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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0PH2 includes procedures performed to insert nonbiological appliances that monitor, assist, perform, or prevent a physiological function in the ribs when three or more ribs are involved. These ICD-10-PCS codes are used for inpatient documentation when a device is placed adjacent to or attached to multiple ribs to provide stabilization, monitoring, or assistive function during treatment. Accurate coding within the ICD-10-PCS 0PH2 group is essential for proper inpatient reimbursement, as it captures the insertion procedure performed and supports clinical documentation accuracy.

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Ribs, 3 Or More Insertion Procedure Overview

This procedure group includes insertion of nonbiological appliances that monitor, assist, perform, or prevent a physiological function without replacing rib tissue, and it targets the upper bones body system specifically the ribs when three or more ribs are involved. Procedures involve placing devices such as stabilization plates, monitoring hardware, or assistive implants adjacent to multiple ribs. Accurate ICD-10-PCS coding captures the insertion operation and the specific ribs involved which supports correct inpatient reimbursement and clinical documentation. Precise code selection affects payment, quality measurement, and clinical record integrity.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
P	Body System	Upper Bones
H	Operation	Insertion
2	Body Part	Ribs, 3 or More

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

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Ribs, 3 Or More 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
2	Body Part	Ribs, 3 or More

When to Use

Use a code from this group when a nonbiological appliance is placed on or adjacent to three or more ribs to provide stabilization, monitoring, or assistive function during an inpatient encounter. Select the code when the documented operation is insertion and the body part is recorded as ribs, three or more, to reflect the correct ICD-10-PCS attributes.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
0PH204Z	Insertion of Internal Fixation Device into 3 or More Ribs, Open Approach
0PH234Z	Insertion of Internal Fixation Device into 3 or More Ribs, Percutaneous Approach
0PH244Z	Insertion of Internal Fixation Device into 3 or More 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

A middle-aged patient presents after a high-energy motor vehicle collision with multiple displaced fractures involving three or more contiguous ribs on the same side, causing chest wall instability and respiratory compromise. Inpatient management includes open surgical stabilization with rigid internal fixation plates applied to the affected ribs to restore chest wall integrity and improve ventilation. The insertion operation is documented as placement of an internal fixation device into three or more ribs via an open approach. Typical codes: 0PH204Z
An elderly patient with chronic, nonunion fractures of several ribs after a prior fall complains of persistent pain, impaired cough, and recurrent pulmonary infections; conservative measures have failed. A planned inpatient procedure is scheduled to percutaneously place internal fixation hardware across the involved ribs to promote stabilization and healing while minimizing soft-tissue disruption. The documentation records insertion of an internal fixation device into three or more ribs using a percutaneous approach. Typical codes: 0PH234Z
A patient previously treated with percutaneous rib fixation returns with ongoing pain and evidence of loosening of the fixation hardware involving multiple ribs; removal is not feasible without re-stabilization. During the inpatient revision, surgeons perform a percutaneous endoscopic insertion of new internal fixation devices spanning three or more ribs to secure the chest wall and address the failed construct. The operative note specifies insertion of an internal fixation device into three or more ribs by a percutaneous endoscopic approach. Typical codes: 0PH244Z

Related Codes

0PH0-STERNUM-INSERTION

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

0PH1-RIBS-1-TO-2-INSERTION

ICD-10-PCS Code For Ribs, 1 To 2: 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
0PH204Z	Insertion of Internal Fixation Device into 3 or More Ribs, Open Approach
0PH234Z	Insertion of Internal Fixation Device into 3 or More Ribs, Percutaneous Approach
0PH244Z	Insertion of Internal Fixation Device into 3 or More 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

A middle-aged patient presents after a high-energy motor vehicle collision with multiple displaced fractures involving three or more contiguous ribs on the same side, causing chest wall instability and respiratory compromise. Inpatient management includes open surgical stabilization with rigid internal fixation plates applied to the affected ribs to restore chest wall integrity and improve ventilation. The insertion operation is documented as placement of an internal fixation device into three or more ribs via an open approach. Typical codes: 0PH204Z
An elderly patient with chronic, nonunion fractures of several ribs after a prior fall complains of persistent pain, impaired cough, and recurrent pulmonary infections; conservative measures have failed. A planned inpatient procedure is scheduled to percutaneously place internal fixation hardware across the involved ribs to promote stabilization and healing while minimizing soft-tissue disruption. The documentation records insertion of an internal fixation device into three or more ribs using a percutaneous approach. Typical codes: 0PH234Z
A patient previously treated with percutaneous rib fixation returns with ongoing pain and evidence of loosening of the fixation hardware involving multiple ribs; removal is not feasible without re-stabilization. During the inpatient revision, surgeons perform a percutaneous endoscopic insertion of new internal fixation devices spanning three or more ribs to secure the chest wall and address the failed construct. The operative note specifies insertion of an internal fixation device into three or more ribs by a percutaneous endoscopic approach. Typical codes: 0PH244Z

Related Codes

0PH0-STERNUM-INSERTION

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

0PH1-RIBS-1-TO-2-INSERTION

ICD-10-PCS Code For Ribs, 1 To 2: 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, 3 Or More: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Ribs, 3 Or More: Procedure Code Group Overview policy alerts

Ribs, 3 Or More Insertion Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Ribs, 3 Or More: Procedure Code Group Overview policy alerts

Ribs, 3 Or More Insertion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group 0PH2 represent?

What devices or purposes are covered under the 0PH2 procedures?

Which specific ICD-10-PCS codes are included in this group and what approaches do they represent?

How does accurate coding in the 0PH2 group affect inpatient care documentation and payment?

Which DRG categories may be related to procedures coded in the 0PH2 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group 0PH2 represent?

What devices or purposes are covered under the 0PH2 procedures?

Which specific ICD-10-PCS codes are included in this group and what approaches do they represent?

How does accurate coding in the 0PH2 group affect inpatient care documentation and payment?

Which DRG categories may be related to procedures coded in the 0PH2 group?

References