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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0KQ5 includes procedures performed to repair muscles in the right shoulder. These ICD-10-PCS codes are used for inpatient documentation when a patient undergoes a surgical repair to restore the anatomic structure and function of the right shoulder muscle. Accurate coding within the ICD-10-PCS 0KQ5 group is essential for proper inpatient reimbursement, as it captures the specific repair procedure performed and supports clinical documentation accuracy.

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Shoulder Muscle, Repair Procedure Overview

This procedure group includes repair operations performed on the right shoulder muscle and targets the musculoskeletal muscles body system. Procedures restore, to the extent possible, normal anatomic structure and function of the shoulder muscle through suturing, reattachment, or other repair techniques. Accurate ICD-10-PCS coding of these repair procedures supports correct inpatient documentation and appropriate reimbursement by reflecting the clinical work performed.

Code Attributes

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

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

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Shoulder Muscle, Repair Procedure Overview

Code Attributes

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

When to Use

Use a code from this group when an inpatient undergoes a surgical repair of the right shoulder muscle, such as suture repair or reattachment. Codes in this group apply when the primary objective of the procedure is to restore muscle structure and function rather than to excise tissue or implant devices.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
0KQ50ZZ	Repair Right Shoulder Muscle, Open Approach
0KQ53ZZ	Repair Right Shoulder Muscle, Percutaneous Approach
0KQ54ZZ	Repair Right Shoulder Muscle, Percutaneous Endoscopic Approach

DRG Codes

21 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
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC

Showing 1–10 of 21

Typical Clinical Scenarios

An elderly patient presents after a ground-level fall with an acute avulsion tear of the right rotator cuff musculature causing severe pain, loss of active shoulder motion, and inability to perform activities of daily living; the patient is admitted for surgical repair to reattach and restore the torn shoulder muscle fibers and improve function. Typical codes: 0KQ50ZZ
A middle-aged manual laborer with a chronic degenerative partial-thickness tear of the right shoulder muscle has progressive weakness and failed conservative therapy; the patient is scheduled for an elective operative repair to suture and reconstruct the muscle to restore strength and prevent further functional decline. Typical codes: 0KQ54ZZ, 0KQ53ZZ
A patient with a previously repaired right shoulder muscle presents with persistent pain and a recurrent defect identified on imaging after prior open repair; inpatient revision repair is performed to reapproximate and reinforce the muscle repair to address the complication and restore anatomic function. Typical codes: 0KQ50ZZ

Related Codes

0KQ0-HEAD-MUSCLE-REPAIR

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

0KQ1-FACIAL-MUSCLE-REPAIR

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

0KQ2-NECK-MUSCLE-REPAIR

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

0KQ3-LEFT-NECK-MUSCLE-REPAIR

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

0KQ4-TONGUE-PALATE-PHARYNX-REPAIR

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

0KQ6-LEFT-SHOULDER-REPAIR

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

0KQ7-UPPER-ARM-MUSCLE-REPAIR

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

0KQ8-UPPER-ARM-MUSCLE-REPAIR

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

0KQ9-LOWER-ARM-AND-WRIST-MUSCLE-REPAIR

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

0KQB-LEFT-LOWER-ARM-REPAIR

ICD-10-PCS Code For Lower Arm And Wrist Muscle, Left: 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
0KQ50ZZ	Repair Right Shoulder Muscle, Open Approach
0KQ53ZZ	Repair Right Shoulder Muscle, Percutaneous Approach
0KQ54ZZ	Repair Right Shoulder Muscle, Percutaneous Endoscopic Approach

DRG Codes

21 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
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC

Showing 1–10 of 21

Typical Clinical Scenarios

An elderly patient presents after a ground-level fall with an acute avulsion tear of the right rotator cuff musculature causing severe pain, loss of active shoulder motion, and inability to perform activities of daily living; the patient is admitted for surgical repair to reattach and restore the torn shoulder muscle fibers and improve function. Typical codes: 0KQ50ZZ
A middle-aged manual laborer with a chronic degenerative partial-thickness tear of the right shoulder muscle has progressive weakness and failed conservative therapy; the patient is scheduled for an elective operative repair to suture and reconstruct the muscle to restore strength and prevent further functional decline. Typical codes: 0KQ54ZZ, 0KQ53ZZ
A patient with a previously repaired right shoulder muscle presents with persistent pain and a recurrent defect identified on imaging after prior open repair; inpatient revision repair is performed to reapproximate and reinforce the muscle repair to address the complication and restore anatomic function. Typical codes: 0KQ50ZZ

Related Codes

0KQ0-HEAD-MUSCLE-REPAIR

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

0KQ1-FACIAL-MUSCLE-REPAIR

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

0KQ2-NECK-MUSCLE-REPAIR

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

0KQ3-LEFT-NECK-MUSCLE-REPAIR

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

0KQ4-TONGUE-PALATE-PHARYNX-REPAIR

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

0KQ6-LEFT-SHOULDER-REPAIR

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

0KQ7-UPPER-ARM-MUSCLE-REPAIR

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

0KQ8-UPPER-ARM-MUSCLE-REPAIR

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

0KQ9-LOWER-ARM-AND-WRIST-MUSCLE-REPAIR

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

0KQB-LEFT-LOWER-ARM-REPAIR

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

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

Shoulder Muscle, Repair Procedure Overview

Code Attributes

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

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

Shoulder Muscle, Repair Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code options exist for repair of the right shoulder muscle?

What is the section, body system, and operation for the 0KQ5 code group?

How does accurate coding of the 0KQ5 group affect inpatient documentation and reimbursement?

For what clinical purpose are procedures in the 0KQ5 group performed?

Which DRG categories may be related to procedures coded from the 0KQ5 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code options exist for repair of the right shoulder muscle?

What is the section, body system, and operation for the 0KQ5 code group?

How does accurate coding of the 0KQ5 group affect inpatient documentation and reimbursement?

For what clinical purpose are procedures in the 0KQ5 group performed?

Which DRG categories may be related to procedures coded from the 0KQ5 group?

References