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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0RH4 includes procedures performed to insert nonbiological appliances that monitor, assist, perform, or prevent a physiological function in the cervicothoracic vertebral joint. These ICD-10-PCS codes are used for inpatient documentation when a device is placed into the cervicothoracic vertebral joint to support or regulate joint function without replacing the joint. Accurate coding within the ICD-10-PCS 0RH4 group is essential for proper inpatient reimbursement, as it captures the specific device insertion performed and supports clinical documentation accuracy.

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Cervicothoracic Vertebral Joint Insertion Procedure Overview

This procedure group includes insertion of nonbiological appliances that monitor, assist, perform, or prevent physiological functions in the cervicothoracic vertebral joint within the upper joints body system. Procedures in this group involve placing devices into the cervicothoracic vertebral joint space to support or regulate joint function without replacing the joint. Accurate documentation of the device type, approach, and device function is important for correct ICD-10-PCS coding and inpatient reimbursement. Precise coding ensures that the clinical intervention and resources used are reflected in case mix and payment determinations.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
R	Body System	Upper Joints
H	Operation	Insertion
4	Body Part	Cervicothoracic Vertebral Joint

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

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Cervicothoracic Vertebral Joint Insertion Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
R	Body System	Upper Joints
H	Operation	Insertion
4	Body Part	Cervicothoracic Vertebral Joint

When to Use

Use a code from this group when a device is placed into the cervicothoracic vertebral joint to support or regulate joint function and the device does not serve as a prosthetic replacement. These codes apply to inpatient encounters where documentation specifies insertion of a nonbiological appliance into the cervicothoracic vertebral joint.

ICD-10-PCS Codes

18 rows

ICD-10-PCS Code	Description
0RH403Z	Insertion of Infusion Device into Cervicothoracic Vertebral Joint, Open Approach
0RH404Z	Insertion of Internal Fixation Device into Cervicothoracic Vertebral Joint, Open Approach
0RH408Z	Insertion of Spacer into Cervicothoracic Vertebral Joint, Open Approach
0RH40BZ	Insertion of Interspinous Process Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Open Approach
0RH40CZ	Insertion of Pedicle-Based Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Open Approach
0RH40DZ	Insertion of Facet Replacement Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Open Approach
0RH433Z	Insertion of Infusion Device into Cervicothoracic Vertebral Joint, Percutaneous Approach
0RH434Z	Insertion of Internal Fixation Device into Cervicothoracic Vertebral Joint, Percutaneous Approach
0RH438Z	Insertion of Spacer into Cervicothoracic Vertebral Joint, Percutaneous Approach
0RH43BZ	Insertion of Interspinous Process Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Percutaneous Approach

Showing 1–10 of 18

DRG Codes

15 rows

DRG Code	Description
028	Spinal Procedures with MCC
029	Spinal Procedures with CC or Spinal Neurostimulators
030	Spinal Procedures without CC/MCC
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
518	Back and Neck Procedures Except Spinal Fusion with MCC or Disc Device or Neurostimulator
519	Back and Neck Procedures Except Spinal Fusion with CC
520	Back and Neck Procedures Except Spinal Fusion without CC/MCC
907	Other O.R. Procedures for Injuries with MCC

Showing 1–10 of 15

Typical Clinical Scenarios

A middle-aged patient presents emergently after a motor vehicle collision with acute facet joint disruption and severe cervicothoracic pain with instability on imaging. Because conservative management fails and there is concern for progressive instability of the cervicothoracic vertebral joint, the surgical team performs an open insertion of a pedicle-based spinal stabilization device to stabilize the joint and prevent further displacement. The procedure is documented as insertion of a pedicle-based stabilization device into the cervicothoracic vertebral joint via an open approach. Typical codes: 0RH40CZ
An older adult with chronic cervical-thoracic degenerative facet arthropathy and refractory axial neck pain elects to undergo a planned operative intervention after failing nonsurgical therapies. The surgeon places an interspinous process spinal stabilization device into the affected cervicothoracic vertebral joint through a percutaneous endoscopic approach to unload the facet joints and improve segmental function. The inpatient record documents insertion of an interspinous process device via a percutaneous endoscopic approach. Typical codes: 0RH44BZ
A patient previously treated with a spacer placed percutaneously for cervicothoracic joint pain develops persistent mechanical pain and device malposition identified on follow-up imaging. During an inpatient revision, the surgeon removes the malpositioned spacer and inserts a new spacer via an open approach to restore joint alignment and function. The procedure note specifies insertion of a spacer into the cervicothoracic vertebral joint using an open approach. Typical codes: 0RH408Z

Related Codes

0RH0-OCCIPITAL-CERVICAL-INSERTION

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

0RH1-CERVICAL-VERTEBRAL-JOINT-INSERTION

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

0RH3-CERVICAL-VERTEBRAL-DISC-INSERTION

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

0RH5-CERVICOTHORACIC-VERTEBRAL-DISC-INSERTION

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

0RH6-THORACIC-VERTEBRAL-JOINT-INSERTION

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

0RH9-THORACIC-VERTEBRAL-DISC-REVISION-THORACIC-VERTEBRAL-DISC

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

0RHA-THORACOLUMBAR-VERTEBRAL-JOINT-INSERTION

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

0RHB-THORACOLUMBAR-VERTEBRAL-DISC-INSERTION

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

0RHC-TEMPOROMANDIBULAR-JOINT-INSERTION

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

0RHD-TEMPOROMANDIBULAR-JOINT-INSERTION

ICD-10-PCS Code For Temporomandibular Joint Left: 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

18 rows

ICD-10-PCS Code	Description
0RH403Z	Insertion of Infusion Device into Cervicothoracic Vertebral Joint, Open Approach
0RH404Z	Insertion of Internal Fixation Device into Cervicothoracic Vertebral Joint, Open Approach
0RH408Z	Insertion of Spacer into Cervicothoracic Vertebral Joint, Open Approach
0RH40BZ	Insertion of Interspinous Process Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Open Approach
0RH40CZ	Insertion of Pedicle-Based Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Open Approach
0RH40DZ	Insertion of Facet Replacement Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Open Approach
0RH433Z	Insertion of Infusion Device into Cervicothoracic Vertebral Joint, Percutaneous Approach
0RH434Z	Insertion of Internal Fixation Device into Cervicothoracic Vertebral Joint, Percutaneous Approach
0RH438Z	Insertion of Spacer into Cervicothoracic Vertebral Joint, Percutaneous Approach
0RH43BZ	Insertion of Interspinous Process Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Percutaneous Approach

Showing 1–10 of 18

DRG Codes

15 rows

DRG Code	Description
028	Spinal Procedures with MCC
029	Spinal Procedures with CC or Spinal Neurostimulators
030	Spinal Procedures without CC/MCC
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
518	Back and Neck Procedures Except Spinal Fusion with MCC or Disc Device or Neurostimulator
519	Back and Neck Procedures Except Spinal Fusion with CC
520	Back and Neck Procedures Except Spinal Fusion without CC/MCC
907	Other O.R. Procedures for Injuries with MCC

Showing 1–10 of 15

Typical Clinical Scenarios

A middle-aged patient presents emergently after a motor vehicle collision with acute facet joint disruption and severe cervicothoracic pain with instability on imaging. Because conservative management fails and there is concern for progressive instability of the cervicothoracic vertebral joint, the surgical team performs an open insertion of a pedicle-based spinal stabilization device to stabilize the joint and prevent further displacement. The procedure is documented as insertion of a pedicle-based stabilization device into the cervicothoracic vertebral joint via an open approach. Typical codes: 0RH40CZ
An older adult with chronic cervical-thoracic degenerative facet arthropathy and refractory axial neck pain elects to undergo a planned operative intervention after failing nonsurgical therapies. The surgeon places an interspinous process spinal stabilization device into the affected cervicothoracic vertebral joint through a percutaneous endoscopic approach to unload the facet joints and improve segmental function. The inpatient record documents insertion of an interspinous process device via a percutaneous endoscopic approach. Typical codes: 0RH44BZ
A patient previously treated with a spacer placed percutaneously for cervicothoracic joint pain develops persistent mechanical pain and device malposition identified on follow-up imaging. During an inpatient revision, the surgeon removes the malpositioned spacer and inserts a new spacer via an open approach to restore joint alignment and function. The procedure note specifies insertion of a spacer into the cervicothoracic vertebral joint using an open approach. Typical codes: 0RH408Z

Related Codes

0RH0-OCCIPITAL-CERVICAL-INSERTION

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

0RH1-CERVICAL-VERTEBRAL-JOINT-INSERTION

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

0RH3-CERVICAL-VERTEBRAL-DISC-INSERTION

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

0RH5-CERVICOTHORACIC-VERTEBRAL-DISC-INSERTION

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

0RH6-THORACIC-VERTEBRAL-JOINT-INSERTION

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

0RH9-THORACIC-VERTEBRAL-DISC-REVISION-THORACIC-VERTEBRAL-DISC

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

0RHA-THORACOLUMBAR-VERTEBRAL-JOINT-INSERTION

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

0RHB-THORACOLUMBAR-VERTEBRAL-DISC-INSERTION

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

0RHC-TEMPOROMANDIBULAR-JOINT-INSERTION

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

0RHD-TEMPOROMANDIBULAR-JOINT-INSERTION

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

Sign up for ICD-10-PCS Code For Cervicothoracic Vertebral Joint: Procedure Code Group Overview policy alerts

Cervicothoracic Vertebral Joint Insertion Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Cervicothoracic Vertebral Joint: Procedure Code Group Overview policy alerts

Cervicothoracic Vertebral Joint Insertion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers insertion procedures into the cervicothoracic vertebral joint?

What types of devices are represented in the 0RH4 code group?

How are approaches distinguished within the 0RH4 codes?

What is the coding purpose and reimbursement relevance of using 0RH4 codes?

Which DRGs may be related when coding procedures from the 0RH4 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers insertion procedures into the cervicothoracic vertebral joint?

What types of devices are represented in the 0RH4 code group?

How are approaches distinguished within the 0RH4 codes?

What is the coding purpose and reimbursement relevance of using 0RH4 codes?

Which DRGs may be related when coding procedures from the 0RH4 group?

References