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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0SH0 includes procedures performed to insert nonbiological appliances that monitor, assist, perform, or prevent a physiological function in the lumbar vertebral joint. These ICD-10-PCS codes are used for inpatient documentation when a device is placed into a lumbar vertebral joint to provide monitoring, assistance, performance, or prevention of a physiological function. Accurate coding within the ICD-10-PCS 0SH0 group is essential for proper inpatient reimbursement, as it captures the specific insertion procedure performed and supports clinical documentation accuracy and appropriate case mix determination.

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Lumbar Vertebral Joint Insertion Procedure Overview

This code group covers inpatient insertion procedures targeting the lumbar vertebral joint within the lower joints body system. Procedures in this group involve placing nonbiological appliances that monitor, assist, perform, or prevent a physiological function at a lumbar vertebral joint. Accurate ICD-10-PCS coding ensures the procedure is documented correctly for inpatient claims and supports appropriate case mix assignment and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
S	Body System	Lower Joints
H	Operation	Insertion
0	Body Part	Lumbar Vertebral Joint

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

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Lumbar Vertebral Joint Insertion Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
S	Body System	Lower Joints
H	Operation	Insertion
0	Body Part	Lumbar Vertebral Joint

When to Use

Use a code from this group when an inpatient procedure involves placing a nonbiological device into a lumbar vertebral joint to monitor, assist, perform, or prevent a physiological function. Do not use this group for removal, replacement, or procedures that alter joint structure rather than inserting an appliance.

ICD-10-PCS Codes

18 rows

ICD-10-PCS Code	Description
0SH003Z	Insertion of Infusion Device into Lumbar Vertebral Joint, Open Approach
0SH004Z	Insertion of Internal Fixation Device into Lumbar Vertebral Joint, Open Approach
0SH008Z	Insertion of Spacer into Lumbar Vertebral Joint, Open Approach
0SH00BZ	Insertion of Interspinous Process Spinal Stabilization Device into Lumbar Vertebral Joint, Open Approach
0SH00CZ	Insertion of Pedicle-Based Spinal Stabilization Device into Lumbar Vertebral Joint, Open Approach
0SH00DZ	Insertion of Facet Replacement Spinal Stabilization Device into Lumbar Vertebral Joint, Open Approach
0SH033Z	Insertion of Infusion Device into Lumbar Vertebral Joint, Percutaneous Approach
0SH034Z	Insertion of Internal Fixation Device into Lumbar Vertebral Joint, Percutaneous Approach
0SH038Z	Insertion of Spacer into Lumbar Vertebral Joint, Percutaneous Approach
0SH03BZ	Insertion of Interspinous Process Spinal Stabilization Device into Lumbar 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 severe lumbar spinal stenosis refractory to conservative care is admitted electively for decompression and stabilization; the surgeon inserts an interspinous process spacer to offload facet joints and limit extension while preserving motion. Typical codes: 0SH008Z, 0SH00BZ
A middle-aged patient sustains a traumatic burst fracture of a lumbar vertebral body with posterior element compromise after a motor vehicle collision and requires urgent inpatient stabilization; the team places pedicle-based spinal stabilization hardware percutaneously to restore alignment and protect neural elements. Typical codes: 0SH03CZ, 0SH034Z
A patient with chronic lumbar facet arthropathy who previously had conservative injections presents with persistent disabling pain despite prior interventions; during a planned inpatient procedure the surgeon implants a facet replacement stabilization device to replace degenerated facet joint function and reduce pain. Typical codes: 0SH00DZ, 0SH03DZ

Related Codes

0SH2-LUMBAR-VERTEBRAL-DISC-INSERTION

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

0SH3-LUMBOSACRAL-JOINT-INSERTION

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

0SH4-LUMBOSACRAL-DISC-INSERTION

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

0SH5-SACROCOCCYGEAL-JOINT-INSERTION

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

0SH6-COCCYGEAL-JOINT-INSERTION

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

0SH7-SACROILIAC-JOINT-INSERTION

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

0SH8-LEFT-SACROILIAC-INSERTION

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

0SH9-HIP-JOINT-INSERTION

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

0SHB-HIP-JOINT-INSERTION

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

0SHC-KNEE-JOINT-RIGHT-INSERTION

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

Showing 1–10 of 21

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
0SH003Z	Insertion of Infusion Device into Lumbar Vertebral Joint, Open Approach
0SH004Z	Insertion of Internal Fixation Device into Lumbar Vertebral Joint, Open Approach
0SH008Z	Insertion of Spacer into Lumbar Vertebral Joint, Open Approach
0SH00BZ	Insertion of Interspinous Process Spinal Stabilization Device into Lumbar Vertebral Joint, Open Approach
0SH00CZ	Insertion of Pedicle-Based Spinal Stabilization Device into Lumbar Vertebral Joint, Open Approach
0SH00DZ	Insertion of Facet Replacement Spinal Stabilization Device into Lumbar Vertebral Joint, Open Approach
0SH033Z	Insertion of Infusion Device into Lumbar Vertebral Joint, Percutaneous Approach
0SH034Z	Insertion of Internal Fixation Device into Lumbar Vertebral Joint, Percutaneous Approach
0SH038Z	Insertion of Spacer into Lumbar Vertebral Joint, Percutaneous Approach
0SH03BZ	Insertion of Interspinous Process Spinal Stabilization Device into Lumbar 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 severe lumbar spinal stenosis refractory to conservative care is admitted electively for decompression and stabilization; the surgeon inserts an interspinous process spacer to offload facet joints and limit extension while preserving motion. Typical codes: 0SH008Z, 0SH00BZ
A middle-aged patient sustains a traumatic burst fracture of a lumbar vertebral body with posterior element compromise after a motor vehicle collision and requires urgent inpatient stabilization; the team places pedicle-based spinal stabilization hardware percutaneously to restore alignment and protect neural elements. Typical codes: 0SH03CZ, 0SH034Z
A patient with chronic lumbar facet arthropathy who previously had conservative injections presents with persistent disabling pain despite prior interventions; during a planned inpatient procedure the surgeon implants a facet replacement stabilization device to replace degenerated facet joint function and reduce pain. Typical codes: 0SH00DZ, 0SH03DZ

Related Codes

0SH2-LUMBAR-VERTEBRAL-DISC-INSERTION

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

0SH3-LUMBOSACRAL-JOINT-INSERTION

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

0SH4-LUMBOSACRAL-DISC-INSERTION

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

0SH5-SACROCOCCYGEAL-JOINT-INSERTION

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

0SH6-COCCYGEAL-JOINT-INSERTION

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

0SH7-SACROILIAC-JOINT-INSERTION

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

0SH8-LEFT-SACROILIAC-INSERTION

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

0SH9-HIP-JOINT-INSERTION

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

0SHB-HIP-JOINT-INSERTION

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

0SHC-KNEE-JOINT-RIGHT-INSERTION

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

Showing 1–10 of 21

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 Lumbar Vertebral Joint: Procedure Code Group Overview

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

Lumbar Vertebral Joint Insertion Procedure Overview

Code Attributes

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

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

Lumbar 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 does ICD-10-PCS code group 0SH0 represent?

What types of devices are described by codes in the 0SH0 group?

How are approach designations represented within the 0SH0 code list?

How does accurate coding in the 0SH0 group impact inpatient claims?

Which DRG families may be related to procedures coded from the 0SH0 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group 0SH0 represent?

What types of devices are described by codes in the 0SH0 group?

How are approach designations represented within the 0SH0 code list?

How does accurate coding in the 0SH0 group impact inpatient claims?

Which DRG families may be related to procedures coded from the 0SH0 group?

References