ICD-10-PCS Code For Nasal Bone: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0N5B includes procedures performed to destroy all or a portion of the nasal bone in the head and facial bones. These ICD-10-PCS codes are used for inpatient documentation when destruction of nasal bone tissue is performed using energy, force, or a destructive agent to treat disease, remove damaged tissue, or facilitate further management. Accurate coding within the ICD-10-PCS 0N5B 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 Nasal Bone: 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.

Nasal Bone Destruction Procedure Overview

Procedures in this group involve the destruction of all or a portion of the nasal bone using energy, force, or a destructive agent and target the head and facial bones body system. These inpatient procedures remove or obliterate bone tissue of the nasal bone for therapeutic or diagnostic reasons. Accurate ICD-10-PCS coding of these procedures ensures the clinical action and anatomic target are captured for proper inpatient reimbursement and case mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
N	Body System	Head and Facial Bones
5	Operation	Destruction
B	Body Part	Nasal Bone

Explore openpayer tools

View all tools

ICD-10-PCS Code For Nasal Bone: Procedure Code Group Overview

Customize your policy alerts

Sign up for ICD-10-PCS Code For Nasal Bone: 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.

Nasal Bone Destruction Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
N	Body System	Head and Facial Bones
5	Operation	Destruction
B	Body Part	Nasal Bone

When to Use

Use a code from this group when an inpatient procedure intentionally destroys nasal bone tissue as part of treatment or management. These codes apply when the operative intent is destruction rather than resection, repair, or reconstruction of the nasal bone.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
0N5B0ZZ	Destruction of Nasal Bone, Open Approach
0N5B3ZZ	Destruction of Nasal Bone, Percutaneous Approach
0N5B4ZZ	Destruction of Nasal Bone, Percutaneous Endoscopic Approach

DRG Codes

15 rows

DRG Code	Description
143	Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC
144	Other Ear, Nose, Mouth and Throat O.R. Procedures with CC
145	Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC
495	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC
496	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC
497	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur 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 15

Typical Clinical Scenarios

A 45-year-old patient presents after a high-impact facial trauma with comminuted fractures of the nasal bones and persistent bone fragments causing airway obstruction and uncontrollable epistaxis; inpatient care is required for airway stabilization and operative management to remove and destroy irreparable nasal bone fragments to control bleeding and restore airway patency. Typical codes: 0N5B0ZZ.
An elderly patient with radiation-induced osteonecrosis of the nasal bones develops progressive bone sequestration, chronic infection, and failure of conservative measures; the patient is admitted for definitive operative removal and destruction of necrotic nasal bone tissue to eradicate infection and allow soft-tissue healing. Typical codes: 0N5B4ZZ, 0N5B0ZZ.
A patient with recurrent nasal bone tumor (benign but locally aggressive) previously treated with limited resection now presents with residual bone disease requiring targeted destruction of the involved nasal bone under image guidance to minimize surrounding tissue damage; inpatient management is chosen for post-procedure monitoring due to proximity to facial structures. Typical codes: 0N5B3ZZ, 0N5B4ZZ.

Related Codes

0N50-SKULL-DESTRUCTION

ICD-10-PCS Code For Skull: Procedure Code Group Overview

0N51-FRONTAL-BONE-DESTRUCTION

ICD-10-PCS Code For Frontal Bone: Procedure Code Group Overview

0N54-PARIETAL-BONE-LEFT-DESTRUCTION

ICD-10-PCS Code For Parietal Bone Left: Procedure Code Group Overview

0N55-TEMPORAL-BONE-DESTRUCTION

ICD-10-PCS Code For Temporal Bone: Procedure Code Group Overview

0N56-TEMPORAL-BONE-LEFT-DESTRUCTION

ICD-10-PCS Code For Temporal Bone Left: Procedure Code Group Overview

0N57-OCCIPITAL-BONE-DESTRUCTION

ICD-10-PCS Code For Occipital Bone: Procedure Code Group Overview

0N5C-SPHENOID-BONE-DESTRUCTION

ICD-10-PCS Code For Sphenoid Bone: Procedure Code Group Overview

0N5F-ETHMOID-BONE-DESTRUCTION

ICD-10-PCS Code For Ethmoid Bone Right: Procedure Code Group Overview

0N5G-ETHMOID-BONE-LEFT-DESTRUCTION

ICD-10-PCS Code For Ethmoid Bone Left: Procedure Code Group Overview

0N5H-LACRIMAL-BONE-RIGHT-DESTRUCTION

ICD-10-PCS Code For Lacrimal Bone Right: Procedure Code Group Overview

Showing 1–10 of 21

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

3 rows

ICD-10-PCS Code	Description
0N5B0ZZ	Destruction of Nasal Bone, Open Approach
0N5B3ZZ	Destruction of Nasal Bone, Percutaneous Approach
0N5B4ZZ	Destruction of Nasal Bone, Percutaneous Endoscopic Approach

DRG Codes

15 rows

DRG Code	Description
143	Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC
144	Other Ear, Nose, Mouth and Throat O.R. Procedures with CC
145	Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC
495	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC
496	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC
497	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur 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 15

Typical Clinical Scenarios

A 45-year-old patient presents after a high-impact facial trauma with comminuted fractures of the nasal bones and persistent bone fragments causing airway obstruction and uncontrollable epistaxis; inpatient care is required for airway stabilization and operative management to remove and destroy irreparable nasal bone fragments to control bleeding and restore airway patency. Typical codes: 0N5B0ZZ.
An elderly patient with radiation-induced osteonecrosis of the nasal bones develops progressive bone sequestration, chronic infection, and failure of conservative measures; the patient is admitted for definitive operative removal and destruction of necrotic nasal bone tissue to eradicate infection and allow soft-tissue healing. Typical codes: 0N5B4ZZ, 0N5B0ZZ.
A patient with recurrent nasal bone tumor (benign but locally aggressive) previously treated with limited resection now presents with residual bone disease requiring targeted destruction of the involved nasal bone under image guidance to minimize surrounding tissue damage; inpatient management is chosen for post-procedure monitoring due to proximity to facial structures. Typical codes: 0N5B3ZZ, 0N5B4ZZ.

Related Codes

0N50-SKULL-DESTRUCTION

ICD-10-PCS Code For Skull: Procedure Code Group Overview

0N51-FRONTAL-BONE-DESTRUCTION

ICD-10-PCS Code For Frontal Bone: Procedure Code Group Overview

0N54-PARIETAL-BONE-LEFT-DESTRUCTION

ICD-10-PCS Code For Parietal Bone Left: Procedure Code Group Overview

0N55-TEMPORAL-BONE-DESTRUCTION

ICD-10-PCS Code For Temporal Bone: Procedure Code Group Overview

0N56-TEMPORAL-BONE-LEFT-DESTRUCTION

ICD-10-PCS Code For Temporal Bone Left: Procedure Code Group Overview

0N57-OCCIPITAL-BONE-DESTRUCTION

ICD-10-PCS Code For Occipital Bone: Procedure Code Group Overview

0N5C-SPHENOID-BONE-DESTRUCTION

ICD-10-PCS Code For Sphenoid Bone: Procedure Code Group Overview

0N5F-ETHMOID-BONE-DESTRUCTION

ICD-10-PCS Code For Ethmoid Bone Right: Procedure Code Group Overview

0N5G-ETHMOID-BONE-LEFT-DESTRUCTION

ICD-10-PCS Code For Ethmoid Bone Left: Procedure Code Group Overview

0N5H-LACRIMAL-BONE-RIGHT-DESTRUCTION

ICD-10-PCS Code For Lacrimal Bone Right: Procedure Code Group Overview

Showing 1–10 of 21

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 Nasal Bone: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Nasal Bone: Procedure Code Group Overview policy alerts

Nasal Bone Destruction Procedure Overview

Code Attributes

ICD-10-PCS Code For Nasal Bone: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Nasal Bone: Procedure Code Group Overview policy alerts

Nasal Bone Destruction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and body system cover nasal bone destruction procedures?

What are the specific ICD-10-PCS codes in the 0N5B group and their approaches?

What clinical action does the 0N5B code group represent and why is accurate coding important?

For what purposes are nasal bone destruction procedures performed according to the description?

Which DRGs may relate to procedures coded from the 0N5B group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and body system cover nasal bone destruction procedures?

What are the specific ICD-10-PCS codes in the 0N5B group and their approaches?

What clinical action does the 0N5B code group represent and why is accurate coding important?

For what purposes are nasal bone destruction procedures performed according to the description?

Which DRGs may relate to procedures coded from the 0N5B group?

References