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 0SS6 includes procedures performed to reposition structures in the coccygeal joint. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs a repositioning of the coccyx or coccygeal joint to restore normal alignment or location. Accurate coding within the ICD-10-PCS 0SS6 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Coccygeal Joint Reposition Procedure Overview

Procedures in this group involve repositioning all or a portion of the coccygeal joint within the lower joints body system. These repositioning procedures restore the coccyx or coccygeal joint to a more normal anatomic location. Accurate ICD-10-PCS coding captures the specific repositioning performed and supports appropriate inpatient reimbursement through correct procedural documentation.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
S	Body System	Lower Joints
S	Operation	Reposition
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 Reposition Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
S	Body System	Lower Joints
S	Operation	Reposition
6	Body Part	Coccygeal Joint

When to Use

Use a code from this group when a clinician repositions the coccygeal joint during an inpatient encounter to correct malalignment or displacement. These codes apply when the primary operation performed is repositioning of the coccyx rather than repair, fusion, or removal.

ICD-10-PCS Codes

8 rows

ICD-10-PCS Code	Description
0SS604Z	Reposition Coccygeal Joint with Internal Fixation Device, Open Approach
0SS60ZZ	Reposition Coccygeal Joint, Open Approach
0SS634Z	Reposition Coccygeal Joint with Internal Fixation Device, Percutaneous Approach
0SS63ZZ	Reposition Coccygeal Joint, Percutaneous Approach
0SS644Z	Reposition Coccygeal Joint with Internal Fixation Device, Percutaneous Endoscopic Approach
0SS64ZZ	Reposition Coccygeal Joint, Percutaneous Endoscopic Approach
0SS6X4Z	Reposition Coccygeal Joint with Internal Fixation Device, External Approach
0SS6XZZ	Reposition Coccygeal Joint, External Approach

DRG Codes

9 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
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
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 presents to the emergency department after a fall onto the buttocks with severe localized coccygeal pain, visible deformity, and inability to sit. Imaging shows an acute posterior displacement of the coccyx with joint malalignment requiring restoration of normal position under anesthesia; an open reposition is performed when closed measures fail or there is associated soft-tissue injury. Typical codes: 0SS60ZZ, 0SS604Z
An adult with chronic, debilitating coccygeal instability and persistent pain refractory to conservative therapy is admitted electively for operative correction; the surgical plan is to realign the coccygeal joint and secure it with internal fixation to restore anatomy and relieve symptoms. This planned inpatient procedure uses a percutaneous or percutaneous endoscopic approach depending on surgeon preference and anatomy. Typical codes: 0SS634Z, 0SS644Z
A patient with prior coccygeal fixation develops hardware loosening and recurrent malalignment causing new-onset pain and functional impairment; they are taken to the operating room for revision repositioning of the coccygeal joint and removal/replacement of external fixation hardware when present. Because the revision involves external devices and an external approach may be used to manage hardware, codes reflecting external approach repositioning are appropriate. Typical codes: 0SS6X4Z, 0SS6XZZ

Related Codes

0SS0-LUMBAR-VERTEBRAL-JOINT-REPOSITION

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

0SS3-LUMBOSACRAL-REPOSITION

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

0SS5-SACROCOCCYGEAL-JOINT-REPOSITION

ICD-10-PCS Code for Sacrococcygeal Joint: Procedure Code Group Overview

0SS7-SACROILIAC-JOINT-REPOSITION

ICD-10-PCS Code For Sacroiliac Joint, Right: Procedure Code Group Overview

0SS8-LEFT-SACROILIAC-REPOSITION

ICD-10-PCS Code For Sacroiliac Joint, Left: Procedure Code Group Overview

0SS9-HIP-JOINT-REPOSITION

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

0SSB-LEFT-HIP-JOINT-REPOSITION

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

0SSC-KNEE-JOINT-RIGHT-REPOSITION

ICD-10-PCS Code For Knee Joint Right: Procedure Code Group Overview

0SSD-KNEE-JOINT-LEFT-REPOSITION

ICD-10-PCS Code For Knee Joint Left: Procedure Code Group Overview

0SSF-ANKLE-JOINT-RIGHT-REPOSITION

ICD-10-PCS Code For Ankle Joint Right: Procedure Code Group Overview

Showing 1–10 of 19

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

8 rows

ICD-10-PCS Code	Description
0SS604Z	Reposition Coccygeal Joint with Internal Fixation Device, Open Approach
0SS60ZZ	Reposition Coccygeal Joint, Open Approach
0SS634Z	Reposition Coccygeal Joint with Internal Fixation Device, Percutaneous Approach
0SS63ZZ	Reposition Coccygeal Joint, Percutaneous Approach
0SS644Z	Reposition Coccygeal Joint with Internal Fixation Device, Percutaneous Endoscopic Approach
0SS64ZZ	Reposition Coccygeal Joint, Percutaneous Endoscopic Approach
0SS6X4Z	Reposition Coccygeal Joint with Internal Fixation Device, External Approach
0SS6XZZ	Reposition Coccygeal Joint, External Approach

DRG Codes

9 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
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
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 presents to the emergency department after a fall onto the buttocks with severe localized coccygeal pain, visible deformity, and inability to sit. Imaging shows an acute posterior displacement of the coccyx with joint malalignment requiring restoration of normal position under anesthesia; an open reposition is performed when closed measures fail or there is associated soft-tissue injury. Typical codes: 0SS60ZZ, 0SS604Z
An adult with chronic, debilitating coccygeal instability and persistent pain refractory to conservative therapy is admitted electively for operative correction; the surgical plan is to realign the coccygeal joint and secure it with internal fixation to restore anatomy and relieve symptoms. This planned inpatient procedure uses a percutaneous or percutaneous endoscopic approach depending on surgeon preference and anatomy. Typical codes: 0SS634Z, 0SS644Z
A patient with prior coccygeal fixation develops hardware loosening and recurrent malalignment causing new-onset pain and functional impairment; they are taken to the operating room for revision repositioning of the coccygeal joint and removal/replacement of external fixation hardware when present. Because the revision involves external devices and an external approach may be used to manage hardware, codes reflecting external approach repositioning are appropriate. Typical codes: 0SS6X4Z, 0SS6XZZ

Related Codes

0SS0-LUMBAR-VERTEBRAL-JOINT-REPOSITION

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

0SS3-LUMBOSACRAL-REPOSITION

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

0SS5-SACROCOCCYGEAL-JOINT-REPOSITION

ICD-10-PCS Code for Sacrococcygeal Joint: Procedure Code Group Overview

0SS7-SACROILIAC-JOINT-REPOSITION

ICD-10-PCS Code For Sacroiliac Joint, Right: Procedure Code Group Overview

0SS8-LEFT-SACROILIAC-REPOSITION

ICD-10-PCS Code For Sacroiliac Joint, Left: Procedure Code Group Overview

0SS9-HIP-JOINT-REPOSITION

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

0SSB-LEFT-HIP-JOINT-REPOSITION

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

0SSC-KNEE-JOINT-RIGHT-REPOSITION

ICD-10-PCS Code For Knee Joint Right: Procedure Code Group Overview

0SSD-KNEE-JOINT-LEFT-REPOSITION

ICD-10-PCS Code For Knee Joint Left: Procedure Code Group Overview

0SSF-ANKLE-JOINT-RIGHT-REPOSITION

ICD-10-PCS Code For Ankle Joint Right: Procedure Code Group Overview

Showing 1–10 of 19

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 Reposition 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 Reposition 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 coccygeal joint repositioning procedures?

What operations and body system are represented in the 0SS6 code group?

Which specific ICD-10-PCS codes in the 0SS6 group indicate use of an internal fixation device?

How do approach options vary among codes in the 0SS6 group?

Which DRG categories are related to procedures coded from the 0SS6 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers coccygeal joint repositioning procedures?

What operations and body system are represented in the 0SS6 code group?

Which specific ICD-10-PCS codes in the 0SS6 group indicate use of an internal fixation device?

How do approach options vary among codes in the 0SS6 group?

Which DRG categories are related to procedures coded from the 0SS6 group?

References