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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0SH2 includes procedures performed to insert nonbiological appliances that monitor, assist, perform, or prevent a physiological function in the lumbar vertebral disc. These ICD-10-PCS codes are used for inpatient documentation when a device is placed into the lumbar vertebral disc to provide monitoring, support, or functional assistance without replacing the disc. Accurate coding within the ICD-10-PCS 0SH2 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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Lumbar Vertebral Disc Insertion Procedure Overview

This code group includes procedures that involve the insertion of nonbiological appliances into the lumbar vertebral disc to monitor, assist, perform, or prevent a physiological function without replacing the disc. These procedures target the lower joints/body part identified as the lumbar vertebral disc and involve the Medical and Surgical section of ICD-10-PCS. Accurate coding ensures inpatient records reflect the specific insertion performed and supports appropriate case mix assignment and reimbursement.

Code Attributes

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

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

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Lumbar Vertebral Disc 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
2	Body Part	Lumbar Vertebral Disc

When to Use

Use a code from this group when a nonbiological device is placed into the lumbar vertebral disc during an inpatient encounter to provide monitoring or functional assistance without replacing the disc. These codes apply when the clinical documentation describes insertion as the root operation and specifies the lumbar vertebral disc as the body part.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
0SH203Z	Insertion of Infusion Device into Lumbar Vertebral Disc, Open Approach
0SH208Z	Insertion of Spacer into Lumbar Vertebral Disc, Open Approach
0SH233Z	Insertion of Infusion Device into Lumbar Vertebral Disc, Percutaneous Approach
0SH238Z	Insertion of Spacer into Lumbar Vertebral Disc, Percutaneous Approach
0SH243Z	Insertion of Infusion Device into Lumbar Vertebral Disc, Percutaneous Endoscopic Approach
0SH248Z	Insertion of Spacer into Lumbar Vertebral Disc, Percutaneous Endoscopic Approach

Typical Clinical Scenarios

An elderly patient with chronic, progressive lumbar discogenic pain refractory to conservative measures such as medications, physical therapy, and epidural injections is admitted for a planned, elective procedure to provide long-term intradiscal drug delivery or mechanical support to reduce pain and improve function; the goal is insertion of a nonbiologic device into the lumbar vertebral disc via an open surgical approach to deliver therapy or provide spacer support. Typical codes: 0SH203Z, 0SH208Z
A middle-aged patient presents to the hospital with severe, acute worsening of radicular pain and imaging-confirmed focal disc degeneration at a lumbar level; after failed less-invasive attempts, the team performs a percutaneous insertion of an intradiscal infusion device or an intradiscal spacer under image guidance to stabilize the disc and allow targeted therapy during the inpatient stay. Typical codes: 0SH233Z, 0SH238Z
A patient with prior lumbar spine interventions develops device failure or migration of a previously placed intradiscal spacer and requires inpatient revision using minimally invasive endoscopic techniques to remove or reposition hardware and insert a replacement spacer or infusion device into the affected lumbar disc. Typical codes: 0SH243Z, 0SH248Z

Related Codes

0SH0-LUMBAR-VERTEBRAL-JOINT-INSERTION

ICD-10-PCS Code For Lumbar Vertebral Joint: 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

6 rows

ICD-10-PCS Code	Description
0SH203Z	Insertion of Infusion Device into Lumbar Vertebral Disc, Open Approach
0SH208Z	Insertion of Spacer into Lumbar Vertebral Disc, Open Approach
0SH233Z	Insertion of Infusion Device into Lumbar Vertebral Disc, Percutaneous Approach
0SH238Z	Insertion of Spacer into Lumbar Vertebral Disc, Percutaneous Approach
0SH243Z	Insertion of Infusion Device into Lumbar Vertebral Disc, Percutaneous Endoscopic Approach
0SH248Z	Insertion of Spacer into Lumbar Vertebral Disc, Percutaneous Endoscopic Approach

Typical Clinical Scenarios

An elderly patient with chronic, progressive lumbar discogenic pain refractory to conservative measures such as medications, physical therapy, and epidural injections is admitted for a planned, elective procedure to provide long-term intradiscal drug delivery or mechanical support to reduce pain and improve function; the goal is insertion of a nonbiologic device into the lumbar vertebral disc via an open surgical approach to deliver therapy or provide spacer support. Typical codes: 0SH203Z, 0SH208Z
A middle-aged patient presents to the hospital with severe, acute worsening of radicular pain and imaging-confirmed focal disc degeneration at a lumbar level; after failed less-invasive attempts, the team performs a percutaneous insertion of an intradiscal infusion device or an intradiscal spacer under image guidance to stabilize the disc and allow targeted therapy during the inpatient stay. Typical codes: 0SH233Z, 0SH238Z
A patient with prior lumbar spine interventions develops device failure or migration of a previously placed intradiscal spacer and requires inpatient revision using minimally invasive endoscopic techniques to remove or reposition hardware and insert a replacement spacer or infusion device into the affected lumbar disc. Typical codes: 0SH243Z, 0SH248Z

Related Codes

0SH0-LUMBAR-VERTEBRAL-JOINT-INSERTION

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

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

Lumbar Vertebral Disc Insertion Procedure Overview

Code Attributes

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

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

Lumbar Vertebral Disc Insertion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 0SH2 code group?

What is the Section, Body System, Operation, and Body Part for codes in this group?

How do these codes affect inpatient documentation and reimbursement?

How are approach differences represented within the 0SH2 codes?

Do these procedures replace the lumbar vertebral disc?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 0SH2 code group?

What is the Section, Body System, Operation, and Body Part for codes in this group?

How do these codes affect inpatient documentation and reimbursement?

How are approach differences represented within the 0SH2 codes?

Do these procedures replace the lumbar vertebral disc?

References