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 0KX5 includes procedures performed to transfer shoulder muscle tissue in the right shoulder. These ICD-10-PCS codes are used for inpatient documentation when a muscle transfer is performed to restore or augment shoulder function due to injury, paralysis, or structural deficiency. Accurate coding within the ICD-10-PCS 0KX5 group is essential for proper inpatient reimbursement, as it captures the specific procedure performed and supports clinical documentation accuracy.

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Shoulder Muscle Transfer Procedure Overview

Procedures in this group involve transferring muscle tissue within the muscles body system of the right shoulder to restore or augment function of a dysfunctional or deficient shoulder structure. These operations move all or a portion of a body part to another location to take over the function of all or a portion of a body part and target shoulder muscle anatomy. Accurate coding of these procedures supports appropriate inpatient reimbursement and reflects the complexity of care provided.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
K	Body System	Muscles
X	Operation	Transfer
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 Transfer Procedure Overview

Code Attributes

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

When to Use

Use a code from this group when a surgical transfer of right shoulder muscle tissue is performed to restore or replace lost function in the shoulder region. These codes apply when the operation moves all or part of a muscle without removing it, as the intent is to have the transferred tissue assume function of the target structure.

ICD-10-PCS Codes

8 rows

ICD-10-PCS Code	Description
0KX50Z0	Transfer Right Shoulder Muscle with Skin, Open Approach
0KX50Z1	Transfer Right Shoulder Muscle with Subcutaneous Tissue, Open Approach
0KX50Z2	Transfer Right Shoulder Muscle with Skin and Subcutaneous Tissue, Open Approach
0KX50ZZ	Transfer Right Shoulder Muscle, Open Approach
0KX54Z0	Transfer Right Shoulder Muscle with Skin, Percutaneous Endoscopic Approach
0KX54Z1	Transfer Right Shoulder Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach
0KX54Z2	Transfer Right Shoulder Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach
0KX54ZZ	Transfer Right Shoulder Muscle, Percutaneous Endoscopic Approach

DRG Codes

6 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

Typical Clinical Scenarios

An adult patient with an acute brachial plexus injury from a motorcycle collision presents with severe right shoulder paralysis and loss of active abduction despite intact passive range of motion. The patient is admitted for operative management to restore shoulder function by transferring viable right shoulder muscle tissue to reanimate the deficient shoulder abductors; an open transfer is chosen due to the extent of injury and need for direct visualization. Typical codes: 0KX50ZZ, 0KX50Z2
An older patient with chronic rotator cuff arthropathy and progressive deltoid insufficiency undergoes an elective reconstruction to improve shoulder elevation and function after failed conservative measures. The procedure involves relocating a portion of right shoulder muscle to augment the deficient cuff/deltoid complex and is performed using a percutaneous endoscopic approach to minimize soft tissue disruption. Typical codes: 0KX54ZZ, 0KX54Z1
A patient with prior open shoulder surgery develops a symptomatic failed muscle transfer with scarring and limited function; a revision operation is planned to transfer additional right shoulder muscle tissue and include adjacent skin/subcutaneous mobilization to achieve tension-free transfer. Because of the prior surgical field and need to address overlying tissues, an open approach transferring muscle with skin and subcutaneous tissue is performed. Typical codes: 0KX50Z0, 0KX50Z1

Related Codes

0KX0-HEAD-TRANSFER

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

0KX1-FACIAL-MUSCLE-TRANSFER

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

0KX2-NECK-MUSCLE-TRANSFER

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

0KX3-NECK-MUSCLE-LEFT-TRANSFER

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

0KX4-TONGUE-PALATE-PHARYNX-TRANSFER

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

0KX6-LEFT-SHOULDER-MUSCLE-TRANSFER

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

0KX7-UPPER-ARM-MUSCLE-TRANSFER

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

0KX8-UPPER-ARM-MUSCLE-LEFT-TRANSFER

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

0KX9-LOWER-ARM-AND-WRIST-TRANSFER

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

0KXB-LEFT-LOWER-ARM-TRANSFER

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

8 rows

ICD-10-PCS Code	Description
0KX50Z0	Transfer Right Shoulder Muscle with Skin, Open Approach
0KX50Z1	Transfer Right Shoulder Muscle with Subcutaneous Tissue, Open Approach
0KX50Z2	Transfer Right Shoulder Muscle with Skin and Subcutaneous Tissue, Open Approach
0KX50ZZ	Transfer Right Shoulder Muscle, Open Approach
0KX54Z0	Transfer Right Shoulder Muscle with Skin, Percutaneous Endoscopic Approach
0KX54Z1	Transfer Right Shoulder Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach
0KX54Z2	Transfer Right Shoulder Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach
0KX54ZZ	Transfer Right Shoulder Muscle, Percutaneous Endoscopic Approach

DRG Codes

6 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

Typical Clinical Scenarios

An adult patient with an acute brachial plexus injury from a motorcycle collision presents with severe right shoulder paralysis and loss of active abduction despite intact passive range of motion. The patient is admitted for operative management to restore shoulder function by transferring viable right shoulder muscle tissue to reanimate the deficient shoulder abductors; an open transfer is chosen due to the extent of injury and need for direct visualization. Typical codes: 0KX50ZZ, 0KX50Z2
An older patient with chronic rotator cuff arthropathy and progressive deltoid insufficiency undergoes an elective reconstruction to improve shoulder elevation and function after failed conservative measures. The procedure involves relocating a portion of right shoulder muscle to augment the deficient cuff/deltoid complex and is performed using a percutaneous endoscopic approach to minimize soft tissue disruption. Typical codes: 0KX54ZZ, 0KX54Z1
A patient with prior open shoulder surgery develops a symptomatic failed muscle transfer with scarring and limited function; a revision operation is planned to transfer additional right shoulder muscle tissue and include adjacent skin/subcutaneous mobilization to achieve tension-free transfer. Because of the prior surgical field and need to address overlying tissues, an open approach transferring muscle with skin and subcutaneous tissue is performed. Typical codes: 0KX50Z0, 0KX50Z1

Related Codes

0KX0-HEAD-TRANSFER

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

0KX1-FACIAL-MUSCLE-TRANSFER

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

0KX2-NECK-MUSCLE-TRANSFER

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

0KX3-NECK-MUSCLE-LEFT-TRANSFER

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

0KX4-TONGUE-PALATE-PHARYNX-TRANSFER

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

0KX6-LEFT-SHOULDER-MUSCLE-TRANSFER

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

0KX7-UPPER-ARM-MUSCLE-TRANSFER

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

0KX8-UPPER-ARM-MUSCLE-LEFT-TRANSFER

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

0KX9-LOWER-ARM-AND-WRIST-TRANSFER

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

0KXB-LEFT-LOWER-ARM-TRANSFER

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 Transfer 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 Transfer Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 0KX5 code group for the right shoulder?

What is the clinical purpose of procedures coded in 0KX5?

What are the code attributes for the 0KX5 procedure group?

How does accurate coding within 0KX5 affect inpatient reimbursement?

Which DRGs may be related to procedures in this code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 0KX5 code group for the right shoulder?

What is the clinical purpose of procedures coded in 0KX5?

What are the code attributes for the 0KX5 procedure group?

How does accurate coding within 0KX5 affect inpatient reimbursement?

Which DRGs may be related to procedures in this code group?

References