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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0RH6 includes procedures performed to insert nonbiological appliances that monitor, assist, perform, or prevent a physiological function in the thoracic vertebral joint. These ICD-10-PCS codes are used for inpatient documentation when a device is placed into the thoracic vertebral joint to provide monitoring, support, or prevention of joint-related physiological functions. Accurate coding within the ICD-10-PCS 0RH6 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Thoracic Vertebral Joint Insertion Procedure Overview

This procedure group covers insertion of nonbiological appliances into the thoracic vertebral joint and targets the upper joints body system. These procedures place monitoring, assistive, preventive, or supportive devices that do not replace a body part. Accurate ICD-10-PCS coding ensures inpatient records reflect the implantable device inserted and supports correct reimbursement and case mix assignment.

Code Attributes

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

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

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Thoracic 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
6	Body Part	Thoracic Vertebral Joint

When to Use

Use a code from this group when an appliance is implanted into the thoracic vertebral joint to provide monitoring, assistance, or prevention of a physiological function. Select the specific ICD-10-PCS code that matches the device type and insertion approach documented in the operative record.

ICD-10-PCS Codes

18 rows

ICD-10-PCS Code	Description
0RH603Z	Insertion of Infusion Device into Thoracic Vertebral Joint, Open Approach
0RH604Z	Insertion of Internal Fixation Device into Thoracic Vertebral Joint, Open Approach
0RH608Z	Insertion of Spacer into Thoracic Vertebral Joint, Open Approach
0RH60BZ	Insertion of Interspinous Process Spinal Stabilization Device into Thoracic Vertebral Joint, Open Approach
0RH60CZ	Insertion of Pedicle-Based Spinal Stabilization Device into Thoracic Vertebral Joint, Open Approach
0RH60DZ	Insertion of Facet Replacement Spinal Stabilization Device into Thoracic Vertebral Joint, Open Approach
0RH633Z	Insertion of Infusion Device into Thoracic Vertebral Joint, Percutaneous Approach
0RH634Z	Insertion of Internal Fixation Device into Thoracic Vertebral Joint, Percutaneous Approach
0RH638Z	Insertion of Spacer into Thoracic Vertebral Joint, Percutaneous Approach
0RH63BZ	Insertion of Interspinous Process Spinal Stabilization Device into Thoracic 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 patient in their 70s with progressive thoracic facet joint osteoarthritis and debilitating axial back pain fails conservative care (medications, physical therapy, and facet injections) and is admitted for an elective implant procedure to restore segmental stability and reduce facet-mediated pain; a pedicle-anchored or interspinous process stabilization device is placed into the thoracic vertebral joint to support the dysfunctional articulation. Typical codes: 0RH63CZ, 0RH60BZ
A middle-aged patient presents emergently after a high-energy motor vehicle collision with thoracic spinal instability and disrupted facet joints requiring immediate operative stabilization; the surgeon places internal fixation devices into the thoracic vertebral joints via an open approach to prevent neurologic deterioration and re-establish spinal alignment. Typical codes: 0RH604Z, 0RH60CZ
An adult with prior thoracic spinal instrumentation develops recurrent mechanical pain and implant loosening around a previously placed spacer; during a planned inpatient revision, the surgeon removes the failed spacer and inserts a new spacer or a facet replacement stabilization device into the thoracic vertebral joint to restore joint function and relieve pain. Typical codes: 0RH648Z, 0RH60DZ

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

0RH5-CERVICOTHORACIC-VERTEBRAL-DISC-INSERTION

ICD-10-PCS Code For Cervicothoracic Vertebral Disc: 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
0RH603Z	Insertion of Infusion Device into Thoracic Vertebral Joint, Open Approach
0RH604Z	Insertion of Internal Fixation Device into Thoracic Vertebral Joint, Open Approach
0RH608Z	Insertion of Spacer into Thoracic Vertebral Joint, Open Approach
0RH60BZ	Insertion of Interspinous Process Spinal Stabilization Device into Thoracic Vertebral Joint, Open Approach
0RH60CZ	Insertion of Pedicle-Based Spinal Stabilization Device into Thoracic Vertebral Joint, Open Approach
0RH60DZ	Insertion of Facet Replacement Spinal Stabilization Device into Thoracic Vertebral Joint, Open Approach
0RH633Z	Insertion of Infusion Device into Thoracic Vertebral Joint, Percutaneous Approach
0RH634Z	Insertion of Internal Fixation Device into Thoracic Vertebral Joint, Percutaneous Approach
0RH638Z	Insertion of Spacer into Thoracic Vertebral Joint, Percutaneous Approach
0RH63BZ	Insertion of Interspinous Process Spinal Stabilization Device into Thoracic 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 patient in their 70s with progressive thoracic facet joint osteoarthritis and debilitating axial back pain fails conservative care (medications, physical therapy, and facet injections) and is admitted for an elective implant procedure to restore segmental stability and reduce facet-mediated pain; a pedicle-anchored or interspinous process stabilization device is placed into the thoracic vertebral joint to support the dysfunctional articulation. Typical codes: 0RH63CZ, 0RH60BZ
A middle-aged patient presents emergently after a high-energy motor vehicle collision with thoracic spinal instability and disrupted facet joints requiring immediate operative stabilization; the surgeon places internal fixation devices into the thoracic vertebral joints via an open approach to prevent neurologic deterioration and re-establish spinal alignment. Typical codes: 0RH604Z, 0RH60CZ
An adult with prior thoracic spinal instrumentation develops recurrent mechanical pain and implant loosening around a previously placed spacer; during a planned inpatient revision, the surgeon removes the failed spacer and inserts a new spacer or a facet replacement stabilization device into the thoracic vertebral joint to restore joint function and relieve pain. Typical codes: 0RH648Z, 0RH60DZ

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

0RH5-CERVICOTHORACIC-VERTEBRAL-DISC-INSERTION

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

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

Thoracic Vertebral Joint Insertion Procedure Overview

Code Attributes

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

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

Thoracic Vertebral Joint Insertion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation do codes in the 0RH6 group represent?

What types of devices are captured by codes like `0RH603Z` and `0RH634Z`?

How do approach variations appear in the 0RH6 code list?

Why is accurate coding within ICD-10-PCS 0RH6 important for inpatient care?

Which DRG groups may be related when coding procedures from the 0RH6 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation do codes in the 0RH6 group represent?

What types of devices are captured by codes like `0RH603Z` and `0RH634Z`?

How do approach variations appear in the 0RH6 code list?

Why is accurate coding within ICD-10-PCS 0RH6 important for inpatient care?

Which DRG groups may be related when coding procedures from the 0RH6 group?

References