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

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

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Thoracolumbar Vertebral Joint Insertion Procedure Overview

This procedure group includes inpatient insertion of nonbiological appliances that monitor, assist, perform, or prevent physiological functions for the thoracolumbar vertebral joint. Procedures target the upper joints body system and involve placing devices into the thoracolumbar vertebral joint space to support or monitor joint function. Accurate coding of these insertions ensures the inpatient record reflects the device and procedure performed and supports appropriate 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
A	Body Part	Thoracolumbar Vertebral Joint

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

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Thoracolumbar 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
A	Body Part	Thoracolumbar Vertebral Joint

When to Use

Use an ICD-10-PCS 0RHA code when an appliance is being inserted into the thoracolumbar vertebral joint during an inpatient encounter. Select the code that matches the specific device type and insertion approach documented in the operative record.

ICD-10-PCS Codes

18 rows

ICD-10-PCS Code	Description
0RHA03Z	Insertion of Infusion Device into Thoracolumbar Vertebral Joint, Open Approach
0RHA04Z	Insertion of Internal Fixation Device into Thoracolumbar Vertebral Joint, Open Approach
0RHA08Z	Insertion of Spacer into Thoracolumbar Vertebral Joint, Open Approach
0RHA0BZ	Insertion of Interspinous Process Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Open Approach
0RHA0CZ	Insertion of Pedicle-Based Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Open Approach
0RHA0DZ	Insertion of Facet Replacement Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Open Approach
0RHA33Z	Insertion of Infusion Device into Thoracolumbar Vertebral Joint, Percutaneous Approach
0RHA34Z	Insertion of Internal Fixation Device into Thoracolumbar Vertebral Joint, Percutaneous Approach
0RHA38Z	Insertion of Spacer into Thoracolumbar Vertebral Joint, Percutaneous Approach
0RHA3BZ	Insertion of Interspinous Process Spinal Stabilization Device into Thoracolumbar 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

An elderly patient with progressive neurogenic claudication and lumbar spinal stenosis centered at the thoracolumbar junction has failed conservative therapy and imaging shows posterior element collapse with interspinous widening causing facet overload. During an elective inpatient decompression and stabilization, the surgical team places an interspinous process spinal stabilization device to limit extension and offload the affected facets. The procedure is performed via an open posterior approach to secure the implant and restore segmental stability. Typical codes: 0RHA0BZ
A middle-aged patient presents after a high-energy motor vehicle collision with acute thoracolumbar facet fracture-dislocation causing joint instability and severe localized pain; the patient is admitted emergently. To restore alignment and stabilize the joint, the surgeon performs open reduction and insertion of a pedicle-based spinal stabilization device into the injured thoracolumbar joint during the same inpatient operation. Typical codes: 0RHA0CZ
A patient with a prior minimally invasive spacer placed at the thoracolumbar joint presents weeks later with recurrent mechanical pain and radiographic evidence of spacer migration requiring revision. In the inpatient operating room the team removes the migrated device and inserts a larger spacer via a percutaneous approach to re-establish joint distraction and relieve symptoms. Typical codes: 0RHA38Z

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

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

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
0RHA03Z	Insertion of Infusion Device into Thoracolumbar Vertebral Joint, Open Approach
0RHA04Z	Insertion of Internal Fixation Device into Thoracolumbar Vertebral Joint, Open Approach
0RHA08Z	Insertion of Spacer into Thoracolumbar Vertebral Joint, Open Approach
0RHA0BZ	Insertion of Interspinous Process Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Open Approach
0RHA0CZ	Insertion of Pedicle-Based Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Open Approach
0RHA0DZ	Insertion of Facet Replacement Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Open Approach
0RHA33Z	Insertion of Infusion Device into Thoracolumbar Vertebral Joint, Percutaneous Approach
0RHA34Z	Insertion of Internal Fixation Device into Thoracolumbar Vertebral Joint, Percutaneous Approach
0RHA38Z	Insertion of Spacer into Thoracolumbar Vertebral Joint, Percutaneous Approach
0RHA3BZ	Insertion of Interspinous Process Spinal Stabilization Device into Thoracolumbar 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

An elderly patient with progressive neurogenic claudication and lumbar spinal stenosis centered at the thoracolumbar junction has failed conservative therapy and imaging shows posterior element collapse with interspinous widening causing facet overload. During an elective inpatient decompression and stabilization, the surgical team places an interspinous process spinal stabilization device to limit extension and offload the affected facets. The procedure is performed via an open posterior approach to secure the implant and restore segmental stability. Typical codes: 0RHA0BZ
A middle-aged patient presents after a high-energy motor vehicle collision with acute thoracolumbar facet fracture-dislocation causing joint instability and severe localized pain; the patient is admitted emergently. To restore alignment and stabilize the joint, the surgeon performs open reduction and insertion of a pedicle-based spinal stabilization device into the injured thoracolumbar joint during the same inpatient operation. Typical codes: 0RHA0CZ
A patient with a prior minimally invasive spacer placed at the thoracolumbar joint presents weeks later with recurrent mechanical pain and radiographic evidence of spacer migration requiring revision. In the inpatient operating room the team removes the migrated device and inserts a larger spacer via a percutaneous approach to re-establish joint distraction and relieve symptoms. Typical codes: 0RHA38Z

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

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

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 Thoracolumbar Vertebral Joint: Procedure Code Group Overview

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

Thoracolumbar Vertebral Joint Insertion Procedure Overview

Code Attributes

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

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

Thoracolumbar 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 are described in this procedure group?

What types of devices are captured by ICD-10-PCS code group `0RHA`?

What approaches are represented among the `0RHA` codes?

How does accurate coding within the `0RHA` group affect inpatient care documentation and payment?

Which DRG categories may be related to procedures coded from the `0RHA` group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation are described in this procedure group?

What types of devices are captured by ICD-10-PCS code group `0RHA`?

What approaches are represented among the `0RHA` codes?

How does accurate coding within the `0RHA` group affect inpatient care documentation and payment?

Which DRG categories may be related to procedures coded from the `0RHA` group?

References