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 0PH4 includes procedures performed to insert nonbiological appliances that monitor, assist, perform, or prevent a physiological function in the thoracic vertebra. These ICD-10-PCS codes are used for inpatient documentation when a percutaneous endoscopic insertion of such an appliance into the thoracic vertebra is performed. Accurate coding within the ICD-10-PCS 0PH4 group is essential for proper inpatient reimbursement, as it captures the specific insertion procedure performed and supports clinical documentation accuracy.

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Thoracic Vertebra Insertion Procedure Overview

Procedures in this group involve the percutaneous and endoscopic insertion of nonbiological appliances that monitor, assist, perform, or prevent a physiological function in the thoracic vertebra. These procedures target the upper bones body system and specifically the thoracic vertebra. Accurate ICD-10-PCS coding ensures the inpatient record reflects the exact insertion procedure performed and supports appropriate case mix assignment and payment.

Code Attributes

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

When to Use

Use a code from this group when an appliance is inserted into a thoracic vertebra via percutaneous endoscopic approach for monitoring, assisting, performing, or preventing a physiological function. Select the specific code that reflects the exact device, approach, and thoracic vertebra location documented in the operative record.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
0PH404Z	Insertion of Internal Fixation Device into Thoracic Vertebra, Open Approach
0PH434Z	Insertion of Internal Fixation Device into Thoracic Vertebra, Percutaneous Approach
0PH444Z	Insertion of Internal Fixation Device into Thoracic Vertebra, Percutaneous Endoscopic Approach

DRG Codes

9 rows

DRG Code	Description
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
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

Typical Clinical Scenarios

An elderly patient presents after a fall with acute thoracic vertebral compression fracture causing severe instability and progressive neurologic compromise. Imaging demonstrates vertebral body collapse with posterior element disruption of a thoracic vertebra; the surgical team performs a percutaneous endoscopic insertion of an internal fixation device into the affected thoracic vertebra to stabilize the segment and prevent further cord compression. The procedure is performed during the same inpatient admission due to acute neurologic symptoms and mechanical instability. Typical codes: 0PH444Z
A middle-aged patient with chronic thoracic spine degenerative instability and intractable axial back pain elects for a minimally invasive stabilization procedure after conservative management fails. Under planned inpatient admission, a percutaneous endoscopic insertion of an internal fixation device is performed into the targeted thoracic vertebra to restore stability and reduce pain while avoiding open posterior exposure. The operation is scheduled and performed electively with preoperative imaging and outpatient evaluation completed beforehand. Typical codes: 0PH444Z
A patient with a prior open thoracic fusion presents with hardware loosening and recurrent pain; imaging shows failure of the previous construct at a thoracic vertebra requiring revision. During inpatient surgery, the team removes failing components and places a supplemental internal fixation device into the thoracic vertebra using a percutaneous endoscopic approach to reinforce fixation and preserve remaining soft tissue. The minimally invasive endoscopic insertion is chosen to decrease additional soft-tissue disruption during the revision. Typical codes: 0PH444Z

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

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

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
0PH404Z	Insertion of Internal Fixation Device into Thoracic Vertebra, Open Approach
0PH434Z	Insertion of Internal Fixation Device into Thoracic Vertebra, Percutaneous Approach
0PH444Z	Insertion of Internal Fixation Device into Thoracic Vertebra, Percutaneous Endoscopic Approach

DRG Codes

9 rows

DRG Code	Description
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
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

Typical Clinical Scenarios

An elderly patient presents after a fall with acute thoracic vertebral compression fracture causing severe instability and progressive neurologic compromise. Imaging demonstrates vertebral body collapse with posterior element disruption of a thoracic vertebra; the surgical team performs a percutaneous endoscopic insertion of an internal fixation device into the affected thoracic vertebra to stabilize the segment and prevent further cord compression. The procedure is performed during the same inpatient admission due to acute neurologic symptoms and mechanical instability. Typical codes: 0PH444Z
A middle-aged patient with chronic thoracic spine degenerative instability and intractable axial back pain elects for a minimally invasive stabilization procedure after conservative management fails. Under planned inpatient admission, a percutaneous endoscopic insertion of an internal fixation device is performed into the targeted thoracic vertebra to restore stability and reduce pain while avoiding open posterior exposure. The operation is scheduled and performed electively with preoperative imaging and outpatient evaluation completed beforehand. Typical codes: 0PH444Z
A patient with a prior open thoracic fusion presents with hardware loosening and recurrent pain; imaging shows failure of the previous construct at a thoracic vertebra requiring revision. During inpatient surgery, the team removes failing components and places a supplemental internal fixation device into the thoracic vertebra using a percutaneous endoscopic approach to reinforce fixation and preserve remaining soft tissue. The minimally invasive endoscopic insertion is chosen to decrease additional soft-tissue disruption during the revision. Typical codes: 0PH444Z

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

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

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 Thoracic Vertebra: Procedure Code Group Overview

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

Thoracic Vertebra Insertion 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 Insertion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 0PH4?

What are the individual ICD-10-PCS codes listed in this group?

What section, body system, operation, and body part attributes define this code group?

How does accurate coding within 0PH4 impact inpatient documentation and reimbursement?

Which DRGs are related to procedures in the 0PH4 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 0PH4?

What are the individual ICD-10-PCS codes listed in this group?

What section, body system, operation, and body part attributes define this code group?

How does accurate coding within 0PH4 impact inpatient documentation and reimbursement?

Which DRGs are related to procedures in the 0PH4 group?

References