ICD-10-PCS Code For Ribs, 1 To 2: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0P51 includes procedures performed to destroy all or part of ribs in the upper bones. These ICD-10-PCS codes are used for inpatient documentation when physical eradication of one to two ribs is performed using energy, force, or a destructive agent. Accurate coding within the ICD-10-PCS 0P51 group is essential for proper inpatient reimbursement, as it captures the specific procedure performed and supports clinical documentation accuracy.

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Ribs, 1 To 2 Destruction Procedure Overview

This procedure group covers destruction of one to two ribs within the upper bones body system using energy, force, or a destructive agent. Procedures in this group physically eradicate all or part of the specified ribs and target the upper bones anatomical region. Accurate ICD-10-PCS coding for these procedures ensures inpatient records reflect the specific operation and supports correct case mix assignment for reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
P	Body System	Upper Bones
5	Operation	Destruction
1	Body Part	Ribs, 1 to 2

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ICD-10-PCS Code For Ribs, 1 To 2: Procedure Code Group Overview

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Ribs, 1 To 2 Destruction Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
P	Body System	Upper Bones
5	Operation	Destruction
1	Body Part	Ribs, 1 to 2

When to Use

Use a code from this group when an inpatient procedure involves destroying one or two ribs as the primary operation. These codes apply when the intent of the procedure is physical eradication rather than resection, repair, or other operations.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
0P510ZZ	Destruction of 1 to 2 Ribs, Open Approach
0P513ZZ	Destruction of 1 to 2 Ribs, Percutaneous Approach
0P514ZZ	Destruction of 1 to 2 Ribs, Percutaneous Endoscopic Approach

DRG Codes

18 rows

DRG Code	Description
166	Other Respiratory System O.R. Procedures with MCC
167	Other Respiratory System O.R. Procedures with CC
168	Other Respiratory System 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
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC
629	Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC
630	Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC

Showing 1–10 of 18

Typical Clinical Scenarios

A 45-year-old motor vehicle crash patient presents with open comminuted fractures of the right 6th and 7th ribs with contaminated soft tissue and ongoing bleeding. Because of extensive bone fragmentation and devitalized rib segments that cannot be reconstructed, the surgical team performs open physical eradication of the damaged rib segments to control hemorrhage and remove nonviable bone. The procedure is performed in the operating room via an open approach under general anesthesia. Typical codes: 0P510ZZ
A 62-year-old patient with chronic osteomyelitis localized to a single left rib experiences persistent pain and recurrent draining sinus despite prolonged antibiotic therapy. After imaging confirms a localized infected rib segment, the thoracic surgeon elects a percutaneous endoscopic procedure to directly destroy the diseased portion of the rib while minimizing chest wall disruption and preserving surrounding structures. The procedure is planned and performed in an inpatient setting using endoscopic guidance. Typical codes: 0P514ZZ
A 70-year-old cancer patient with a pathologic fracture of a posterior rib due to metastatic disease develops progressive pain and a symptomatic bone fragment after prior thoracostomy drainage. To palliate pain and remove the unstable symptomatic rib portion without a large incision, the interventional team performs a percutaneous destructive procedure targeting the involved rib segment. The minimally invasive percutaneous approach is chosen because the goal is local eradication of the painful bone fragment in a patient with limited life expectancy. Typical codes: 0P513ZZ

Related Codes

0P50-STERNUM-DESTRUCTION

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

0P52-RIBS-PHYSICAL-ERADICATION-RIBS-DESTRUCTION

ICD-10-PCS Code For Ribs, 3 Or More: Procedure Code Group Overview

0P53-CERVICAL-VERTEBRA-DESTRUCTION

ICD-10-PCS Code For Cervical Vertebra: Procedure Code Group Overview

0P54-THORACIC-VERTEBRA-DESTRUCTION

ICD-10-PCS Code For Thoracic Vertebra: Procedure Code Group Overview

0P55-SCAPULA-RIGHT-DESTRUCTION

ICD-10-PCS Code For Scapula Right: Procedure Code Group Overview

0P56-SCAPULA-LEFT-DESTRUCTION

ICD-10-PCS Code For Scapula Left: Procedure Code Group Overview

0P57-GLENOID-CAVITY-DESTRUCTION

ICD-10-PCS Code For Glenoid Cavity Right: Procedure Code Group Overview

0P58-GLENOID-CAVITY-LEFT-DESTRUCTION

ICD-10-PCS Code For Glenoid Cavity Left: Procedure Code Group Overview

0P59-CLAVICLE-RIGHT-DESTRUCTION

ICD-10-PCS Code For Clavicle Right: Procedure Code Group Overview

0P5B-CLAVICLE-LEFT-DESTRUCTION

ICD-10-PCS Code For Clavicle Left: Procedure Code Group Overview

Showing 1–10 of 26

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
0P510ZZ	Destruction of 1 to 2 Ribs, Open Approach
0P513ZZ	Destruction of 1 to 2 Ribs, Percutaneous Approach
0P514ZZ	Destruction of 1 to 2 Ribs, Percutaneous Endoscopic Approach

DRG Codes

18 rows

DRG Code	Description
166	Other Respiratory System O.R. Procedures with MCC
167	Other Respiratory System O.R. Procedures with CC
168	Other Respiratory System 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
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC
629	Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC
630	Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC

Showing 1–10 of 18

Typical Clinical Scenarios

A 45-year-old motor vehicle crash patient presents with open comminuted fractures of the right 6th and 7th ribs with contaminated soft tissue and ongoing bleeding. Because of extensive bone fragmentation and devitalized rib segments that cannot be reconstructed, the surgical team performs open physical eradication of the damaged rib segments to control hemorrhage and remove nonviable bone. The procedure is performed in the operating room via an open approach under general anesthesia. Typical codes: 0P510ZZ
A 62-year-old patient with chronic osteomyelitis localized to a single left rib experiences persistent pain and recurrent draining sinus despite prolonged antibiotic therapy. After imaging confirms a localized infected rib segment, the thoracic surgeon elects a percutaneous endoscopic procedure to directly destroy the diseased portion of the rib while minimizing chest wall disruption and preserving surrounding structures. The procedure is planned and performed in an inpatient setting using endoscopic guidance. Typical codes: 0P514ZZ
A 70-year-old cancer patient with a pathologic fracture of a posterior rib due to metastatic disease develops progressive pain and a symptomatic bone fragment after prior thoracostomy drainage. To palliate pain and remove the unstable symptomatic rib portion without a large incision, the interventional team performs a percutaneous destructive procedure targeting the involved rib segment. The minimally invasive percutaneous approach is chosen because the goal is local eradication of the painful bone fragment in a patient with limited life expectancy. Typical codes: 0P513ZZ

Related Codes

0P50-STERNUM-DESTRUCTION

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

0P52-RIBS-PHYSICAL-ERADICATION-RIBS-DESTRUCTION

ICD-10-PCS Code For Ribs, 3 Or More: Procedure Code Group Overview

0P53-CERVICAL-VERTEBRA-DESTRUCTION

ICD-10-PCS Code For Cervical Vertebra: Procedure Code Group Overview

0P54-THORACIC-VERTEBRA-DESTRUCTION

ICD-10-PCS Code For Thoracic Vertebra: Procedure Code Group Overview

0P55-SCAPULA-RIGHT-DESTRUCTION

ICD-10-PCS Code For Scapula Right: Procedure Code Group Overview

0P56-SCAPULA-LEFT-DESTRUCTION

ICD-10-PCS Code For Scapula Left: Procedure Code Group Overview

0P57-GLENOID-CAVITY-DESTRUCTION

ICD-10-PCS Code For Glenoid Cavity Right: Procedure Code Group Overview

0P58-GLENOID-CAVITY-LEFT-DESTRUCTION

ICD-10-PCS Code For Glenoid Cavity Left: Procedure Code Group Overview

0P59-CLAVICLE-RIGHT-DESTRUCTION

ICD-10-PCS Code For Clavicle Right: Procedure Code Group Overview

0P5B-CLAVICLE-LEFT-DESTRUCTION

ICD-10-PCS Code For Clavicle Left: Procedure Code Group Overview

Showing 1–10 of 26

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 Ribs, 1 To 2: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Ribs, 1 To 2: Procedure Code Group Overview policy alerts

Ribs, 1 To 2 Destruction Procedure Overview

Code Attributes

ICD-10-PCS Code For Ribs, 1 To 2: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Ribs, 1 To 2: Procedure Code Group Overview policy alerts

Ribs, 1 To 2 Destruction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are in the Ribs, 1 to 2 destruction group?

What body system and operation does ICD-10-PCS code group 0P51 represent?

When should procedures from the 0P51 code group be used for documentation?

How does coding 0P51 procedures affect reimbursement and clinical records?

Which DRGs may be related to procedures coded in the 0P51 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are in the Ribs, 1 to 2 destruction group?

What body system and operation does ICD-10-PCS code group 0P51 represent?

When should procedures from the 0P51 code group be used for documentation?

How does coding 0P51 procedures affect reimbursement and clinical records?

Which DRGs may be related to procedures coded in the 0P51 group?

References