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 0PD4 includes procedures performed to extract all or a portion of a thoracic vertebra. These ICD-10-PCS codes are used for inpatient documentation when an open surgical extraction of thoracic vertebral bone is performed due to trauma, infection, tumor, or other pathology requiring removal. Accurate coding within the ICD-10-PCS 0PD4 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Thoracic Vertebra Extraction Procedure Overview

This group includes open surgical procedures that remove all or part of a thoracic vertebra. These procedures target the upper bones body system and involve physical extraction by force. Accurate coding matters because it documents the specific vertebral removal and supports correct inpatient reimbursement and clinical records.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
P	Body System	Upper Bones
D	Operation	Extraction
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 Extraction Procedure Overview

Code Attributes

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

When to Use

Use a code from this group when an open surgical procedure physically extracts thoracic vertebral bone. Codes apply when the operative report documents removal of all or a portion of a thoracic vertebra as the primary procedure.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
0PD40ZZ	Extraction of Thoracic Vertebra, Open Approach

DRG Codes

15 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
907	Other O.R. Procedures for Injuries with MCC

Showing 1–10 of 15

Typical Clinical Scenarios

A 45-year-old male presents after a high-speed motor vehicle collision with progressive neurologic decline and imaging showing a comminuted thoracic vertebral fracture with bone fragments compressing the spinal canal. Because vertebral bone fragments must be physically removed to decompress the spinal cord and control hemorrhage, an open extraction of the damaged thoracic vertebra is performed during the inpatient operative session. Typical codes: 0PD40ZZ
A 62-year-old female with a history of metastatic lung cancer develops severe focal back pain and imaging reveals a necrotic lytic lesion destroying a thoracic vertebral body with risk of collapse. After multidisciplinary review, a planned open surgical extraction of the involved thoracic vertebra is performed to remove tumor-infiltrated bone and allow subsequent reconstruction and stabilization. Typical codes: 0PD40ZZ
A 58-year-old patient with prior posterior thoracic instrumentation returns with chronic infection and loosening around a previously fused thoracic vertebra; operative findings include sequestrated bone and persistent osteomyelitis. During the inpatient revision, the surgeon performs an open extraction of the affected thoracic vertebral bone as part of debridement and to eradicate infected tissue before reattempting stabilization. Typical codes: 0PD40ZZ

Related Codes

0PD0-STERNUM-EXTRACTION

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

0PD1-RIBS-EXTRACTION

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

0PD2-RIBS-EXTRACTION

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

0PD3-CERVICAL-VERTEBRA-EXTRACTION

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

0PD5-RIGHT-SCAPULA-EXTRACTION

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

0PD6-LEFT-SCAPULA-EXTRACTION

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

0PD7-GLENOID-CAVITY-EXTRACTION

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

0PD8-LEFT-GLENOID-CAVITY-EXTRACTION

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

0PD9-RIGHT-CLAVICLE-EXTRACTION

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

0PDB-LEFT-CLAVICLE-EXTRACTION

ICD-10-PCS Code For Left Clavicle: 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

1 rows

ICD-10-PCS Code	Description
0PD40ZZ	Extraction of Thoracic Vertebra, Open Approach

DRG Codes

15 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
907	Other O.R. Procedures for Injuries with MCC

Showing 1–10 of 15

Typical Clinical Scenarios

A 45-year-old male presents after a high-speed motor vehicle collision with progressive neurologic decline and imaging showing a comminuted thoracic vertebral fracture with bone fragments compressing the spinal canal. Because vertebral bone fragments must be physically removed to decompress the spinal cord and control hemorrhage, an open extraction of the damaged thoracic vertebra is performed during the inpatient operative session. Typical codes: 0PD40ZZ
A 62-year-old female with a history of metastatic lung cancer develops severe focal back pain and imaging reveals a necrotic lytic lesion destroying a thoracic vertebral body with risk of collapse. After multidisciplinary review, a planned open surgical extraction of the involved thoracic vertebra is performed to remove tumor-infiltrated bone and allow subsequent reconstruction and stabilization. Typical codes: 0PD40ZZ
A 58-year-old patient with prior posterior thoracic instrumentation returns with chronic infection and loosening around a previously fused thoracic vertebra; operative findings include sequestrated bone and persistent osteomyelitis. During the inpatient revision, the surgeon performs an open extraction of the affected thoracic vertebral bone as part of debridement and to eradicate infected tissue before reattempting stabilization. Typical codes: 0PD40ZZ

Related Codes

0PD0-STERNUM-EXTRACTION

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

0PD1-RIBS-EXTRACTION

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

0PD2-RIBS-EXTRACTION

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

0PD3-CERVICAL-VERTEBRA-EXTRACTION

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

0PD5-RIGHT-SCAPULA-EXTRACTION

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

0PD6-LEFT-SCAPULA-EXTRACTION

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

0PD7-GLENOID-CAVITY-EXTRACTION

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

0PD8-LEFT-GLENOID-CAVITY-EXTRACTION

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

0PD9-RIGHT-CLAVICLE-EXTRACTION

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

0PDB-LEFT-CLAVICLE-EXTRACTION

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

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in the ICD-10-PCS 0PD4 code group?

Which specific ICD-10-PCS code represents extraction of a thoracic vertebra by open approach?

For what clinical reasons might an open extraction of a thoracic vertebra be performed according to the group summary?

What section, body system, and operation attributes are assigned to the 0PD4 group?

How does accurate coding within the 0PD4 group affect inpatient reimbursement and case classification?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in the ICD-10-PCS 0PD4 code group?

Which specific ICD-10-PCS code represents extraction of a thoracic vertebra by open approach?

For what clinical reasons might an open extraction of a thoracic vertebra be performed according to the group summary?

What section, body system, and operation attributes are assigned to the 0PD4 group?

How does accurate coding within the 0PD4 group affect inpatient reimbursement and case classification?

References