ICD-10-PCS Body System: ICD-10-PCS Body System 0P - Upper Bones

The ICD-10-PCS classification for Upper Bones within the Medical and Surgical section encompasses a variety of root operations to describe procedures on bones of the upper body. These operations specify distinct interventions performed on bones, ranging from removal and repair to inspection and device management.

The root operations include Change (0P2), which involves removing and replacing a device on the same bone without breaching the skin; Destruction (0P5), eradicating bone tissue by energy or force; and Division (0P8), cutting into a bone without draining fluids to separate it. For removing bone parts, codes like Excision (0PB) and Resection (0PT) describe cutting out portions or entire bones without replacement. Other examples are Insertion (0PH) of appliances that support physiological functions without replacing bone, and Replacement (0PR), where synthetic or biological material takes the place of all or part of the bone. Additional operations like Inspection (0PJ), Repair (0PQ), and Reposition (0PS) facilitate detailed documentation of bone-related procedures aimed at diagnosis, restoration, and alignment. These upper bones codes are essential for accurately coding and describing surgical interventions in this specific anatomical area.

List of ICD-10-PCS procedures under ICD-10-PCS Body System 0P - Upper Bones

• 0P2 - Change - Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without cutting or puncturing the skin or a mucous membrane

• 0P5 - Destruction - Physical eradication of all or a portion of a body part by the direct use of energy, force or a destructive agent

• 0P8 - Division - Cutting into a body part without draining fluids and/or gases from the body part in order to separate or transect a body part

• 0P9 - Drainage - Taking or letting out fluids and/or gases from a body part

• 0PB - Excision - Cutting out or off, without replacement, a portion of a body part

• 0PC - Extirpation - Taking or cutting out solid matter from a body part

• 0PD - Extraction - Pulling or stripping out or off all or a portion of a body part by the use of force

• 0PH - Insertion - Putting in a non-biological appliance that monitors, assists, performs or prevents a physiological function but does not physically take the place of a body part

• 0PJ - Inspection - Visually and/or manually exploring a body part

• 0PN - Release - Freeing a body part from an abnormal physical constraint by cutting or by use of force

• 0PP - Removal - Taking out or off a device from a body part

• 0PQ - Repair - Restoring, to the extent possible, a body part to its normal anatomic structure and function

• 0PR - Replacement - Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part

• 0PS - Reposition - Moving to its normal location or other suitable location all or a portion of a body part

• 0PT - Resection - Cutting out or off, without replacement, all of a body part

• 0PU - Supplement - Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a body part

• 0PW - Revision - Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device