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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0SH4 includes procedures performed to insert nonbiological appliances in the lumbosacral disc. These ICD-10-PCS codes are used for inpatient documentation when a percutaneous endoscopic approach is used to place a device into the lumbosacral disc to monitor, assist, perform, or prevent a physiological function. Accurate coding within the ICD-10-PCS 0SH4 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 Lumbosacral Disc: 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.

Lumbosacral Disc Insertion Procedure Overview

This group includes percutaneous endoscopic insertion procedures that place nonbiological appliances into the lumbosacral disc space to monitor, assist, perform, or prevent a physiological function. These procedures target the lower joints body system and specifically the lumbosacral disc. Accurate ICD-10-PCS coding matters for inpatient reimbursement because it documents the exact operation and device, supporting 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
4	Body Part	Lumbosacral Disc

Explore openpayer tools

View all tools

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

Customize your policy alerts

Sign up for ICD-10-PCS Code For Lumbosacral Disc: 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.

Lumbosacral 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
4	Body Part	Lumbosacral Disc

When to Use

Use a code from this group when a percutaneous endoscopic approach is used to insert a nonbiological appliance into the lumbosacral disc space. Select the specific code that matches the device and insertion details documented in the operative record.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
0SH403Z	Insertion of Infusion Device into Lumbosacral Disc, Open Approach
0SH408Z	Insertion of Spacer into Lumbosacral Disc, Open Approach
0SH433Z	Insertion of Infusion Device into Lumbosacral Disc, Percutaneous Approach
0SH438Z	Insertion of Spacer into Lumbosacral Disc, Percutaneous Approach
0SH443Z	Insertion of Infusion Device into Lumbosacral Disc, Percutaneous Endoscopic Approach
0SH448Z	Insertion of Spacer into Lumbosacral Disc, Percutaneous Endoscopic Approach

Typical Clinical Scenarios

An adult patient with chronic, refractory lumbosacral discogenic pain who has failed conservative therapies and diagnostic intradiscal injections undergoes an elective percutaneous endoscopic implantation of a small infusion pump catheter into the lumbosacral disc to deliver targeted analgesic medication directly to the disc space; the procedure is performed inpatient for device placement and initial programming/observation. Typical codes: 0SH443Z
A middle-aged patient with progressive mechanical back pain and symptomatic disc height loss at L5–S1 scheduled for a planned percutaneous endoscopic placement of an intradiscal spacer to restore disc height and offload posterior elements; the patient is admitted for the minimally invasive insertion, fluoroscopic confirmation, and short postoperative monitoring. Typical codes: 0SH448Z
A patient with prior percutaneous intradiscal device placement presents with new radicular symptoms and imaging showing migration or malfunction of the originally placed intradiscal spacer; in the inpatient setting, percutaneous endoscopic revision is performed to remove or reposition the spacer and replace it as needed to resolve neurologic compression. Typical codes: 0SH448Z

Related Codes

0SH0-LUMBAR-VERTEBRAL-JOINT-INSERTION

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

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

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.

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

6 rows

ICD-10-PCS Code	Description
0SH403Z	Insertion of Infusion Device into Lumbosacral Disc, Open Approach
0SH408Z	Insertion of Spacer into Lumbosacral Disc, Open Approach
0SH433Z	Insertion of Infusion Device into Lumbosacral Disc, Percutaneous Approach
0SH438Z	Insertion of Spacer into Lumbosacral Disc, Percutaneous Approach
0SH443Z	Insertion of Infusion Device into Lumbosacral Disc, Percutaneous Endoscopic Approach
0SH448Z	Insertion of Spacer into Lumbosacral Disc, Percutaneous Endoscopic Approach

Typical Clinical Scenarios

An adult patient with chronic, refractory lumbosacral discogenic pain who has failed conservative therapies and diagnostic intradiscal injections undergoes an elective percutaneous endoscopic implantation of a small infusion pump catheter into the lumbosacral disc to deliver targeted analgesic medication directly to the disc space; the procedure is performed inpatient for device placement and initial programming/observation. Typical codes: 0SH443Z
A middle-aged patient with progressive mechanical back pain and symptomatic disc height loss at L5–S1 scheduled for a planned percutaneous endoscopic placement of an intradiscal spacer to restore disc height and offload posterior elements; the patient is admitted for the minimally invasive insertion, fluoroscopic confirmation, and short postoperative monitoring. Typical codes: 0SH448Z
A patient with prior percutaneous intradiscal device placement presents with new radicular symptoms and imaging showing migration or malfunction of the originally placed intradiscal spacer; in the inpatient setting, percutaneous endoscopic revision is performed to remove or reposition the spacer and replace it as needed to resolve neurologic compression. Typical codes: 0SH448Z

Related Codes

0SH0-LUMBAR-VERTEBRAL-JOINT-INSERTION

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

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

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 Lumbosacral Disc: Procedure Code Group Overview

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

Lumbosacral Disc Insertion Procedure Overview

Code Attributes

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

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

Lumbosacral Disc Insertion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 0SH4?

What body system and operation does code group 0SH4 represent?

Which ICD-10-PCS codes in 0SH4 correspond to a percutaneous endoscopic approach?

How does accurate coding within 0SH4 affect inpatient reimbursement?

What device types are represented by codes in the 0SH4 group and how are approaches differentiated?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 0SH4?

What body system and operation does code group 0SH4 represent?

Which ICD-10-PCS codes in 0SH4 correspond to a percutaneous endoscopic approach?

How does accurate coding within 0SH4 affect inpatient reimbursement?

What device types are represented by codes in the 0SH4 group and how are approaches differentiated?

References