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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0RH5 includes procedures performed to insert nonbiological appliances that monitor, assist, perform, or prevent a physiological function in the cervicothoracic vertebral disc. These ICD-10-PCS codes are used for inpatient documentation when a device is placed into the cervicothoracic vertebral disc to provide monitoring or functional support without replacing the disc. Accurate coding within the ICD-10-PCS 0RH5 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Cervicothoracic Vertebral Disc Insertion Procedure Overview

This group includes procedures that involve the insertion of nonbiological appliances into the cervicothoracic vertebral disc. These procedures target the upper joints body system and focus on devices that monitor, assist, perform, or prevent a physiological function without replacing the disc. Accurate ICD-10-PCS coding captures the specific insertion procedure performed and supports correct inpatient reimbursement and clinical record keeping.

Code Attributes

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

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

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Cervicothoracic Vertebral Disc 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
5	Body Part	Cervicothoracic Vertebral Disc

When to Use

Use a code from this group when a device is placed into the cervicothoracic vertebral disc to provide monitoring, assistance, or therapeutic function without removing or replacing the disc. These codes apply for inpatient documentation of the insertion operation within the upper joints body system.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
0RH503Z	Insertion of Infusion Device into Cervicothoracic Vertebral Disc, Open Approach
0RH533Z	Insertion of Infusion Device into Cervicothoracic Vertebral Disc, Percutaneous Approach
0RH543Z	Insertion of Infusion Device into Cervicothoracic Vertebral Disc, Percutaneous Endoscopic Approach

Typical Clinical Scenarios

An adult patient with severe cervicothoracic discogenic pain refractory to conservative management elects for placement of a programmable infusion device into the affected cervicothoracic intervertebral disc to deliver targeted analgesic medication. The planned inpatient procedure is performed under general anesthesia using an open approach because of prior posterior fusion hardware that limits percutaneous access. Postoperative monitoring is required for device function and pain control. Typical codes: 0RH503Z
A middle-aged patient presents acutely with escalating radicular pain and signs of myelopathy after a traumatic exacerbation of a known cervicothoracic disc lesion; conservative measures have failed and rapid symptomatic control is needed. A percutaneous insertion of an infusion device into the cervicothoracic vertebral disc is performed in the inpatient setting to provide continuous local analgesic delivery and reduce neural irritation. The less invasive percutaneous approach shortens recovery while addressing urgent neurologic symptoms. Typical codes: 0RH533Z
A patient with a previously placed infusion device in the cervicothoracic disc presents with persistent device-related pain and suspected catheter malfunction. During the inpatient revision, the surgical team performs a percutaneous endoscopic procedure to reposition or replace the infusion catheter and inspect the disc space and device components under direct visualization. The endoscopic approach facilitates targeted correction of the implanted nonbiological appliance without replacing the native disc. Typical codes: 0RH543Z

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

0RH4-CERVICOTHORACIC-INSERTION

ICD-10-PCS Code For Cervicothoracic Vertebral Joint: 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

3 rows

ICD-10-PCS Code	Description
0RH503Z	Insertion of Infusion Device into Cervicothoracic Vertebral Disc, Open Approach
0RH533Z	Insertion of Infusion Device into Cervicothoracic Vertebral Disc, Percutaneous Approach
0RH543Z	Insertion of Infusion Device into Cervicothoracic Vertebral Disc, Percutaneous Endoscopic Approach

Typical Clinical Scenarios

An adult patient with severe cervicothoracic discogenic pain refractory to conservative management elects for placement of a programmable infusion device into the affected cervicothoracic intervertebral disc to deliver targeted analgesic medication. The planned inpatient procedure is performed under general anesthesia using an open approach because of prior posterior fusion hardware that limits percutaneous access. Postoperative monitoring is required for device function and pain control. Typical codes: 0RH503Z
A middle-aged patient presents acutely with escalating radicular pain and signs of myelopathy after a traumatic exacerbation of a known cervicothoracic disc lesion; conservative measures have failed and rapid symptomatic control is needed. A percutaneous insertion of an infusion device into the cervicothoracic vertebral disc is performed in the inpatient setting to provide continuous local analgesic delivery and reduce neural irritation. The less invasive percutaneous approach shortens recovery while addressing urgent neurologic symptoms. Typical codes: 0RH533Z
A patient with a previously placed infusion device in the cervicothoracic disc presents with persistent device-related pain and suspected catheter malfunction. During the inpatient revision, the surgical team performs a percutaneous endoscopic procedure to reposition or replace the infusion catheter and inspect the disc space and device components under direct visualization. The endoscopic approach facilitates targeted correction of the implanted nonbiological appliance without replacing the native disc. Typical codes: 0RH543Z

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

0RH4-CERVICOTHORACIC-INSERTION

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

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

Cervicothoracic Vertebral Disc Insertion Procedure Overview

Code Attributes

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

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

Cervicothoracic Vertebral Disc Insertion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 0RH5 code group?

What is the body system and operation represented by the 0RH5 group?

How does accurate coding in the 0RH5 group affect inpatient documentation?

Are replacement or biological disc procedures included in this code group?

Which approach codes correspond to open, percutaneous, and percutaneous endoscopic insertions?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 0RH5 code group?

What is the body system and operation represented by the 0RH5 group?

How does accurate coding in the 0RH5 group affect inpatient documentation?

Are replacement or biological disc procedures included in this code group?

Which approach codes correspond to open, percutaneous, and percutaneous endoscopic insertions?

References