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 0PH1 includes procedures performed to insert nonbiological appliances that monitor, assist, perform, or prevent physiological functions in the ribs, 1 to 2. These ICD-10-PCS codes are used for inpatient documentation when a device is placed into the first or second ribs to support, monitor, or assist physiological function without replacing rib tissue. Accurate coding within the ICD-10-PCS 0PH1 group is essential for proper inpatient reimbursement, as it captures the specific procedure performed and determines appropriate case mix and payment.

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Ribs, 1 To 2 Insertion Procedure Overview

This procedure group covers insertion procedures performed on the ribs, first and second, targeting the upper bones body system. These International Classification of Diseases, 10th Revision, Procedure Coding System procedures involve placing nonbiological appliances that monitor, assist, perform, or prevent physiological functions without replacing the ribs. Accurate coding of these insertion procedures is important for inpatient reimbursement because it ensures the clinical action and anatomic target are documented for case mix and payment determination.

Code Attributes

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

Code Attributes

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

When to Use

Use a code from this group when an insertion procedure places a nonbiological device into rib 1 or rib 2 to support physiological monitoring or function. These codes apply only when the device is implanted without replacing the anatomical structure of the ribs.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
0PH104Z	Insertion of Internal Fixation Device into 1 to 2 Ribs, Open Approach
0PH134Z	Insertion of Internal Fixation Device into 1 to 2 Ribs, Percutaneous Approach
0PH144Z	Insertion of Internal Fixation Device into 1 to 2 Ribs, Percutaneous Endoscopic Approach

DRG Codes

15 rows

DRG Code	Description
163	Major Chest Procedures with MCC
164	Major Chest Procedures with CC
165	Major Chest Procedures without CC/MCC
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
515	Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC
516	Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC
517	Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC

Showing 1–10 of 15

Typical Clinical Scenarios

An adult patient presents after a high-energy motor vehicle collision with multiple left-sided rib fractures involving the first and second ribs with unstable chest wall and respiratory compromise. Because the fractures are displaced and contributing to poor ventilation, an open surgical procedure is performed to insert an internal fixation device into the first and second ribs to stabilize the chest wall and improve pulmonary mechanics. The insertion is done via an open approach due to the need for direct fracture reduction and secure fixation. Typical codes: 0PH104Z
An elderly patient with chronic nonunion and persistent pain of the second rib after a prior conservatively treated fracture is admitted for a planned operative stabilization. To promote union and relieve pain, a surgeon places an internal fixation device into the second rib using a minimally invasive percutaneous approach under fluoroscopic guidance. The procedure is elective and intended to restore rib stability without replacing rib tissue. Typical codes: 0PH134Z
A middle-aged patient returns with hardware failure and recurrent pain three months after a percutaneous stabilization of the first rib; imaging shows loosening of the previously placed device. In the inpatient setting the surgeon performs a percutaneous endoscopic procedure to remove the failed implant and insert a new internal fixation device into the first rib to reestablish stability and address the complication. The procedure uses an endoscopic-assisted percutaneous approach to manage the revision. Typical codes: 0PH144Z

Related Codes

0PH0-STERNUM-INSERTION

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

0PH2-RIBS-3-OR-MORE-INSERTION

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

0PH3-CERVICAL-VERTEBRA-INSERTION

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

0PH4-THORACIC-VERTEBRA-INSERTION

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

0PH5-SCAPULA-RIGHT-INSERTION

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

0PH6-LEFT-SCAPULA-INSERTION

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

0PH7-GLENOID-CAVITY-INSERTION

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

0PH8-LEFT-GLENOID-CAVITY-PUTTING-IN-GLENOID-CAVITY-INSERTION

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

0PH9-CLAVICLE-RIGHT-INSERTION

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

0PHB-CLAVICLE-LEFT-INSERTION

ICD-10-PCS Code For Clavicle, 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

3 rows

ICD-10-PCS Code	Description
0PH104Z	Insertion of Internal Fixation Device into 1 to 2 Ribs, Open Approach
0PH134Z	Insertion of Internal Fixation Device into 1 to 2 Ribs, Percutaneous Approach
0PH144Z	Insertion of Internal Fixation Device into 1 to 2 Ribs, Percutaneous Endoscopic Approach

DRG Codes

15 rows

DRG Code	Description
163	Major Chest Procedures with MCC
164	Major Chest Procedures with CC
165	Major Chest Procedures without CC/MCC
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
515	Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC
516	Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC
517	Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC

Showing 1–10 of 15

Typical Clinical Scenarios

An adult patient presents after a high-energy motor vehicle collision with multiple left-sided rib fractures involving the first and second ribs with unstable chest wall and respiratory compromise. Because the fractures are displaced and contributing to poor ventilation, an open surgical procedure is performed to insert an internal fixation device into the first and second ribs to stabilize the chest wall and improve pulmonary mechanics. The insertion is done via an open approach due to the need for direct fracture reduction and secure fixation. Typical codes: 0PH104Z
An elderly patient with chronic nonunion and persistent pain of the second rib after a prior conservatively treated fracture is admitted for a planned operative stabilization. To promote union and relieve pain, a surgeon places an internal fixation device into the second rib using a minimally invasive percutaneous approach under fluoroscopic guidance. The procedure is elective and intended to restore rib stability without replacing rib tissue. Typical codes: 0PH134Z
A middle-aged patient returns with hardware failure and recurrent pain three months after a percutaneous stabilization of the first rib; imaging shows loosening of the previously placed device. In the inpatient setting the surgeon performs a percutaneous endoscopic procedure to remove the failed implant and insert a new internal fixation device into the first rib to reestablish stability and address the complication. The procedure uses an endoscopic-assisted percutaneous approach to manage the revision. Typical codes: 0PH144Z

Related Codes

0PH0-STERNUM-INSERTION

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

0PH2-RIBS-3-OR-MORE-INSERTION

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

0PH3-CERVICAL-VERTEBRA-INSERTION

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

0PH4-THORACIC-VERTEBRA-INSERTION

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

0PH5-SCAPULA-RIGHT-INSERTION

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

0PH6-LEFT-SCAPULA-INSERTION

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

0PH7-GLENOID-CAVITY-INSERTION

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

0PH8-LEFT-GLENOID-CAVITY-PUTTING-IN-GLENOID-CAVITY-INSERTION

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

0PH9-CLAVICLE-RIGHT-INSERTION

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

0PHB-CLAVICLE-LEFT-INSERTION

ICD-10-PCS Code For Clavicle, 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 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 Insertion 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 Insertion 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 0PH1 code group for ribs, 1 to 2?

What is the section and body system for codes in the 0PH1 group?

How does accurate coding in the 0PH1 group affect inpatient reimbursement?

Which DRGs may be related to procedures coded to 0PH1?

What clinical action does an ICD-10-PCS 0PH1 code document for ribs 1 to 2?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 0PH1 code group for ribs, 1 to 2?

What is the section and body system for codes in the 0PH1 group?

How does accurate coding in the 0PH1 group affect inpatient reimbursement?

Which DRGs may be related to procedures coded to 0PH1?

What clinical action does an ICD-10-PCS 0PH1 code document for ribs 1 to 2?

References