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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0S55 includes procedures performed to destroy all or a portion of the sacrococcygeal joint in the lower joints. These ICD-10-PCS codes are used for inpatient documentation when eradication of sacrococcygeal joint tissue is performed for therapeutic or palliative reasons. Accurate coding within the ICD-10-PCS 0S55 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Sacrococcygeal Joint Destruction Procedure Overview

Procedures in this ICD-10-PCS code group involve the destruction of all or a portion of the sacrococcygeal joint using energy, force, or a destructive agent. They target the lower joints body system and are used when removal or eradication of joint tissue is clinically indicated. Accurate coding of these procedures ensures inpatient records reflect the operative intent and supports correct assignment of inpatient payment and case mix.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
S	Body System	Lower Joints
5	Operation	Destruction
5	Body Part	Sacrococcygeal Joint

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

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Sacrococcygeal Joint Destruction Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
S	Body System	Lower Joints
5	Operation	Destruction
5	Body Part	Sacrococcygeal Joint

When to Use

Use a code from this group when the operative intent is to destroy sacrococcygeal joint tissue rather than excise, repair, or replace it. These codes apply when energy, force, or a destructive agent is the direct method used to achieve destruction during an inpatient procedure.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
0S550ZZ	Destruction of Sacrococcygeal Joint, Open Approach
0S553ZZ	Destruction of Sacrococcygeal Joint, Percutaneous Approach
0S554ZZ	Destruction of Sacrococcygeal Joint, Percutaneous Endoscopic Approach

DRG Codes

9 rows

DRG Code	Description
495	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC
496	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC
497	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur 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 intractable sacrococcygeal pain from advanced degenerative arthropathy and failed conservative treatments (oral analgesics, steroid injections, and physical therapy) is admitted for a planned inpatient procedure to ablate the painful joint surface to relieve chronic pain and improve sitting tolerance; the procedure is performed electively using an open surgical approach when percutaneous access is unsuitable due to prior pelvic surgery and anatomy. Typical codes: 0S550ZZ
A middle-aged patient presents to the hospital with severe sacrococcygeal sepsis with joint destruction and ongoing purulent drainage after a tailbone abscess; after stabilization and antibiotic therapy, the surgical team performs inpatient percutaneous destruction of the infected joint tissue to control the source of infection and remove devitalized joint elements. Typical codes: 0S553ZZ
A younger patient with recurrent coccygeal pain after prior conservative interventions undergoes a minimally invasive inpatient endoscopic ablation of the sacrococcygeal joint under direct visualization to destroy residual nociceptive joint tissue when previous percutaneous needle procedures provided only temporary relief. Typical codes: 0S554ZZ

Related Codes

0S52-LUMBAR-VERTEBRAL-DISC-DESTRUCTION

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

0S53-LUMBOSACRAL-JOINT-DESTRUCTION

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

0S54-LUMBOSACRAL-DISC-DESTRUCTION

ICD-10-PCS Code For Lumbosacral Disc: Procedure Code Group Overview

0S56-COCCYGEAL-JOINT-DESTRUCTION

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

0S57-SACROILIAC-JOINT-DESTRUCTION

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

0S58-LEFT-SACROILIAC-DESTRUCTION

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

0S59-HIP-JOINT-RIGHT-DESTRUCTION

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

0S5B-LEFT-HIP-JOINT-DESTRUCTION

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

0S5C-KNEE-JOINT-DESTRUCTION

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

0S5D-LEFT-KNEE-DESTRUCTION

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

Showing 1–10 of 20

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
0S550ZZ	Destruction of Sacrococcygeal Joint, Open Approach
0S553ZZ	Destruction of Sacrococcygeal Joint, Percutaneous Approach
0S554ZZ	Destruction of Sacrococcygeal Joint, Percutaneous Endoscopic Approach

DRG Codes

9 rows

DRG Code	Description
495	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC
496	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC
497	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur 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 intractable sacrococcygeal pain from advanced degenerative arthropathy and failed conservative treatments (oral analgesics, steroid injections, and physical therapy) is admitted for a planned inpatient procedure to ablate the painful joint surface to relieve chronic pain and improve sitting tolerance; the procedure is performed electively using an open surgical approach when percutaneous access is unsuitable due to prior pelvic surgery and anatomy. Typical codes: 0S550ZZ
A middle-aged patient presents to the hospital with severe sacrococcygeal sepsis with joint destruction and ongoing purulent drainage after a tailbone abscess; after stabilization and antibiotic therapy, the surgical team performs inpatient percutaneous destruction of the infected joint tissue to control the source of infection and remove devitalized joint elements. Typical codes: 0S553ZZ
A younger patient with recurrent coccygeal pain after prior conservative interventions undergoes a minimally invasive inpatient endoscopic ablation of the sacrococcygeal joint under direct visualization to destroy residual nociceptive joint tissue when previous percutaneous needle procedures provided only temporary relief. Typical codes: 0S554ZZ

Related Codes

0S52-LUMBAR-VERTEBRAL-DISC-DESTRUCTION

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

0S53-LUMBOSACRAL-JOINT-DESTRUCTION

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

0S54-LUMBOSACRAL-DISC-DESTRUCTION

ICD-10-PCS Code For Lumbosacral Disc: Procedure Code Group Overview

0S56-COCCYGEAL-JOINT-DESTRUCTION

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

0S57-SACROILIAC-JOINT-DESTRUCTION

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

0S58-LEFT-SACROILIAC-DESTRUCTION

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

0S59-HIP-JOINT-RIGHT-DESTRUCTION

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

0S5B-LEFT-HIP-JOINT-DESTRUCTION

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

0S5C-KNEE-JOINT-DESTRUCTION

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

0S5D-LEFT-KNEE-DESTRUCTION

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

Showing 1–10 of 20

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 Sacrococcygeal Joint: Procedure Code Group Overview

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

Sacrococcygeal Joint Destruction Procedure Overview

Code Attributes

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

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

Sacrococcygeal Joint Destruction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system does the ICD-10-PCS 0S55 code group target?

What operations are represented in the 0S55 procedure code group?

What are the specific ICD-10-PCS codes included in this group?

How does accurate coding in the 0S55 group affect inpatient reimbursement?

Which DRG categories are associated with procedures in the 0S55 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system does the ICD-10-PCS 0S55 code group target?

What operations are represented in the 0S55 procedure code group?

What are the specific ICD-10-PCS codes included in this group?

How does accurate coding in the 0S55 group affect inpatient reimbursement?

Which DRG categories are associated with procedures in the 0S55 group?

References