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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0RTH includes procedures performed to resect joint structures in the upper joints, specifically the left acromioclavicular joint. These ICD-10-PCS codes are used for inpatient documentation when an open surgical resection of the left acromioclavicular joint is performed to remove diseased or damaged joint tissue without replacement. Accurate coding within the ICD-10-PCS 0RTH group is essential for proper inpatient reimbursement, as it captures the specific resection procedure performed and supports clinical documentation accuracy.

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Acromioclavicular Joint Resection Procedure Overview

This procedure group includes open resection procedures that remove all or part of the left acromioclavicular joint, a component of the upper joints body system. These resection procedures involve cutting out joint tissue or bone without replacement to address conditions such as severe arthritis, joint destruction, or pain refractory to conservative care. Accurate ICD-10-PCS coding of these operations ensures inpatient records reflect the specific body part and operation performed, which supports appropriate case mix designation and reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
R	Body System	Upper Joints
T	Operation	Resection
H	Body Part	Acromioclavicular Joint, Left

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

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Acromioclavicular Joint Resection Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
R	Body System	Upper Joints
T	Operation	Resection
H	Body Part	Acromioclavicular Joint, Left

When to Use

Use a code from this group when an open surgical resection of the left acromioclavicular joint is performed during an inpatient encounter. Typical clinical indications include severe joint arthritis, joint destruction, or intractable pain not resolved by conservative treatments.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
0RTH0ZZ	Resection of Left Acromioclavicular Joint, Open Approach

DRG Codes

9 rows

DRG Code	Description
510	Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with MCC
511	Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with CC
512	Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures 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
958	Other O.R. Procedures for Multiple Significant Trauma with CC
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC

Typical Clinical Scenarios

An elderly patient with long-standing severe acromioclavicular joint osteoarthritis presents with progressive shoulder pain and markedly reduced range of motion despite months of conservative management including NSAIDs, physical therapy, and corticosteroid injections. The surgical team schedules an inpatient open resection of the left acromioclavicular joint to remove the diseased joint surfaces and relieve pain when arthroscopic management is not appropriate due to extensive joint degeneration. The procedure is performed without placement of an implant or joint replacement. Typical codes: 0RTH0ZZ
A middle-aged patient arrives through the emergency department after a high-energy fall with acute severe shoulder pain and focal tenderness over the acromioclavicular region; imaging shows a comminuted distal clavicle fracture with disruption of the acromioclavicular joint and persistent instability. Because the fracture and joint damage are not amenable to fixation and there is neurovascular stability, the team performs an urgent open resection of the left acromioclavicular joint to remove fragmented bone and stabilize the joint without replacing joint components. Typical codes: 0RTH0ZZ
A patient with prior conservative and operative attempts to manage chronic acromioclavicular pain continues to have persistent pain and impingement after failed distal clavicle excision performed arthroscopically; the surgeon elects to perform an open resection of remaining acromioclavicular joint tissue to address residual symptomatic bone and scar that were not adequately removed previously. The operation is done without implant placement and aims to excise the remaining joint elements to improve pain and function. Typical codes: 0RTH0ZZ

Related Codes

0RT3-CERVICAL-VERTEBRAL-DISC-RESECTION

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

0RT4-CERVICOTHORACIC-VERTEBRAL-JOINT-RESECTION

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

0RT5-CERVICOTHORACIC-VERTEBRAL-DISC-RESECTION

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

0RT9-THORACIC-VERTEBRAL-DISC-RESECTION

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

0RTB-THORACOLUMBAR-VERTEBRAL-DISC-RESECTION

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

0RTC-RIGHT-TEMPOROMANDIBULAR-JOINT-RESECTION

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

0RTD-LEFT-TEMPOROMANDIBULAR-RESECTION

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

0RTE-RIGHT-STERNOCLAVICULAR-RESECTION

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

0RTF-LEFT-STERNOCLAVICULAR-RESECTION

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

0RTG-ACROMIOCLAVICULAR-JOINT-RESECTION

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

Showing 1–10 of 24

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

1 rows

ICD-10-PCS Code	Description
0RTH0ZZ	Resection of Left Acromioclavicular Joint, Open Approach

DRG Codes

9 rows

DRG Code	Description
510	Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with MCC
511	Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with CC
512	Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures 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
958	Other O.R. Procedures for Multiple Significant Trauma with CC
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC

Typical Clinical Scenarios

An elderly patient with long-standing severe acromioclavicular joint osteoarthritis presents with progressive shoulder pain and markedly reduced range of motion despite months of conservative management including NSAIDs, physical therapy, and corticosteroid injections. The surgical team schedules an inpatient open resection of the left acromioclavicular joint to remove the diseased joint surfaces and relieve pain when arthroscopic management is not appropriate due to extensive joint degeneration. The procedure is performed without placement of an implant or joint replacement. Typical codes: 0RTH0ZZ
A middle-aged patient arrives through the emergency department after a high-energy fall with acute severe shoulder pain and focal tenderness over the acromioclavicular region; imaging shows a comminuted distal clavicle fracture with disruption of the acromioclavicular joint and persistent instability. Because the fracture and joint damage are not amenable to fixation and there is neurovascular stability, the team performs an urgent open resection of the left acromioclavicular joint to remove fragmented bone and stabilize the joint without replacing joint components. Typical codes: 0RTH0ZZ
A patient with prior conservative and operative attempts to manage chronic acromioclavicular pain continues to have persistent pain and impingement after failed distal clavicle excision performed arthroscopically; the surgeon elects to perform an open resection of remaining acromioclavicular joint tissue to address residual symptomatic bone and scar that were not adequately removed previously. The operation is done without implant placement and aims to excise the remaining joint elements to improve pain and function. Typical codes: 0RTH0ZZ

Related Codes

0RT3-CERVICAL-VERTEBRAL-DISC-RESECTION

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

0RT4-CERVICOTHORACIC-VERTEBRAL-JOINT-RESECTION

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

0RT5-CERVICOTHORACIC-VERTEBRAL-DISC-RESECTION

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

0RT9-THORACIC-VERTEBRAL-DISC-RESECTION

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

0RTB-THORACOLUMBAR-VERTEBRAL-DISC-RESECTION

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

0RTC-RIGHT-TEMPOROMANDIBULAR-JOINT-RESECTION

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

0RTD-LEFT-TEMPOROMANDIBULAR-RESECTION

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

0RTE-RIGHT-STERNOCLAVICULAR-RESECTION

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

0RTF-LEFT-STERNOCLAVICULAR-RESECTION

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

0RTG-ACROMIOCLAVICULAR-JOINT-RESECTION

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

Showing 1–10 of 24

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 Left Acromioclavicular Joint: Procedure Code Group Overview

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

Acromioclavicular Joint Resection Procedure Overview

Code Attributes

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

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

Acromioclavicular Joint Resection Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code represents an open resection of the left acromioclavicular joint?

What body system and operation does the 0RTH code group represent?

For which clinical situations is open resection of the left acromioclavicular joint used, according to the summary?

How does accurate coding of `0RTH0ZZ` affect inpatient documentation and reimbursement?

Which DRGs may be related to procedures coded in the 0RTH group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code represents an open resection of the left acromioclavicular joint?

What body system and operation does the 0RTH code group represent?

For which clinical situations is open resection of the left acromioclavicular joint used, according to the summary?

How does accurate coding of `0RTH0ZZ` affect inpatient documentation and reimbursement?

Which DRGs may be related to procedures coded in the 0RTH group?

References