ICD-10-PCS Code For Humeral Head: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0PTC includes procedures performed to resect bone structures in the upper bones of the shoulder region. These ICD-10-PCS codes are used for inpatient documentation when an open surgical excision of all or part of the humeral head is performed without replacement. Accurate coding within the ICD-10-PCS 0PTC group is essential for proper inpatient reimbursement, as it captures the specific procedure performed and supports clinical documentation accuracy.

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Humeral Head Resection Procedure Overview

This procedure group covers open resections of the right humeral head within the upper bones body system, involving removal of all or part of the humeral head without replacement. These operations excise diseased, damaged, or nonviable bone to address conditions such as severe fracture, osteonecrosis, or malignancy. Accurate International Classification of Diseases, Tenth Revision, Procedure Coding System coding ensures inpatient documentation reflects the specific anatomy and operation performed and supports correct case mix assignment and reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
P	Body System	Upper Bones
T	Operation	Resection
C	Body Part	Humeral Head, Right

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ICD-10-PCS Code For Humeral Head: Procedure Code Group Overview

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Humeral Head Resection Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
P	Body System	Upper Bones
T	Operation	Resection
C	Body Part	Humeral Head, Right

When to Use

Use a code from this group when an open surgical removal of the right humeral head, in whole or in part, is performed without insertion of a prosthetic or other replacement. These codes apply for procedures indicated for conditions such as severe traumatic damage, osteonecrosis, infection, or tumor when resection is the chosen surgical management.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
0PTC0ZZ	Resection of Right Humeral Head, Open Approach

DRG Codes

9 rows

DRG Code	Description
492	Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC
493	Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC
494	Lower Extremity and Humerus Procedures Except Hip, Foot 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

Typical Clinical Scenarios

An elderly patient with advanced osteoarthritis and progressive shoulder pain and loss of function presents electively after failed conservative management; imaging shows severe collapse and deformity of the right humeral head with joint incongruity, and the surgical team plans an open excision of the diseased humeral head without prosthetic replacement to alleviate pain and remove nonviable bone. Typical codes: 0PTC0ZZ
A middle-aged patient sustains a comminuted right proximal humerus fracture in a motor vehicle collision and is admitted emergently because the humeral head is nonreconstructable; after stabilization, the operative plan is an open resection of the damaged right humeral head to control local injury and infection risk when fixation or replacement is not feasible. Typical codes: 0PTC0ZZ
A patient with right humeral head osteonecrosis who previously underwent attempted internal fixation now presents with persistent sepsis and avascular necrosis; inpatient management includes an open resection of the right humeral head to remove infected, nonviable bone as part of definitive surgical control prior to any future reconstructive planning. Typical codes: 0PTC0ZZ

Related Codes

0PT0-STERNUM-RESECTION

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

0PT1-RIBS-RESECTION

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

0PT2-RIBS-RESECTION

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

0PT5-RIGHT-SCAPULA-RESECTION

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

0PT6-LEFT-SCAPULA-RESECTION

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

0PT7-RIGHT-GLENOID-CAVITY-RESECTION

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

0PT8-LEFT-GLENOID-CAVITY-RESECTION

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

0PT9-RIGHT-CLAVICLE-RESECTION

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

0PTB-LEFT-CLAVICLE-RESECTION

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

0PTD-LEFT-HUMERAL-HEAD-RESECTION

ICD-10-PCS Code For Left Humeral Head: Procedure Code Group Overview

Showing 1–10 of 24

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
0PTC0ZZ	Resection of Right Humeral Head, Open Approach

DRG Codes

9 rows

DRG Code	Description
492	Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC
493	Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC
494	Lower Extremity and Humerus Procedures Except Hip, Foot 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

Typical Clinical Scenarios

An elderly patient with advanced osteoarthritis and progressive shoulder pain and loss of function presents electively after failed conservative management; imaging shows severe collapse and deformity of the right humeral head with joint incongruity, and the surgical team plans an open excision of the diseased humeral head without prosthetic replacement to alleviate pain and remove nonviable bone. Typical codes: 0PTC0ZZ
A middle-aged patient sustains a comminuted right proximal humerus fracture in a motor vehicle collision and is admitted emergently because the humeral head is nonreconstructable; after stabilization, the operative plan is an open resection of the damaged right humeral head to control local injury and infection risk when fixation or replacement is not feasible. Typical codes: 0PTC0ZZ
A patient with right humeral head osteonecrosis who previously underwent attempted internal fixation now presents with persistent sepsis and avascular necrosis; inpatient management includes an open resection of the right humeral head to remove infected, nonviable bone as part of definitive surgical control prior to any future reconstructive planning. Typical codes: 0PTC0ZZ

Related Codes

0PT0-STERNUM-RESECTION

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

0PT1-RIBS-RESECTION

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

0PT2-RIBS-RESECTION

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

0PT5-RIGHT-SCAPULA-RESECTION

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

0PT6-LEFT-SCAPULA-RESECTION

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

0PT7-RIGHT-GLENOID-CAVITY-RESECTION

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

0PT8-LEFT-GLENOID-CAVITY-RESECTION

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

0PT9-RIGHT-CLAVICLE-RESECTION

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

0PTB-LEFT-CLAVICLE-RESECTION

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

0PTD-LEFT-HUMERAL-HEAD-RESECTION

ICD-10-PCS Code For Left Humeral Head: Procedure Code Group Overview

Showing 1–10 of 24

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 Humeral Head: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Humeral Head: Procedure Code Group Overview policy alerts

Humeral Head Resection Procedure Overview

Code Attributes

ICD-10-PCS Code For Humeral Head: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Humeral Head: Procedure Code Group Overview policy alerts

Humeral Head Resection Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What procedure does the ICD-10-PCS code `0PTC0ZZ` represent?

Which clinical indications are associated with humeral head resection described in this group?

How does accurate coding of `0PTC0ZZ` affect inpatient documentation and reimbursement?

What are the code attributes for the humeral head resection in this group?

Which DRG groups may be related to procedures in this ICD-10-PCS group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What procedure does the ICD-10-PCS code `0PTC0ZZ` represent?

Which clinical indications are associated with humeral head resection described in this group?

How does accurate coding of `0PTC0ZZ` affect inpatient documentation and reimbursement?

What are the code attributes for the humeral head resection in this group?

Which DRG groups may be related to procedures in this ICD-10-PCS group?

References