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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0SH6 includes procedures performed to insert nonbiological appliances that monitor, assist, perform, or prevent a physiological function in the coccygeal joint. These ICD-10-PCS codes are used for inpatient documentation when a device is placed into the coccygeal joint to provide monitoring or functional support without replacing the joint. Accurate coding within the ICD-10-PCS 0SH6 group is essential for proper inpatient reimbursement, as it captures the specific insertion procedure performed and supports clinical documentation accuracy.

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Coccygeal Joint Insertion Procedure Overview

Procedures in this group involve the insertion of nonbiological appliances into the coccygeal joint of the lower joints body system. These procedures place devices that monitor, assist, perform, or prevent a physiological function without replacing the coccygeal joint. Accurate coding is important for inpatient reimbursement because it documents the specific insertion operation and appliance used, 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
6	Body Part	Coccygeal Joint

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

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Coccygeal 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
6	Body Part	Coccygeal Joint

When to Use

Use a code from this group when an appliance is placed into the coccygeal joint during an inpatient stay to provide monitoring or functional support. Do not use these codes for procedures that remove or replace the coccygeal joint or for appliance insertions in other body parts.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
0SH603Z	Insertion of Infusion Device into Coccygeal Joint, Open Approach
0SH604Z	Insertion of Internal Fixation Device into Coccygeal Joint, Open Approach
0SH608Z	Insertion of Spacer into Coccygeal Joint, Open Approach
0SH633Z	Insertion of Infusion Device into Coccygeal Joint, Percutaneous Approach
0SH634Z	Insertion of Internal Fixation Device into Coccygeal Joint, Percutaneous Approach
0SH638Z	Insertion of Spacer into Coccygeal Joint, Percutaneous Approach
0SH643Z	Insertion of Infusion Device into Coccygeal Joint, Percutaneous Endoscopic Approach
0SH644Z	Insertion of Internal Fixation Device into Coccygeal Joint, Percutaneous Endoscopic Approach
0SH648Z	Insertion of Spacer into Coccygeal 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 chronic refractory coccygeal pain unresponsive to conservative therapy is admitted for a planned implantation of a device to deliver local analgesic infusion directly into the coccygeal joint under open surgical exposure. The goal is long-term pain control by placing an infusion device into the joint when less invasive measures have failed. This is an elective inpatient procedure for device insertion and postoperative monitoring. Typical codes: 0SH603Z
An elderly patient presents after a ground-level fall with acute coccygeal instability and severe joint disruption identified on imaging; the patient requires urgent placement of an internal fixation device into the coccygeal joint to stabilize the joint and allow pain control and mobilization. The procedure is performed percutaneously to minimize operative time and physiologic stress while achieving mechanical stabilization. The patient remains inpatient for postoperative observation and pain management. Typical codes: 0SH634Z
A patient with a previously placed coccygeal spacer presents with persistent mechanical pain and evidence of spacer migration on imaging, requiring revision with endoscopic removal of the displaced spacer and insertion of a new spacer into the coccygeal joint. The procedure is performed via a percutaneous endoscopic approach to evaluate the joint, remove the failed implant, and place the replacement spacer. The inpatient stay covers the revision procedure and postoperative monitoring for complications. Typical codes: 0SH648Z

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

0SH5-SACROCOCCYGEAL-JOINT-INSERTION

ICD-10-PCS Code For Sacrococcygeal 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
0SH603Z	Insertion of Infusion Device into Coccygeal Joint, Open Approach
0SH604Z	Insertion of Internal Fixation Device into Coccygeal Joint, Open Approach
0SH608Z	Insertion of Spacer into Coccygeal Joint, Open Approach
0SH633Z	Insertion of Infusion Device into Coccygeal Joint, Percutaneous Approach
0SH634Z	Insertion of Internal Fixation Device into Coccygeal Joint, Percutaneous Approach
0SH638Z	Insertion of Spacer into Coccygeal Joint, Percutaneous Approach
0SH643Z	Insertion of Infusion Device into Coccygeal Joint, Percutaneous Endoscopic Approach
0SH644Z	Insertion of Internal Fixation Device into Coccygeal Joint, Percutaneous Endoscopic Approach
0SH648Z	Insertion of Spacer into Coccygeal 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 chronic refractory coccygeal pain unresponsive to conservative therapy is admitted for a planned implantation of a device to deliver local analgesic infusion directly into the coccygeal joint under open surgical exposure. The goal is long-term pain control by placing an infusion device into the joint when less invasive measures have failed. This is an elective inpatient procedure for device insertion and postoperative monitoring. Typical codes: 0SH603Z
An elderly patient presents after a ground-level fall with acute coccygeal instability and severe joint disruption identified on imaging; the patient requires urgent placement of an internal fixation device into the coccygeal joint to stabilize the joint and allow pain control and mobilization. The procedure is performed percutaneously to minimize operative time and physiologic stress while achieving mechanical stabilization. The patient remains inpatient for postoperative observation and pain management. Typical codes: 0SH634Z
A patient with a previously placed coccygeal spacer presents with persistent mechanical pain and evidence of spacer migration on imaging, requiring revision with endoscopic removal of the displaced spacer and insertion of a new spacer into the coccygeal joint. The procedure is performed via a percutaneous endoscopic approach to evaluate the joint, remove the failed implant, and place the replacement spacer. The inpatient stay covers the revision procedure and postoperative monitoring for complications. Typical codes: 0SH648Z

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

0SH5-SACROCOCCYGEAL-JOINT-INSERTION

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

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

Coccygeal Joint Insertion Procedure Overview

Code Attributes

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

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

Coccygeal Joint Insertion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 0SH6 coccygeal joint insertion group?

What is the clinical purpose of devices coded within 0SH6?

Which approach values are represented among the listed ICD-10-PCS codes?

How does accurate coding in the 0SH6 group affect inpatient reimbursement?

Which DRGs may be related to procedures coded from the 0SH6 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 0SH6 coccygeal joint insertion group?

What is the clinical purpose of devices coded within 0SH6?

Which approach values are represented among the listed ICD-10-PCS codes?

How does accurate coding in the 0SH6 group affect inpatient reimbursement?

Which DRGs may be related to procedures coded from the 0SH6 group?

References