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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0Q51 includes procedures performed to destroy all or part of the sacrum in the lower bones body system. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs a destructive procedure on sacral bone tissue using energy, force, or a destructive agent to remove diseased or unwanted tissue. Accurate coding within the ICD-10-PCS 0Q51 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

Customize your policy alerts

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

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Sacrum Destruction Procedure Overview

This group includes procedures that destroy all or a portion of the sacrum using energy, chemical, or other destructive agents, targeting the lower bones body system. Procedures in this group are recorded in the inpatient setting using the Medical and Surgical section of the International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS). Accurate coding of sacrum destruction procedures supports proper clinical documentation and is essential for inpatient reimbursement and case mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
Q	Body System	Lower Bones
5	Operation	Destruction
1	Body Part	Sacrum

Explore openpayer tools

View all tools

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

Customize your policy alerts

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

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Sacrum Destruction Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
Q	Body System	Lower Bones
5	Operation	Destruction
1	Body Part	Sacrum

When to Use

Use a code from this group when a clinician intentionally destroys sacral bone tissue as the primary procedure during an inpatient encounter. These codes are appropriate when the operative intent and documentation indicate destruction rather than excision, repair, or other root operations.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
0Q510Z3	Destruction of Sacrum using Laser Interstitial Thermal Therapy, Open Approach
0Q510ZZ	Destruction of Sacrum, Open Approach
0Q513Z3	Destruction of Sacrum using Laser Interstitial Thermal Therapy, Percutaneous Approach
0Q513ZZ	Destruction of Sacrum, Percutaneous Approach
0Q514Z3	Destruction of Sacrum using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
0Q514ZZ	Destruction of Sacrum, Percutaneous Endoscopic Approach

DRG Codes

12 rows

DRG Code	Description
495	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC
496	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC
497	Local Excision and Removal of Internal Fixation Devices Except Hip 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
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC

Showing 1–10 of 12

Typical Clinical Scenarios

A 68-year-old patient with a history of metastatic pelvic cancer presents with progressive sacral pain and imaging showing a painful, localized lytic lesion of the sacrum refractory to radiation and medical management. Because the goal is palliation of pain by destroying tumor tissue within the sacrum without formal removal of bone, the surgical team performs an open destructive procedure using thermal laser interstitial therapy to ablate the sacral lesion. The intent is destruction rather than excision, and inpatient documentation reflects an open approach with laser interstitial thermal therapy. Typical codes: 0Q510Z3
An otherwise healthy 45-year-old patient presents urgently with severe sacral osteomyelitis with focal sequestrum and persistent infection despite antibiotics; preoperative planning targets destruction of infected sacral bone tissue via a minimally invasive percutaneous approach to reduce bacterial load when debridement is limited. The team performs a percutaneous destructive procedure to ablate infected sacral bone using thermal laser interstitial therapy to eradicate the nidus while minimizing disruption to surrounding structures. Operative notes document a percutaneous approach with laser interstitial thermal therapy as the primary destructive method. Typical codes: 0Q513Z3
A 52-year-old patient had a prior percutaneous sacral ablation for a benign but recurrent sacral lesion and now returns with recurrence at the treated site and residual symptomatic bone that requires a more definitive inpatient destructive intervention. Because prior percutaneous treatment failed, the surgical team elects a percutaneous endoscopic destructive procedure to directly visualize and destroy remaining sacral tissue while limiting invasiveness. The record documents a percutaneous endoscopic approach with destruction of sacral bone tissue. Typical codes: 0Q514Z3

Related Codes

0Q50-LUMBAR-VERTEBRA-DESTRUCTION

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

0Q52-PELVIC-BONE-RIGHT-DESTRUCTION

ICD-10-PCS Code For Pelvic Bone Right: Procedure Code Group Overview

0Q53-LEFT-PELVIC-BONE-DESTRUCTION

ICD-10-PCS Code For Left Pelvic Bone: Procedure Code Group Overview

0Q54-ACETABULUM-RIGHT-DESTRUCTION

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

0Q55-LEFT-ACETABULUM-DESTRUCTION

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

0Q56-UPPER-FEMUR-DESTRUCTION

ICD-10-PCS Code For Upper Femur: Procedure Code Group Overview

0Q57-UPPER-FEMUR-LEFT-DESTRUCTION

ICD-10-PCS Code For Upper Femur Left: Procedure Code Group Overview

0Q58-FEMORAL-SHAFT-DESTRUCTION

ICD-10-PCS Code For Femoral Shaft: Procedure Code Group Overview

0Q59-LEFT-FEMORAL-SHAFT-DESTRUCTION

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

0Q5B-LOWER-FEMUR-RIGHT-DESTRUCTION

ICD-10-PCS Code For Lower Femur Right: 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.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

When to Use

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
0Q510Z3	Destruction of Sacrum using Laser Interstitial Thermal Therapy, Open Approach
0Q510ZZ	Destruction of Sacrum, Open Approach
0Q513Z3	Destruction of Sacrum using Laser Interstitial Thermal Therapy, Percutaneous Approach
0Q513ZZ	Destruction of Sacrum, Percutaneous Approach
0Q514Z3	Destruction of Sacrum using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
0Q514ZZ	Destruction of Sacrum, Percutaneous Endoscopic Approach

DRG Codes

12 rows

DRG Code	Description
495	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC
496	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC
497	Local Excision and Removal of Internal Fixation Devices Except Hip 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
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC

Showing 1–10 of 12

Typical Clinical Scenarios

A 68-year-old patient with a history of metastatic pelvic cancer presents with progressive sacral pain and imaging showing a painful, localized lytic lesion of the sacrum refractory to radiation and medical management. Because the goal is palliation of pain by destroying tumor tissue within the sacrum without formal removal of bone, the surgical team performs an open destructive procedure using thermal laser interstitial therapy to ablate the sacral lesion. The intent is destruction rather than excision, and inpatient documentation reflects an open approach with laser interstitial thermal therapy. Typical codes: 0Q510Z3
An otherwise healthy 45-year-old patient presents urgently with severe sacral osteomyelitis with focal sequestrum and persistent infection despite antibiotics; preoperative planning targets destruction of infected sacral bone tissue via a minimally invasive percutaneous approach to reduce bacterial load when debridement is limited. The team performs a percutaneous destructive procedure to ablate infected sacral bone using thermal laser interstitial therapy to eradicate the nidus while minimizing disruption to surrounding structures. Operative notes document a percutaneous approach with laser interstitial thermal therapy as the primary destructive method. Typical codes: 0Q513Z3
A 52-year-old patient had a prior percutaneous sacral ablation for a benign but recurrent sacral lesion and now returns with recurrence at the treated site and residual symptomatic bone that requires a more definitive inpatient destructive intervention. Because prior percutaneous treatment failed, the surgical team elects a percutaneous endoscopic destructive procedure to directly visualize and destroy remaining sacral tissue while limiting invasiveness. The record documents a percutaneous endoscopic approach with destruction of sacral bone tissue. Typical codes: 0Q514Z3

Related Codes

0Q50-LUMBAR-VERTEBRA-DESTRUCTION

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

0Q52-PELVIC-BONE-RIGHT-DESTRUCTION

ICD-10-PCS Code For Pelvic Bone Right: Procedure Code Group Overview

0Q53-LEFT-PELVIC-BONE-DESTRUCTION

ICD-10-PCS Code For Left Pelvic Bone: Procedure Code Group Overview

0Q54-ACETABULUM-RIGHT-DESTRUCTION

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

0Q55-LEFT-ACETABULUM-DESTRUCTION

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

0Q56-UPPER-FEMUR-DESTRUCTION

ICD-10-PCS Code For Upper Femur: Procedure Code Group Overview

0Q57-UPPER-FEMUR-LEFT-DESTRUCTION

ICD-10-PCS Code For Upper Femur Left: Procedure Code Group Overview

0Q58-FEMORAL-SHAFT-DESTRUCTION

ICD-10-PCS Code For Femoral Shaft: Procedure Code Group Overview

0Q59-LEFT-FEMORAL-SHAFT-DESTRUCTION

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

0Q5B-LOWER-FEMUR-RIGHT-DESTRUCTION

ICD-10-PCS Code For Lower Femur Right: 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 Sacrum: Procedure Code Group Overview

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

Sacrum Destruction Procedure Overview

Code Attributes

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

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

Sacrum Destruction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and body system does the 0Q51 sacrum destruction group belong to?

What operations and body part attributes define codes in the 0Q51 group?

What are examples of specific ICD-10-PCS codes in this group and their approaches?

How does accurate coding within ICD-10-PCS 0Q51 affect inpatient reimbursement?

Which DRG groups are related to procedures in the 0Q51 sacrum destruction code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and body system does the 0Q51 sacrum destruction group belong to?

What operations and body part attributes define codes in the 0Q51 group?

What are examples of specific ICD-10-PCS codes in this group and their approaches?

How does accurate coding within ICD-10-PCS 0Q51 affect inpatient reimbursement?

Which DRG groups are related to procedures in the 0Q51 sacrum destruction code group?

References