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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0SHB includes procedures performed to insert nonbiological appliances that monitor, assist, perform, or prevent a physiological function in the hip joint. These ICD-10-PCS codes are used for inpatient documentation when a device is placed into the hip joint to support or monitor joint function without replacing the joint. Accurate coding within the ICD-10-PCS 0SHB group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Hip Joint Insertion Procedure Overview

This procedure group describes insertion procedures performed on the hip joint that place nonbiological appliances to monitor, assist, perform, or prevent a physiological function without replacing a body part. These procedures target the lower joints body system and involve placing an appliance into the hip joint. Accurate ICD-10-PCS coding matters for inpatient reimbursement because it documents the specific root operation, body part, and device, which affect case mix 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
B	Body Part	Hip Joint, Left

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

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Hip 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
B	Body Part	Hip Joint, Left

When to Use

Use a code from this group when a nonbiological appliance is placed into the left hip joint during an inpatient encounter to provide or support physiological function. Select the specific code when documentation identifies insertion as the root operation and the body part as the left hip joint.

ICD-10-PCS Codes

12 rows

ICD-10-PCS Code	Description
0SHB03Z	Insertion of Infusion Device into Left Hip Joint, Open Approach
0SHB04Z	Insertion of Internal Fixation Device into Left Hip Joint, Open Approach
0SHB05Z	Insertion of External Fixation Device into Left Hip Joint, Open Approach
0SHB08Z	Insertion of Spacer into Left Hip Joint, Open Approach
0SHB33Z	Insertion of Infusion Device into Left Hip Joint, Percutaneous Approach
0SHB34Z	Insertion of Internal Fixation Device into Left Hip Joint, Percutaneous Approach
0SHB35Z	Insertion of External Fixation Device into Left Hip Joint, Percutaneous Approach
0SHB38Z	Insertion of Spacer into Left Hip Joint, Percutaneous Approach
0SHB43Z	Insertion of Infusion Device into Left Hip Joint, Percutaneous Endoscopic Approach
0SHB44Z	Insertion of Internal Fixation Device into Left Hip Joint, Percutaneous Endoscopic Approach

Showing 1–10 of 12

DRG Codes

10 rows

DRG Code	Description
480	Hip and Femur Procedures Except Major Joint with MCC
481	Hip and Femur Procedures Except Major Joint with CC
482	Hip and Femur Procedures Except Major Joint without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
956	Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC
988	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
989	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC

Typical Clinical Scenarios

An elderly patient with progressive left hip joint pain and imaging-confirmed synovial effusion and osteochondral defect undergoes an elective inpatient procedure to place an intra-articular infusion catheter for continuous local analgesia and anti-inflammatory medication delivery to control severe pain and facilitate early mobilization. The procedure is planned due to inadequate response to systemic medications and the need for targeted postoperative pain control while initiating rehabilitation. The insertion targets the left hip joint and is performed using an open approach because of prior scar tissue limiting percutaneous access. Typical codes: 0SHB03Z
A middle-aged patient presents acutely after a high-energy motor vehicle collision with an unstable fracture fragment involving the left acetabular margin and associated left hip joint instability. In the inpatient setting the orthopedic team performs urgent insertion of an internal fixation device into the left hip joint via a percutaneous approach to stabilize the joint and restore alignment while avoiding open exposure in the setting of multiple injuries. The procedure addresses immediate mechanical stability to permit pain control and mobilization. Typical codes: 0SHB34Z
A patient with recurrent left hip joint instability after prior operative management returns with persistent mechanical symptoms and radiographic collapse of a previously placed spacer. During the inpatient admission the team performs a revision procedure to remove the failed spacer and insert a new spacer into the left hip joint using a percutaneous endoscopic approach to restore joint space and improve load distribution while avoiding a larger open revision. The revision is driven by mechanical failure and pain limiting function. Typical codes: 0SHB48Z

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

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

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

12 rows

ICD-10-PCS Code	Description
0SHB03Z	Insertion of Infusion Device into Left Hip Joint, Open Approach
0SHB04Z	Insertion of Internal Fixation Device into Left Hip Joint, Open Approach
0SHB05Z	Insertion of External Fixation Device into Left Hip Joint, Open Approach
0SHB08Z	Insertion of Spacer into Left Hip Joint, Open Approach
0SHB33Z	Insertion of Infusion Device into Left Hip Joint, Percutaneous Approach
0SHB34Z	Insertion of Internal Fixation Device into Left Hip Joint, Percutaneous Approach
0SHB35Z	Insertion of External Fixation Device into Left Hip Joint, Percutaneous Approach
0SHB38Z	Insertion of Spacer into Left Hip Joint, Percutaneous Approach
0SHB43Z	Insertion of Infusion Device into Left Hip Joint, Percutaneous Endoscopic Approach
0SHB44Z	Insertion of Internal Fixation Device into Left Hip Joint, Percutaneous Endoscopic Approach

Showing 1–10 of 12

DRG Codes

10 rows

DRG Code	Description
480	Hip and Femur Procedures Except Major Joint with MCC
481	Hip and Femur Procedures Except Major Joint with CC
482	Hip and Femur Procedures Except Major Joint without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
956	Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC
988	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
989	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC

Typical Clinical Scenarios

An elderly patient with progressive left hip joint pain and imaging-confirmed synovial effusion and osteochondral defect undergoes an elective inpatient procedure to place an intra-articular infusion catheter for continuous local analgesia and anti-inflammatory medication delivery to control severe pain and facilitate early mobilization. The procedure is planned due to inadequate response to systemic medications and the need for targeted postoperative pain control while initiating rehabilitation. The insertion targets the left hip joint and is performed using an open approach because of prior scar tissue limiting percutaneous access. Typical codes: 0SHB03Z
A middle-aged patient presents acutely after a high-energy motor vehicle collision with an unstable fracture fragment involving the left acetabular margin and associated left hip joint instability. In the inpatient setting the orthopedic team performs urgent insertion of an internal fixation device into the left hip joint via a percutaneous approach to stabilize the joint and restore alignment while avoiding open exposure in the setting of multiple injuries. The procedure addresses immediate mechanical stability to permit pain control and mobilization. Typical codes: 0SHB34Z
A patient with recurrent left hip joint instability after prior operative management returns with persistent mechanical symptoms and radiographic collapse of a previously placed spacer. During the inpatient admission the team performs a revision procedure to remove the failed spacer and insert a new spacer into the left hip joint using a percutaneous endoscopic approach to restore joint space and improve load distribution while avoiding a larger open revision. The revision is driven by mechanical failure and pain limiting function. Typical codes: 0SHB48Z

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

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

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 Hip Joint: Procedure Code Group Overview

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

Hip Joint Insertion Procedure Overview

Code Attributes

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

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

Hip 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 the ICD-10-PCS code group 0SHB apply to?

What types of devices are represented in the 0SHB code group for the left hip joint?

How should coders document approach and device details when assigning an ICD-10-PCS code from this group?

Which specific ICD-10-PCS codes correspond to insertion of an internal fixation device into the left hip joint?

What DRG groups may be affected by procedures coded in the 0SHB group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does the ICD-10-PCS code group 0SHB apply to?

What types of devices are represented in the 0SHB code group for the left hip joint?

How should coders document approach and device details when assigning an ICD-10-PCS code from this group?

Which specific ICD-10-PCS codes correspond to insertion of an internal fixation device into the left hip joint?

What DRG groups may be affected by procedures coded in the 0SHB group?

References