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 0K95 includes procedures performed to drain fluids or gases from shoulder muscle structures in the muscles body system. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs drainage of the right shoulder muscle to treat infection, remove accumulated fluid, or relieve pressure. Accurate coding within the ICD-10-PCS 0K95 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

Customize your policy alerts

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

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Shoulder Muscle, Drainage Procedure Overview

This procedure group includes drainage procedures performed on the shoulder muscle and targets the muscles body system. These procedures involve removing fluids or gases from the right shoulder muscle to relieve pressure, treat infection, or obtain specimens. Accurate ICD-10-PCS coding ensures inpatient records reflect the clinical intervention and supports correct reimbursement.

Code Attributes

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

Explore openpayer tools

View all tools

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

Customize your policy alerts

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

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Shoulder Muscle, Drainage Procedure Overview

Code Attributes

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

When to Use

Use a code from this group when a documented procedure involves drainage of fluid or gas specifically from the right shoulder muscle. Codes apply when the operative report or procedure note describes aspiration, open or percutaneous drainage, or evacuation of collections from the shoulder muscle.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
0K9500Z	Drainage of Right Shoulder Muscle with Drainage Device, Open Approach
0K950ZX	Drainage of Right Shoulder Muscle, Open Approach, Diagnostic
0K950ZZ	Drainage of Right Shoulder Muscle, Open Approach
0K9530Z	Drainage of Right Shoulder Muscle with Drainage Device, Percutaneous Approach
0K953ZX	Drainage of Right Shoulder Muscle, Percutaneous Approach, Diagnostic
0K953ZZ	Drainage of Right Shoulder Muscle, Percutaneous Approach
0K9540Z	Drainage of Right Shoulder Muscle with Drainage Device, Percutaneous Endoscopic Approach
0K954ZX	Drainage of Right Shoulder Muscle, Percutaneous Endoscopic Approach, Diagnostic
0K954ZZ	Drainage of Right Shoulder Muscle, Percutaneous Endoscopic Approach

DRG Codes

18 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
579	Other Skin, Subcutaneous Tissue and Breast Procedures with MCC
580	Other Skin, Subcutaneous Tissue and Breast Procedures with CC
581	Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC
802	Other O.R. Procedures of the Blood and Blood Forming Organs with MCC

Showing 1–10 of 18

Typical Clinical Scenarios

An elderly patient on anticoagulation presents to the hospital with sudden swelling, ecchymosis, and increasing pain in the right shoulder after a fall, with imaging showing a large intramuscular hematoma within the right deltoid muscle causing neurovascular compromise; inpatient drainage is performed to evacuate the hematoma and relieve pressure. Typical codes: 0K953ZZ, 0K950ZZ
A middle-aged patient with poorly controlled diabetes is admitted with fever, localized erythema, and a fluctuant mass over the right shoulder; ultrasound-guided aspiration fails to clear the abscess, so a percutaneous drainage catheter is placed under imaging guidance to evacuate purulent material and obtain cultures. Typical codes: 0K9530Z, 0K953ZX
A young athlete develops a chronic seroma in the right shoulder muscle after prior surgery, with persistent fluid collection causing pain and limiting rehabilitation; during a planned inpatient procedure a percutaneous endoscopic approach is used to break loculations and place a drain for definitive management. Typical codes: 0K9540Z, 0K954ZZ

Related Codes

0K90-HEAD-MUSCLE-DRAINAGE

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

0K91-FACIAL-MUSCLE-DRAINAGE

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

0K92-NECK-MUSCLE-RIGHT-DRAINAGE

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

0K93-NECK-MUSCLE-LEFT-DRAINAGE

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

0K94-TONGUE-PALATE-PHARYNX-DRAINAGE

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

0K96-SHOULDER-MUSCLE-LEFT-DRAINAGE

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

0K97-UPPER-ARM-MUSCLE-DRAINAGE

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

0K98-LEFT-UPPER-ARM-DRAINAGE

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

0K99-LOWER-ARM-AND-WRIST-DRAINAGE

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

0K9B-LEFT-LOWER-ARM-DRAINAGE

ICD-10-PCS Code For 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.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

When to Use

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
0K9500Z	Drainage of Right Shoulder Muscle with Drainage Device, Open Approach
0K950ZX	Drainage of Right Shoulder Muscle, Open Approach, Diagnostic
0K950ZZ	Drainage of Right Shoulder Muscle, Open Approach
0K9530Z	Drainage of Right Shoulder Muscle with Drainage Device, Percutaneous Approach
0K953ZX	Drainage of Right Shoulder Muscle, Percutaneous Approach, Diagnostic
0K953ZZ	Drainage of Right Shoulder Muscle, Percutaneous Approach
0K9540Z	Drainage of Right Shoulder Muscle with Drainage Device, Percutaneous Endoscopic Approach
0K954ZX	Drainage of Right Shoulder Muscle, Percutaneous Endoscopic Approach, Diagnostic
0K954ZZ	Drainage of Right Shoulder Muscle, Percutaneous Endoscopic Approach

DRG Codes

18 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
579	Other Skin, Subcutaneous Tissue and Breast Procedures with MCC
580	Other Skin, Subcutaneous Tissue and Breast Procedures with CC
581	Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC
802	Other O.R. Procedures of the Blood and Blood Forming Organs with MCC

Showing 1–10 of 18

Typical Clinical Scenarios

An elderly patient on anticoagulation presents to the hospital with sudden swelling, ecchymosis, and increasing pain in the right shoulder after a fall, with imaging showing a large intramuscular hematoma within the right deltoid muscle causing neurovascular compromise; inpatient drainage is performed to evacuate the hematoma and relieve pressure. Typical codes: 0K953ZZ, 0K950ZZ
A middle-aged patient with poorly controlled diabetes is admitted with fever, localized erythema, and a fluctuant mass over the right shoulder; ultrasound-guided aspiration fails to clear the abscess, so a percutaneous drainage catheter is placed under imaging guidance to evacuate purulent material and obtain cultures. Typical codes: 0K9530Z, 0K953ZX
A young athlete develops a chronic seroma in the right shoulder muscle after prior surgery, with persistent fluid collection causing pain and limiting rehabilitation; during a planned inpatient procedure a percutaneous endoscopic approach is used to break loculations and place a drain for definitive management. Typical codes: 0K9540Z, 0K954ZZ

Related Codes

0K90-HEAD-MUSCLE-DRAINAGE

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

0K91-FACIAL-MUSCLE-DRAINAGE

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

0K92-NECK-MUSCLE-RIGHT-DRAINAGE

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

0K93-NECK-MUSCLE-LEFT-DRAINAGE

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

0K94-TONGUE-PALATE-PHARYNX-DRAINAGE

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

0K96-SHOULDER-MUSCLE-LEFT-DRAINAGE

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

0K97-UPPER-ARM-MUSCLE-DRAINAGE

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

0K98-LEFT-UPPER-ARM-DRAINAGE

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

0K99-LOWER-ARM-AND-WRIST-DRAINAGE

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

0K9B-LEFT-LOWER-ARM-DRAINAGE

ICD-10-PCS Code For 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.

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, Drainage 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, Drainage Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group 0K95 represent?

What are the approaches and device options listed in the 0K95 code group?

How should coders use codes from the 0K95 group for inpatient documentation?

What are examples of individual ICD-10-PCS codes in this group for the right shoulder muscle?

Which DRG categories may relate to procedures in the 0K95 code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group 0K95 represent?

What are the approaches and device options listed in the 0K95 code group?

How should coders use codes from the 0K95 group for inpatient documentation?

What are examples of individual ICD-10-PCS codes in this group for the right shoulder muscle?

Which DRG categories may relate to procedures in the 0K95 code group?

References