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 0SH5 includes procedures performed to insert nonbiological appliances that monitor, assist, perform, or prevent a physiological function in the sacrococcygeal joint. These ICD-10-PCS codes are used for inpatient documentation when a device is placed into the sacrococcygeal joint to provide monitoring or assistive or preventive function without replacing the joint. Accurate coding within the ICD-10-PCS 0SH5 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Sacrococcygeal Joint Insertion Procedure Overview

Procedures in this group involve insertion of nonbiological appliances into the sacrococcygeal joint and target the lower joints body system. These insertion procedures place devices that monitor, assist, perform, or prevent a physiological function without replacing a body part. Accurate ICD-10-PCS coding of these insertions supports correct inpatient reimbursement and reflects the clinical services provided.

Code Attributes

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

When to Use

Use a code from this group when a nonbiological device is placed into the sacrococcygeal joint for monitoring, assistance, performance, or prevention of function during an inpatient stay. Codes in this group apply only when the device does not substitute for the joint itself but provides a physiological support or monitoring role.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
0SH503Z	Insertion of Infusion Device into Sacrococcygeal Joint, Open Approach
0SH504Z	Insertion of Internal Fixation Device into Sacrococcygeal Joint, Open Approach
0SH508Z	Insertion of Spacer into Sacrococcygeal Joint, Open Approach
0SH533Z	Insertion of Infusion Device into Sacrococcygeal Joint, Percutaneous Approach
0SH534Z	Insertion of Internal Fixation Device into Sacrococcygeal Joint, Percutaneous Approach
0SH538Z	Insertion of Spacer into Sacrococcygeal Joint, Percutaneous Approach
0SH543Z	Insertion of Infusion Device into Sacrococcygeal Joint, Percutaneous Endoscopic Approach
0SH544Z	Insertion of Internal Fixation Device into Sacrococcygeal Joint, Percutaneous Endoscopic Approach
0SH548Z	Insertion of Spacer into Sacrococcygeal Joint, Percutaneous Endoscopic Approach

DRG Codes

6 rows

DRG Code	Description
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
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 middle-aged patient with refractory sacrococcygeal joint pain and documented joint instability after conservative therapy presents for a planned, elective operative intervention to improve joint function and reduce pain. Intraoperatively the surgeon places a nonbiological spacer into the sacrococcygeal joint via an open approach to restore joint alignment and limit painful motion; inpatient observation follows for pain control and monitoring. Typical codes: 0SH508Z
An elderly patient with sacrococcygeal septic arthritis and poor IV access requires inpatient management; after source control and debridement, an infusion device is placed into the sacrococcygeal joint via a percutaneous endoscopic approach to deliver local antimicrobial therapy and facilitate targeted irrigation. The procedure is performed during the same hospitalization to support localized treatment and reduce systemic toxicity. Typical codes: 0SH543Z
A young adult presents acutely with a traumatic sacrococcygeal fracture-dislocation causing joint deformity and neuralgia; during the inpatient surgical repair the team performs percutaneous internal fixation of the sacrococcygeal joint to stabilize the injury and prevent further neurologic compromise. Typical codes: 0SH534Z

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

0SH4-LUMBOSACRAL-DISC-INSERTION

ICD-10-PCS Code For Lumbosacral Disc: 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

9 rows

ICD-10-PCS Code	Description
0SH503Z	Insertion of Infusion Device into Sacrococcygeal Joint, Open Approach
0SH504Z	Insertion of Internal Fixation Device into Sacrococcygeal Joint, Open Approach
0SH508Z	Insertion of Spacer into Sacrococcygeal Joint, Open Approach
0SH533Z	Insertion of Infusion Device into Sacrococcygeal Joint, Percutaneous Approach
0SH534Z	Insertion of Internal Fixation Device into Sacrococcygeal Joint, Percutaneous Approach
0SH538Z	Insertion of Spacer into Sacrococcygeal Joint, Percutaneous Approach
0SH543Z	Insertion of Infusion Device into Sacrococcygeal Joint, Percutaneous Endoscopic Approach
0SH544Z	Insertion of Internal Fixation Device into Sacrococcygeal Joint, Percutaneous Endoscopic Approach
0SH548Z	Insertion of Spacer into Sacrococcygeal Joint, Percutaneous Endoscopic Approach

DRG Codes

6 rows

DRG Code	Description
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
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 middle-aged patient with refractory sacrococcygeal joint pain and documented joint instability after conservative therapy presents for a planned, elective operative intervention to improve joint function and reduce pain. Intraoperatively the surgeon places a nonbiological spacer into the sacrococcygeal joint via an open approach to restore joint alignment and limit painful motion; inpatient observation follows for pain control and monitoring. Typical codes: 0SH508Z
An elderly patient with sacrococcygeal septic arthritis and poor IV access requires inpatient management; after source control and debridement, an infusion device is placed into the sacrococcygeal joint via a percutaneous endoscopic approach to deliver local antimicrobial therapy and facilitate targeted irrigation. The procedure is performed during the same hospitalization to support localized treatment and reduce systemic toxicity. Typical codes: 0SH543Z
A young adult presents acutely with a traumatic sacrococcygeal fracture-dislocation causing joint deformity and neuralgia; during the inpatient surgical repair the team performs percutaneous internal fixation of the sacrococcygeal joint to stabilize the injury and prevent further neurologic compromise. Typical codes: 0SH534Z

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

0SH4-LUMBOSACRAL-DISC-INSERTION

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

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

Sacrococcygeal Joint Insertion 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 Insertion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers insertion procedures for the sacrococcygeal joint?

What types of devices are described by the codes in the 0SH5 group?

How are approach and device type reflected in individual 0SH5 codes?

Which ICD-10-PCS codes in the 0SH5 group represent percutaneous endoscopic approaches?

How does correct coding within the 0SH5 group affect inpatient reimbursement?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers insertion procedures for the sacrococcygeal joint?

What types of devices are described by the codes in the 0SH5 group?

How are approach and device type reflected in individual 0SH5 codes?

Which ICD-10-PCS codes in the 0SH5 group represent percutaneous endoscopic approaches?

How does correct coding within the 0SH5 group affect inpatient reimbursement?

References