: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0K85 includes procedures performed to divide muscle tissue in the right shoulder. These ICD-10-PCS codes are used for inpatient documentation when a surgical division or transection of the right shoulder muscles is performed without draining fluids or gases. Accurate coding within the ICD-10-PCS 0K85 group is essential for proper inpatient reimbursement, as it captures the specific procedure performed and determines appropriate case mix and payment.

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Shoulder Muscle Division Procedure Overview

The procedures in ICD-10 PCS 0K85 involve surgically dividing or transecting muscle tissue in the right shoulder. These procedures target the musculoskeletal system, specifically the muscles of the right shoulder, and involve cutting into the body part without draining fluids or gases. Accurate coding of these division procedures ensures the inpatient record reflects the exact operation performed and supports correct assignment of reimbursement and case mix. Precision in selecting the correct body part and root operation is essential for clinical and billing integrity.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
K	Body System	Muscles
8	Operation	Division
5	Body Part	Shoulder Muscle, Right

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ICD-10-PCS Code For Shoulder Muscle: Procedure Code Group Overview

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Shoulder Muscle Division Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
K	Body System	Muscles
8	Operation	Division
5	Body Part	Shoulder Muscle, Right

When to Use

Use a code from this group when the operative intent is to divide or transect the right shoulder muscle tissue during an inpatient surgical procedure. Do not use these codes for procedures that primarily drain fluids, remove tissue, or perform repairs rather than division.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
0K850ZZ	Division of Right Shoulder Muscle, Open Approach
0K853ZZ	Division of Right Shoulder Muscle, Percutaneous Approach
0K854ZZ	Division of Right Shoulder Muscle, Percutaneous Endoscopic Approach

DRG Codes

12 rows

DRG Code	Description
040	Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC
041	Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator
042	Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC
500	Soft Tissue Procedures with MCC
501	Soft Tissue Procedures with CC
502	Soft Tissue Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
957	Other O.R. Procedures for Multiple Significant Trauma with MCC

Showing 1–10 of 12

Typical Clinical Scenarios

An adult patient presents after a traumatic shoulder dislocation with a large rotator cuff muscle tear and persistent spasm causing impingement and pain that fails conservative management. Inpatient surgery is planned to transect a portion of the involved right shoulder muscle to relieve tension and improve range of motion. The procedure is performed through an open incision to directly visualize and divide the affected muscle fibers. Typical codes: 0K850ZZ
An elderly patient with chronic adhesive capsulitis and refractory, focal muscle contracture of the right shoulder is admitted for operative intervention after failed physical therapy and injections. To restore abduction and reduce pain, the surgeon performs a targeted percutaneous transection of the contracted right shoulder muscle under imaging guidance. The minimally invasive percutaneous approach is selected to reduce operative morbidity in a frail patient. Typical codes: 0K853ZZ
A patient develops acute neurogenic shoulder pain and severe focal muscle contracture after prior arthroscopic surgery, with progressive loss of function despite conservative measures. Inpatient management includes a percutaneous endoscopic procedure to visualize and divide scarred right shoulder muscle tissue responsible for the contracture and nerve entrapment. The endoscopic approach allows direct visualization of the muscle division while minimizing additional soft tissue disruption. Typical codes: 0K854ZZ

ICD-10-PCS Code For Head Muscle: Procedure Code Group Overview

0K81-FACIAL-MUSCLE-DIVISION

ICD-10-PCS Code For Facial Muscle: Procedure Code Group Overview

0K82-NECK-MUSCLE-DIVISION

ICD-10-PCS Code For Neck Muscle Right: Procedure Code Group Overview

0K83-NECK-MUSCLE-DIVISION

ICD-10-PCS Code For Neck Muscle Left: Procedure Code Group Overview

0K84-TONGUE-PALATE-PHARYNX-DIVISION

ICD-10-PCS Code For Tongue Palate Pharynx: Procedure Code Group Overview

0K86-LEFT-SHOULDER-MUSCLE-DIVISION

ICD-10-PCS Code For Left Shoulder Muscle: Procedure Code Group Overview

0K87-UPPER-ARM-MUSCLE-DIVISION

ICD-10-PCS Code For Upper Arm Muscle: Procedure Code Group Overview

0K88-LEFT-UPPER-ARM-DIVISION

ICD-10-PCS Code For Upper Arm Muscle, Left: Procedure Code Group Overview

0K89-LOWER-ARM-AND-WRIST-DIVISION

ICD-10-PCS Code For Lower Arm And Wrist Muscle: Procedure Code Group Overview

0K8B-LEFT-LOWER-ARM-DIVISION

ICD-10-PCS Code For Left Lower Arm And Wrist Muscle: Procedure Code Group Overview

Showing 1–10 of 27

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
0K850ZZ	Division of Right Shoulder Muscle, Open Approach
0K853ZZ	Division of Right Shoulder Muscle, Percutaneous Approach
0K854ZZ	Division of Right Shoulder Muscle, Percutaneous Endoscopic Approach

DRG Codes

12 rows

DRG Code	Description
040	Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC
041	Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator
042	Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC
500	Soft Tissue Procedures with MCC
501	Soft Tissue Procedures with CC
502	Soft Tissue Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
957	Other O.R. Procedures for Multiple Significant Trauma with MCC

Showing 1–10 of 12

Typical Clinical Scenarios

An adult patient presents after a traumatic shoulder dislocation with a large rotator cuff muscle tear and persistent spasm causing impingement and pain that fails conservative management. Inpatient surgery is planned to transect a portion of the involved right shoulder muscle to relieve tension and improve range of motion. The procedure is performed through an open incision to directly visualize and divide the affected muscle fibers. Typical codes: 0K850ZZ
An elderly patient with chronic adhesive capsulitis and refractory, focal muscle contracture of the right shoulder is admitted for operative intervention after failed physical therapy and injections. To restore abduction and reduce pain, the surgeon performs a targeted percutaneous transection of the contracted right shoulder muscle under imaging guidance. The minimally invasive percutaneous approach is selected to reduce operative morbidity in a frail patient. Typical codes: 0K853ZZ
A patient develops acute neurogenic shoulder pain and severe focal muscle contracture after prior arthroscopic surgery, with progressive loss of function despite conservative measures. Inpatient management includes a percutaneous endoscopic procedure to visualize and divide scarred right shoulder muscle tissue responsible for the contracture and nerve entrapment. The endoscopic approach allows direct visualization of the muscle division while minimizing additional soft tissue disruption. Typical codes: 0K854ZZ

ICD-10-PCS Code For Head Muscle: Procedure Code Group Overview

0K81-FACIAL-MUSCLE-DIVISION

ICD-10-PCS Code For Facial Muscle: Procedure Code Group Overview

0K82-NECK-MUSCLE-DIVISION

ICD-10-PCS Code For Neck Muscle Right: Procedure Code Group Overview

0K83-NECK-MUSCLE-DIVISION

ICD-10-PCS Code For Neck Muscle Left: Procedure Code Group Overview

0K84-TONGUE-PALATE-PHARYNX-DIVISION

ICD-10-PCS Code For Tongue Palate Pharynx: Procedure Code Group Overview

0K86-LEFT-SHOULDER-MUSCLE-DIVISION

ICD-10-PCS Code For Left Shoulder Muscle: Procedure Code Group Overview

0K87-UPPER-ARM-MUSCLE-DIVISION

ICD-10-PCS Code For Upper Arm Muscle: Procedure Code Group Overview

0K88-LEFT-UPPER-ARM-DIVISION

ICD-10-PCS Code For Upper Arm Muscle, Left: Procedure Code Group Overview

0K89-LOWER-ARM-AND-WRIST-DIVISION

ICD-10-PCS Code For Lower Arm And Wrist Muscle: Procedure Code Group Overview

0K8B-LEFT-LOWER-ARM-DIVISION

ICD-10-PCS Code For Left Lower Arm And Wrist Muscle: Procedure Code Group Overview

Showing 1–10 of 27

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

ICD-10-PCS Code For Shoulder Muscle: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Shoulder Muscle: Procedure Code Group Overview policy alerts

Shoulder Muscle Division Procedure Overview

Code Attributes

OpenPayer

ICD-10-PCS Code For Shoulder Muscle: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Shoulder Muscle: Procedure Code Group Overview policy alerts

Shoulder Muscle Division Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

ICD-10-PCS Code For Shoulder Muscle: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Shoulder Muscle: Procedure Code Group Overview policy alerts

Shoulder Muscle Division Procedure Overview

Code Attributes

ICD-10-PCS Code For Shoulder Muscle: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Shoulder Muscle: Procedure Code Group Overview policy alerts

Shoulder Muscle Division Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 0K85?

What is the root operation represented by the 0K85 code group?

In which ICD-10-PCS section and body system is 0K85 classified?

How does accurate coding of 0K85 affect inpatient reimbursement?

Which DRG categories may be related to procedures in the 0K85 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 0K85?

What is the root operation represented by the 0K85 code group?

In which ICD-10-PCS section and body system is 0K85 classified?

How does accurate coding of 0K85 affect inpatient reimbursement?

Which DRG categories may be related to procedures in the 0K85 group?

References