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 0QU1 includes procedures performed to supplement biological or synthetic material in the sacrum. These ICD-10-PCS codes are used for inpatient documentation when material is placed to reinforce or augment sacral structures during surgical treatment. Accurate coding within the ICD-10-PCS 0QU1 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Sacrum Supplement Procedure Overview

Procedures in this group involve placing biological or synthetic material to reinforce or augment the sacrum, targeting the lower bones of the spine. These operations supplement sacral structures to improve stability or support, and are documented during inpatient stays. Accurate coding of these supplement procedures ensures the inpatient record reflects the device or material placed and supports appropriate case mix and payment.

Code Attributes

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

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

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Sacrum Supplement Procedure Overview

Code Attributes

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

When to Use

Use codes from this group when biological or synthetic material is put in or on the sacrum to provide structural support or augmentation as part of an inpatient surgical procedure. Do not use these codes for procedures that do not involve placement of reinforcing or augmenting material on the sacrum.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
0QU107Z	Supplement Sacrum with Autologous Tissue Substitute, Open Approach
0QU10JZ	Supplement Sacrum with Synthetic Substitute, Open Approach
0QU10KZ	Supplement Sacrum with Nonautologous Tissue Substitute, Open Approach
0QU137Z	Supplement Sacrum with Autologous Tissue Substitute, Percutaneous Approach
0QU13JZ	Supplement Sacrum with Synthetic Substitute, Percutaneous Approach
0QU13KZ	Supplement Sacrum with Nonautologous Tissue Substitute, Percutaneous Approach
0QU147Z	Supplement Sacrum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0QU14JZ	Supplement Sacrum with Synthetic Substitute, Percutaneous Endoscopic Approach
0QU14KZ	Supplement Sacrum with Nonautologous Tissue Substitute, 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 with progressive sacral insufficiency fractures and nonunion after conservative therapy presents with debilitating pain and failure to mobilize; inpatient surgical stabilization is planned to augment sacral structural support using biologic graft material to promote healing and load-bearing. A supplement procedure is performed to place autologous bone graft onto the sacrum via an open approach to reinforce the weakened sacral bone. Typical codes: 0QU107Z
A middle-aged patient with chronic sacral pressure ulcer and underlying sacral osteomyelitis undergoes debridement and reconstruction to restore sacral contour and durability; due to contaminated field and need for durable synthetic reinforcement, the surgeon places a synthetic implant over the sacrum to augment soft-tissue and bony support during the same inpatient operation. Typical codes: 0QU10JZ
A patient with prior sacral fusion develops hardware loosening and focal sacral instability requiring minimally invasive revision; the team performs a percutaneous augmentation procedure placing nonautologous bone substitute material into the sacrum to supplement structural integrity and avoid open revision. Typical codes: 0QU13KZ

Related Codes

0QU0-LUMBAR-VERTEBRA-SUPPLEMENT

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

0QU2-PELVIC-BONE-RIGHT-SUPPLEMENT

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

0QU3-PELVIC-BONE-LEFT-SUPPLEMENT

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

0QU4-ACETABULUM-RIGHT-SUPPLEMENT

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

0QU5-LEFT-ACETABULUM-SUPPLEMENT

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

0QU6-UPPER-FEMUR-RIGHT-SUPPLEMENT

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

0QU7-LEFT-UPPER-FEMUR-SUPPLEMENT

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

0QU8-FEMORAL-SHAFT-SUPPLEMENT

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

0QU9-LEFT-FEMORAL-SHAFT-SUPPLEMENT

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

0QUB-LOWER-FEMUR-SUPPLEMENT

ICD-10-PCS Code For Lower Femur: 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

9 rows

ICD-10-PCS Code	Description
0QU107Z	Supplement Sacrum with Autologous Tissue Substitute, Open Approach
0QU10JZ	Supplement Sacrum with Synthetic Substitute, Open Approach
0QU10KZ	Supplement Sacrum with Nonautologous Tissue Substitute, Open Approach
0QU137Z	Supplement Sacrum with Autologous Tissue Substitute, Percutaneous Approach
0QU13JZ	Supplement Sacrum with Synthetic Substitute, Percutaneous Approach
0QU13KZ	Supplement Sacrum with Nonautologous Tissue Substitute, Percutaneous Approach
0QU147Z	Supplement Sacrum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0QU14JZ	Supplement Sacrum with Synthetic Substitute, Percutaneous Endoscopic Approach
0QU14KZ	Supplement Sacrum with Nonautologous Tissue Substitute, 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 with progressive sacral insufficiency fractures and nonunion after conservative therapy presents with debilitating pain and failure to mobilize; inpatient surgical stabilization is planned to augment sacral structural support using biologic graft material to promote healing and load-bearing. A supplement procedure is performed to place autologous bone graft onto the sacrum via an open approach to reinforce the weakened sacral bone. Typical codes: 0QU107Z
A middle-aged patient with chronic sacral pressure ulcer and underlying sacral osteomyelitis undergoes debridement and reconstruction to restore sacral contour and durability; due to contaminated field and need for durable synthetic reinforcement, the surgeon places a synthetic implant over the sacrum to augment soft-tissue and bony support during the same inpatient operation. Typical codes: 0QU10JZ
A patient with prior sacral fusion develops hardware loosening and focal sacral instability requiring minimally invasive revision; the team performs a percutaneous augmentation procedure placing nonautologous bone substitute material into the sacrum to supplement structural integrity and avoid open revision. Typical codes: 0QU13KZ

Related Codes

0QU0-LUMBAR-VERTEBRA-SUPPLEMENT

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

0QU2-PELVIC-BONE-RIGHT-SUPPLEMENT

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

0QU3-PELVIC-BONE-LEFT-SUPPLEMENT

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

0QU4-ACETABULUM-RIGHT-SUPPLEMENT

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

0QU5-LEFT-ACETABULUM-SUPPLEMENT

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

0QU6-UPPER-FEMUR-RIGHT-SUPPLEMENT

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

0QU7-LEFT-UPPER-FEMUR-SUPPLEMENT

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

0QU8-FEMORAL-SHAFT-SUPPLEMENT

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

0QU9-LEFT-FEMORAL-SHAFT-SUPPLEMENT

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

0QUB-LOWER-FEMUR-SUPPLEMENT

ICD-10-PCS Code For Lower Femur: 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 Supplement 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 Supplement 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 0QU1?

What body system and operation does section 0QU1 represent?

How do the codes distinguish material type and surgical approach?

Why is accurate coding within 0QU1 important for inpatient records?

Which DRG groups may be affected by procedures coded to 0QU1?

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 0QU1?

What body system and operation does section 0QU1 represent?

How do the codes distinguish material type and surgical approach?

Why is accurate coding within 0QU1 important for inpatient records?

Which DRG groups may be affected by procedures coded to 0QU1?

References