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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0S58 includes procedures performed to destroy tissue or structures in the sacroiliac joint, left. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs destruction of all or part of the left sacroiliac joint using energy, force, or a destructive agent. Accurate coding within the ICD-10-PCS 0S58 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

Customize your policy alerts

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

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Sacroiliac Joint Left Destruction Procedure Overview

This procedure group covers destruction procedures targeting the left sacroiliac joint within the lower joints body system. These procedures use energy, force, or a destructive agent to eradicate all or a portion of the joint or its tissue. Accurate ICD-10-PCS coding of these operations ensures inpatient records reflect the specific operation and supports correct reimbursement and case mix assignment.

Code Attributes

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

Explore openpayer tools

View all tools

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

Customize your policy alerts

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

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Sacroiliac Joint Left 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
8	Body Part	Sacroiliac Joint, Left

When to Use

Use codes from this group when the clinical procedure involves destruction of all or part of the left sacroiliac joint. These codes apply when the operation performed meets the ICD-10-PCS definition of Destruction and the body part is the sacroiliac joint, left.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
0S580ZZ	Destruction of Left Sacroiliac Joint, Open Approach
0S583ZZ	Destruction of Left Sacroiliac Joint, Percutaneous Approach
0S584ZZ	Destruction of Left Sacroiliac 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

A 62-year-old patient with chronic left sacroiliac joint pain refractory to conservative management (physical therapy, injections, and medications) is admitted for a planned, image-guided percutaneous destruction of the left sacroiliac joint to ablate nociceptive tissue and reduce pain. The procedure is performed electively under fluoroscopic guidance using a percutaneous thermal ablation technique to destroy targeted joint tissue. The goal is durable pain relief when conservative and less invasive interventions have failed. Typical codes: 0S583ZZ
A 45-year-old patient presents to the emergency department after a traumatic pelvic fracture with persistent, localized left sacroiliac joint instability and intractable pain despite initial stabilization. During the same hospital admission, an open surgical approach is undertaken to directly destroy irreparably damaged left sacroiliac joint tissue as part of operative management of the unstable joint. The inpatient operative report documents excision and direct destructive treatment of the joint tissue through an open approach. Typical codes: 0S580ZZ
A 58-year-old patient with prior percutaneous ablation of the left sacroiliac joint returns with recurrent severe pain and evidence of residual focal synovial tissue on imaging; the team performs a percutaneous endoscopic procedure to directly visualize and more completely destroy remaining pathologic joint tissue. The inpatient percutaneous endoscopic approach allows targeted destruction of residual tissue under direct endoscopic visualization to address incomplete prior treatment. Typical codes: 0S584ZZ

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

0S55-SACROCOCCYGEAL-JOINT-DESTRUCTION

ICD-10-PCS Code For Sacrococcygeal Joint: 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

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.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

When to Use

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
0S580ZZ	Destruction of Left Sacroiliac Joint, Open Approach
0S583ZZ	Destruction of Left Sacroiliac Joint, Percutaneous Approach
0S584ZZ	Destruction of Left Sacroiliac 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

A 62-year-old patient with chronic left sacroiliac joint pain refractory to conservative management (physical therapy, injections, and medications) is admitted for a planned, image-guided percutaneous destruction of the left sacroiliac joint to ablate nociceptive tissue and reduce pain. The procedure is performed electively under fluoroscopic guidance using a percutaneous thermal ablation technique to destroy targeted joint tissue. The goal is durable pain relief when conservative and less invasive interventions have failed. Typical codes: 0S583ZZ
A 45-year-old patient presents to the emergency department after a traumatic pelvic fracture with persistent, localized left sacroiliac joint instability and intractable pain despite initial stabilization. During the same hospital admission, an open surgical approach is undertaken to directly destroy irreparably damaged left sacroiliac joint tissue as part of operative management of the unstable joint. The inpatient operative report documents excision and direct destructive treatment of the joint tissue through an open approach. Typical codes: 0S580ZZ
A 58-year-old patient with prior percutaneous ablation of the left sacroiliac joint returns with recurrent severe pain and evidence of residual focal synovial tissue on imaging; the team performs a percutaneous endoscopic procedure to directly visualize and more completely destroy remaining pathologic joint tissue. The inpatient percutaneous endoscopic approach allows targeted destruction of residual tissue under direct endoscopic visualization to address incomplete prior treatment. Typical codes: 0S584ZZ

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

0S55-SACROCOCCYGEAL-JOINT-DESTRUCTION

ICD-10-PCS Code For Sacrococcygeal Joint: 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

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 Sacroiliac Joint Left: Procedure Code Group Overview

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

Sacroiliac Joint Left Destruction Procedure Overview

Code Attributes

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

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

Sacroiliac Joint Left Destruction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are in the Sacroiliac Joint, Left destruction group?

What is the clinical intent captured by ICD-10-PCS code group 0S58?

Under which ICD-10-PCS section and body system do these codes fall?

How does accurate coding in the 0S58 group affect inpatient documentation and reimbursement?

Which DRG categories are related to procedures in this code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are in the Sacroiliac Joint, Left destruction group?

What is the clinical intent captured by ICD-10-PCS code group 0S58?

Under which ICD-10-PCS section and body system do these codes fall?

How does accurate coding in the 0S58 group affect inpatient documentation and reimbursement?

Which DRG categories are related to procedures in this code group?

References