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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0R5D includes procedures performed to destroy tissue or joint structures in the temporomandibular joint, left. These ICD-10-PCS codes are used for inpatient documentation when a destructive procedure is performed on the left temporomandibular joint to eradicate all or a portion of the joint. Accurate coding within the ICD-10-PCS 0R5D group is essential for proper inpatient reimbursement, as it captures the specific destructive procedure performed and supports clinical documentation accuracy.

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Temporomandibular Joint, Left Destruction Procedure Overview

Procedures in this ICD-10-PCS group involve destruction of tissue in the left temporomandibular joint within the upper joints body system. These operations use energy, force, or a destructive agent to eradicate all or part of the joint structure. Accurate coding identifies the specific destructive procedure performed and supports proper inpatient reimbursement and clinical records. Correct selection of the code ensures the procedure is represented for case mix and payment purposes.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
R	Body System	Upper Joints
5	Operation	Destruction
D	Body Part	Temporomandibular Joint, Left

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

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Temporomandibular Joint, Left Destruction Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
R	Body System	Upper Joints
5	Operation	Destruction
D	Body Part	Temporomandibular Joint, Left

When to Use

Use a code from this group when a clinician performs a destruction operation on the left temporomandibular joint to eradicate all or part of the joint. These codes apply to inpatient settings where the procedure is documented as a destructive eradication of joint tissue.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
0R5D0ZZ	Destruction of Left Temporomandibular Joint, Open Approach
0R5D3ZZ	Destruction of Left Temporomandibular Joint, Percutaneous Approach
0R5D4ZZ	Destruction of Left Temporomandibular Joint, Percutaneous Endoscopic Approach

DRG Codes

15 rows

DRG Code	Description
143	Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC
144	Other Ear, Nose, Mouth and Throat O.R. Procedures with CC
145	Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC
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

Showing 1–10 of 15

Typical Clinical Scenarios

A middle-aged patient presents after a motor vehicle collision with severe comminuted fracture and devitalization of the left temporomandibular joint with uncontrollable pain and loss of joint function. Imaging and intraoperative assessment determine the joint surfaces are nonviable and require eradication to control pain and prevent infection; an open surgical approach is used to destroy the damaged joint tissue and allow for definitive reconstruction or prosthetic placement. The patient is managed as an inpatient for the acute operative procedure and postoperative monitoring. Typical codes: 0R5D0ZZ
A patient with chronic, refractory left temporomandibular joint pain and severe osteoarthritic degeneration has failed conservative therapies including medications, injections, and arthroscopy. During a planned inpatient operative session, the surgeon performs a percutaneous endoscopic destructive procedure to eradicate diseased joint tissue and alleviate pain while evaluating candidacy for later reconstruction. The elective admission is for the definitive destructive intervention under visualization. Typical codes: 0R5D4ZZ
A patient with prior temporomandibular joint procedures develops persistent pain and recurrent ankylosis of the left joint after earlier attempts at joint-sparing surgery. To manage the complication and remove fibrous or heterotopic bone causing recurrent immobility, a percutaneous destructive intervention is performed to eliminate the pathologic joint tissue as part of a revision strategy. The procedure is performed in the inpatient setting because of expected postoperative monitoring and possible staged reconstruction. Typical codes: 0R5D3ZZ

Related Codes

0R50-OCCIPITAL-CERVICAL-DESTRUCTION

ICD-10-PCS Code For Occipital-Cervical Joint: Procedure Code Group Overview

0R51-CERVICAL-VERTEBRAL-JOINT-DESTRUCTION

ICD-10-PCS Code For Cervical Vertebral Joint: Procedure Code Group Overview

0R53-CERVICAL-VERTEBRAL-DISC-DESTRUCTION

ICD-10-PCS Code For Cervical Vertebral Disc: Procedure Code Group Overview

0R54-CERVICOTHORACIC-VERTEBRAL-JOINT-DESTRUCTION

ICD-10-PCS Code For Cervicothoracic Vertebral Joint: Procedure Code Group Overview

0R55-CERVICOTHORACIC-VERTEBRAL-DISC-DESTRUCTION

ICD-10-PCS Code For Cervicothoracic Vertebral Disc: Procedure Code Group Overview

0R56-THORACIC-VERTEBRAL-JOINT-ERADICATION-THORACIC-VERTEBRAL-JOINT

ICD-10-PCS Code For Thoracic Vertebral Joint: Procedure Code Group Overview

0R59-THORACIC-VERTEBRAL-DISC-DESTRUCTION

ICD-10-PCS Code For Thoracic Vertebral Disc: Procedure Code Group Overview

0R5A-THORACOLUMBAR-VERTEBRAL-JOINT-DESTRUCTION

ICD-10-PCS Code For Thoracolumbar Vertebral Joint: Procedure Code Group Overview

0R5B-THORACOLUMBAR-VERTEBRAL-DISC-DESTRUCTION

ICD-10-PCS Code For Thoracolumbar Vertebral Disc: Procedure Code Group Overview

0R5C-TEMPOROMANDIBULAR-JOINT-DESTRUCTION

ICD-10-PCS Code For Temporomandibular Joint, Right: Procedure Code Group Overview

Showing 1–10 of 28

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
0R5D0ZZ	Destruction of Left Temporomandibular Joint, Open Approach
0R5D3ZZ	Destruction of Left Temporomandibular Joint, Percutaneous Approach
0R5D4ZZ	Destruction of Left Temporomandibular Joint, Percutaneous Endoscopic Approach

DRG Codes

15 rows

DRG Code	Description
143	Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC
144	Other Ear, Nose, Mouth and Throat O.R. Procedures with CC
145	Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC
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

Showing 1–10 of 15

Typical Clinical Scenarios

A middle-aged patient presents after a motor vehicle collision with severe comminuted fracture and devitalization of the left temporomandibular joint with uncontrollable pain and loss of joint function. Imaging and intraoperative assessment determine the joint surfaces are nonviable and require eradication to control pain and prevent infection; an open surgical approach is used to destroy the damaged joint tissue and allow for definitive reconstruction or prosthetic placement. The patient is managed as an inpatient for the acute operative procedure and postoperative monitoring. Typical codes: 0R5D0ZZ
A patient with chronic, refractory left temporomandibular joint pain and severe osteoarthritic degeneration has failed conservative therapies including medications, injections, and arthroscopy. During a planned inpatient operative session, the surgeon performs a percutaneous endoscopic destructive procedure to eradicate diseased joint tissue and alleviate pain while evaluating candidacy for later reconstruction. The elective admission is for the definitive destructive intervention under visualization. Typical codes: 0R5D4ZZ
A patient with prior temporomandibular joint procedures develops persistent pain and recurrent ankylosis of the left joint after earlier attempts at joint-sparing surgery. To manage the complication and remove fibrous or heterotopic bone causing recurrent immobility, a percutaneous destructive intervention is performed to eliminate the pathologic joint tissue as part of a revision strategy. The procedure is performed in the inpatient setting because of expected postoperative monitoring and possible staged reconstruction. Typical codes: 0R5D3ZZ

Related Codes

0R50-OCCIPITAL-CERVICAL-DESTRUCTION

ICD-10-PCS Code For Occipital-Cervical Joint: Procedure Code Group Overview

0R51-CERVICAL-VERTEBRAL-JOINT-DESTRUCTION

ICD-10-PCS Code For Cervical Vertebral Joint: Procedure Code Group Overview

0R53-CERVICAL-VERTEBRAL-DISC-DESTRUCTION

ICD-10-PCS Code For Cervical Vertebral Disc: Procedure Code Group Overview

0R54-CERVICOTHORACIC-VERTEBRAL-JOINT-DESTRUCTION

ICD-10-PCS Code For Cervicothoracic Vertebral Joint: Procedure Code Group Overview

0R55-CERVICOTHORACIC-VERTEBRAL-DISC-DESTRUCTION

ICD-10-PCS Code For Cervicothoracic Vertebral Disc: Procedure Code Group Overview

0R56-THORACIC-VERTEBRAL-JOINT-ERADICATION-THORACIC-VERTEBRAL-JOINT

ICD-10-PCS Code For Thoracic Vertebral Joint: Procedure Code Group Overview

0R59-THORACIC-VERTEBRAL-DISC-DESTRUCTION

ICD-10-PCS Code For Thoracic Vertebral Disc: Procedure Code Group Overview

0R5A-THORACOLUMBAR-VERTEBRAL-JOINT-DESTRUCTION

ICD-10-PCS Code For Thoracolumbar Vertebral Joint: Procedure Code Group Overview

0R5B-THORACOLUMBAR-VERTEBRAL-DISC-DESTRUCTION

ICD-10-PCS Code For Thoracolumbar Vertebral Disc: Procedure Code Group Overview

0R5C-TEMPOROMANDIBULAR-JOINT-DESTRUCTION

ICD-10-PCS Code For Temporomandibular Joint, Right: Procedure Code Group Overview

Showing 1–10 of 28

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 Temporomandibular Joint, Left: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Temporomandibular Joint, Left: Procedure Code Group Overview policy alerts

Temporomandibular Joint, Left Destruction Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Temporomandibular Joint, Left: Procedure Code Group Overview policy alerts

Temporomandibular Joint, Left Destruction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the Temporomandibular Joint, Left destruction group?

What body system and operation does ICD-10-PCS group 0R5D represent?

When should a code from 0R5D be used for inpatient documentation?

How does accurate selection of a 0R5D code affect reimbursement and records?

Which DRG categories may relate to procedures coded in the 0R5D group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the Temporomandibular Joint, Left destruction group?

What body system and operation does ICD-10-PCS group 0R5D represent?

When should a code from 0R5D be used for inpatient documentation?

How does accurate selection of a 0R5D code affect reimbursement and records?

Which DRG categories may relate to procedures coded in the 0R5D group?

References