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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0P54 includes procedures performed to destroy all or a portion of the thoracic vertebra. These ICD-10-PCS codes are used for inpatient documentation when a percutaneous endoscopic approach is used to ablate or otherwise destroy thoracic vertebral bone tissue for therapeutic purposes. Accurate coding within the ICD-10-PCS 0P54 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Thoracic Vertebra Destruction Procedure Overview

This group includes percutaneous endoscopic procedures that destroy all or part of a thoracic vertebra using energy, force, or a destructive agent. These procedures target the upper bones body system, specifically the thoracic vertebra, and are coded in the Medical and Surgical section of ICD-10-PCS. Accurate coding ensures the inpatient record reflects the therapeutic intent and extent of destruction, which affects case mix and reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
P	Body System	Upper Bones
5	Operation	Destruction
4	Body Part	Thoracic Vertebra

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

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Thoracic Vertebra 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
4	Body Part	Thoracic Vertebra

When to Use

Use a code from this group when a percutaneous endoscopic technique is intentionally used to destroy thoracic vertebral bone tissue. These codes apply when documentation supports that the procedure targeted a thoracic vertebra and the primary operation was destruction.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
0P540Z3	Destruction of Thoracic Vertebra using Laser Interstitial Thermal Therapy, Open Approach
0P540ZZ	Destruction of Thoracic Vertebra, Open Approach
0P543Z3	Destruction of Thoracic Vertebra using Laser Interstitial Thermal Therapy, Percutaneous Approach
0P543ZZ	Destruction of Thoracic Vertebra, Percutaneous Approach
0P544Z3	Destruction of Thoracic Vertebra using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
0P544ZZ	Destruction of Thoracic Vertebra, Percutaneous Endoscopic Approach

DRG Codes

12 rows

DRG Code	Description
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
958	Other O.R. Procedures for Multiple Significant Trauma with CC
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC

Showing 1–10 of 12

Typical Clinical Scenarios

An elderly patient with osteolytic metastasis to a thoracic vertebra presents with severe, progressive axial back pain and radiographic evidence of a painful, focal destructive lesion refractory to conservative measures; the care team admits the patient for inpatient vertebral ablation to achieve local tumor control and pain relief using a percutaneous endoscopic technique targeting the thoracic vertebral body. Typical codes: 0P544Z3, 0P544ZZ
A middle-aged patient with intractable vertebral hemangioma causing neurologic compression and persistent pain is scheduled for a planned minimally invasive procedure to destroy the involved thoracic vertebral tissue via a percutaneous endoscopic approach to reduce lesion size and stabilize symptoms; the case is elective but performed inpatient for monitoring and potential adjunctive care. Typical codes: 0P544Z3, 0P544ZZ
A patient develops worsening spinal instability and recurrent symptomatic collapse of a previously treated thoracic vertebra after prior percutaneous nonendoscopic ablation; the inpatient team performs a revision destruction procedure using a percutaneous endoscopic technique to remove nonviable bone and prepare the site for further stabilization. Typical codes: 0P544Z3, 0P544ZZ

Related Codes

0P50-STERNUM-DESTRUCTION

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

0P51-RIBS-1-TO-2-DESTRUCTION

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

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

6 rows

ICD-10-PCS Code	Description
0P540Z3	Destruction of Thoracic Vertebra using Laser Interstitial Thermal Therapy, Open Approach
0P540ZZ	Destruction of Thoracic Vertebra, Open Approach
0P543Z3	Destruction of Thoracic Vertebra using Laser Interstitial Thermal Therapy, Percutaneous Approach
0P543ZZ	Destruction of Thoracic Vertebra, Percutaneous Approach
0P544Z3	Destruction of Thoracic Vertebra using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
0P544ZZ	Destruction of Thoracic Vertebra, Percutaneous Endoscopic Approach

DRG Codes

12 rows

DRG Code	Description
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
958	Other O.R. Procedures for Multiple Significant Trauma with CC
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC

Showing 1–10 of 12

Typical Clinical Scenarios

An elderly patient with osteolytic metastasis to a thoracic vertebra presents with severe, progressive axial back pain and radiographic evidence of a painful, focal destructive lesion refractory to conservative measures; the care team admits the patient for inpatient vertebral ablation to achieve local tumor control and pain relief using a percutaneous endoscopic technique targeting the thoracic vertebral body. Typical codes: 0P544Z3, 0P544ZZ
A middle-aged patient with intractable vertebral hemangioma causing neurologic compression and persistent pain is scheduled for a planned minimally invasive procedure to destroy the involved thoracic vertebral tissue via a percutaneous endoscopic approach to reduce lesion size and stabilize symptoms; the case is elective but performed inpatient for monitoring and potential adjunctive care. Typical codes: 0P544Z3, 0P544ZZ
A patient develops worsening spinal instability and recurrent symptomatic collapse of a previously treated thoracic vertebra after prior percutaneous nonendoscopic ablation; the inpatient team performs a revision destruction procedure using a percutaneous endoscopic technique to remove nonviable bone and prepare the site for further stabilization. Typical codes: 0P544Z3, 0P544ZZ

Related Codes

0P50-STERNUM-DESTRUCTION

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

0P51-RIBS-1-TO-2-DESTRUCTION

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

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 Thoracic Vertebra: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Thoracic Vertebra: Procedure Code Group Overview policy alerts

Thoracic Vertebra Destruction Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Thoracic Vertebra: Procedure Code Group Overview policy alerts

Thoracic Vertebra 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 apply to these thoracic vertebra destruction procedures?

What approach and technique attributes distinguish codes in the 0P54 group?

Which specific ICD-10-PCS codes represent percutaneous endoscopic destruction of the thoracic vertebra?

How does accurate coding within ICD-10-PCS 0P54 affect inpatient documentation and reimbursement?

What related DRGs may be associated with procedures in the 0P54 code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and body system apply to these thoracic vertebra destruction procedures?

What approach and technique attributes distinguish codes in the 0P54 group?

Which specific ICD-10-PCS codes represent percutaneous endoscopic destruction of the thoracic vertebra?

How does accurate coding within ICD-10-PCS 0P54 affect inpatient documentation and reimbursement?

What related DRGs may be associated with procedures in the 0P54 code group?

References