0Q5 Destruction - Lower Bones ICD-10-PCS
The 0Q5 code range contains 82 ICD-10-PCS codes for Destruction procedures on the lower bones. 81 of the codes are billable and valid for inpatient claim submission in fiscal year 2026.
Root Operation Definition
Destruction: Physical eradication of all or a portion of a body part by the direct use of energy, force or a destructive agent.
Codes in the 0Q5 Range 82 codes · 81 billable
- 0Q5 Lower Bones, DestructionNon-billable header
- 0Q500Z3 Destruction of Lumbar Vertebra using Laser Interstitial Thermal Therapy, Open Approach
- 0Q500ZZ Destruction of Lumbar Vertebra, Open Approach
- 0Q503Z3 Destruction of Lumbar Vertebra using Laser Interstitial Thermal Therapy, Percutaneous Approach
- 0Q503ZZ Destruction of Lumbar Vertebra, Percutaneous Approach
- 0Q504Z3 Destruction of Lumbar Vertebra using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
- 0Q504ZZ Destruction of Lumbar Vertebra, Percutaneous Endoscopic Approach
- 0Q510Z3 Destruction of Sacrum using Laser Interstitial Thermal Therapy, Open Approach
- 0Q510ZZ Destruction of Sacrum, Open Approach
- 0Q513Z3 Destruction of Sacrum using Laser Interstitial Thermal Therapy, Percutaneous Approach
- 0Q513ZZ Destruction of Sacrum, Percutaneous Approach
- 0Q514Z3 Destruction of Sacrum using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
- 0Q514ZZ Destruction of Sacrum, Percutaneous Endoscopic Approach
- 0Q520ZZ Destruction of Right Pelvic Bone, Open Approach
- 0Q523ZZ Destruction of Right Pelvic Bone, Percutaneous Approach
- 0Q524ZZ Destruction of Right Pelvic Bone, Percutaneous Endoscopic Approach
- 0Q530ZZ Destruction of Left Pelvic Bone, Open Approach
- 0Q533ZZ Destruction of Left Pelvic Bone, Percutaneous Approach
- 0Q534ZZ Destruction of Left Pelvic Bone, Percutaneous Endoscopic Approach
- 0Q540ZZ Destruction of Right Acetabulum, Open Approach
- 0Q543ZZ Destruction of Right Acetabulum, Percutaneous Approach
- 0Q544ZZ Destruction of Right Acetabulum, Percutaneous Endoscopic Approach
- 0Q550ZZ Destruction of Left Acetabulum, Open Approach
- 0Q553ZZ Destruction of Left Acetabulum, Percutaneous Approach
- 0Q554ZZ Destruction of Left Acetabulum, Percutaneous Endoscopic Approach
- 0Q560ZZ Destruction of Right Upper Femur, Open Approach
- 0Q563ZZ Destruction of Right Upper Femur, Percutaneous Approach
- 0Q564ZZ Destruction of Right Upper Femur, Percutaneous Endoscopic Approach
- 0Q570ZZ Destruction of Left Upper Femur, Open Approach
- 0Q573ZZ Destruction of Left Upper Femur, Percutaneous Approach
- 0Q574ZZ Destruction of Left Upper Femur, Percutaneous Endoscopic Approach
- 0Q580ZZ Destruction of Right Femoral Shaft, Open Approach
- 0Q583ZZ Destruction of Right Femoral Shaft, Percutaneous Approach
- 0Q584ZZ Destruction of Right Femoral Shaft, Percutaneous Endoscopic Approach
- 0Q590ZZ Destruction of Left Femoral Shaft, Open Approach
- 0Q593ZZ Destruction of Left Femoral Shaft, Percutaneous Approach
- 0Q594ZZ Destruction of Left Femoral Shaft, Percutaneous Endoscopic Approach
- 0Q5B0ZZ Destruction of Right Lower Femur, Open Approach
- 0Q5B3ZZ Destruction of Right Lower Femur, Percutaneous Approach
- 0Q5B4ZZ Destruction of Right Lower Femur, Percutaneous Endoscopic Approach
- 0Q5C0ZZ Destruction of Left Lower Femur, Open Approach
- 0Q5C3ZZ Destruction of Left Lower Femur, Percutaneous Approach
- 0Q5C4ZZ Destruction of Left Lower Femur, Percutaneous Endoscopic Approach
- 0Q5D0ZZ Destruction of Right Patella, Open Approach
- 0Q5D3ZZ Destruction of Right Patella, Percutaneous Approach
- 0Q5D4ZZ Destruction of Right Patella, Percutaneous Endoscopic Approach
- 0Q5F0ZZ Destruction of Left Patella, Open Approach
- 0Q5F3ZZ Destruction of Left Patella, Percutaneous Approach
- 0Q5F4ZZ Destruction of Left Patella, Percutaneous Endoscopic Approach
- 0Q5G0ZZ Destruction of Right Tibia, Open Approach
- 0Q5G3ZZ Destruction of Right Tibia, Percutaneous Approach
- 0Q5G4ZZ Destruction of Right Tibia, Percutaneous Endoscopic Approach
- 0Q5H0ZZ Destruction of Left Tibia, Open Approach
- 0Q5H3ZZ Destruction of Left Tibia, Percutaneous Approach
- 0Q5H4ZZ Destruction of Left Tibia, Percutaneous Endoscopic Approach
- 0Q5J0ZZ Destruction of Right Fibula, Open Approach
- 0Q5J3ZZ Destruction of Right Fibula, Percutaneous Approach
- 0Q5J4ZZ Destruction of Right Fibula, Percutaneous Endoscopic Approach
- 0Q5K0ZZ Destruction of Left Fibula, Open Approach
- 0Q5K3ZZ Destruction of Left Fibula, Percutaneous Approach
- 0Q5K4ZZ Destruction of Left Fibula, Percutaneous Endoscopic Approach
- 0Q5L0ZZ Destruction of Right Tarsal, Open Approach
- 0Q5L3ZZ Destruction of Right Tarsal, Percutaneous Approach
- 0Q5L4ZZ Destruction of Right Tarsal, Percutaneous Endoscopic Approach
- 0Q5M0ZZ Destruction of Left Tarsal, Open Approach
- 0Q5M3ZZ Destruction of Left Tarsal, Percutaneous Approach
- 0Q5M4ZZ Destruction of Left Tarsal, Percutaneous Endoscopic Approach
- 0Q5N0ZZ Destruction of Right Metatarsal, Open Approach
- 0Q5N3ZZ Destruction of Right Metatarsal, Percutaneous Approach
- 0Q5N4ZZ Destruction of Right Metatarsal, Percutaneous Endoscopic Approach
- 0Q5P0ZZ Destruction of Left Metatarsal, Open Approach
- 0Q5P3ZZ Destruction of Left Metatarsal, Percutaneous Approach
- 0Q5P4ZZ Destruction of Left Metatarsal, Percutaneous Endoscopic Approach
- 0Q5Q0ZZ Destruction of Right Toe Phalanx, Open Approach
- 0Q5Q3ZZ Destruction of Right Toe Phalanx, Percutaneous Approach
- 0Q5Q4ZZ Destruction of Right Toe Phalanx, Percutaneous Endoscopic Approach
- 0Q5R0ZZ Destruction of Left Toe Phalanx, Open Approach
- 0Q5R3ZZ Destruction of Left Toe Phalanx, Percutaneous Approach
- 0Q5R4ZZ Destruction of Left Toe Phalanx, Percutaneous Endoscopic Approach
- 0Q5S0ZZ Destruction of Coccyx, Open Approach
- 0Q5S3ZZ Destruction of Coccyx, Percutaneous Approach
- 0Q5S4ZZ Destruction of Coccyx, Percutaneous Endoscopic Approach
About the 0Q5 Code Range
The ICD-10-PCS root operation Destruction (code starting with 0Q5) involves the deliberate eradication of all or a portion of a body part, such as a bone, without removing it. This operation is classified under the Medical and Surgical section.
This root operation targets various lower bones including the lumbar vertebra, sacrum, pelvic bones, and multiple segments of the femur, tibia, fibula, tarsals, metatarsals, toe phalanges, and coccyx. The procedure can be performed by different approaches such as Open, Percutaneous, or Percutaneous Endoscopic. Some destructions utilize advanced technology, for example, Laser Interstitial Thermal Therapy targeting the lumbar vertebra or sacrum (e.g., code 0Q500Z3 for open approach destruction of lumbar vertebra using laser). Other codes, like 0Q520ZZ, represent destruction of the right pelvic bone via an open approach. These distinctions in approach and technology ensure precise coding for detailed procedural documentation and billing related to the destruction of specific bones in the lower body. Accurate use of these ICD-10-PCS destruction operation codes is essential for reflecting the scope and method of the treatment performed.
Questions About This Page
How many billable codes are in the 0Q5 range?
Of the 82 codes in this range, 81 are billable and valid for inpatient claim submission from October 1, 2025 through September 30, 2026. Table header codes group them but cannot be reported on claims.
What does the 0Q5 range classify?
The range classifies Destruction procedures, physical eradication of all or a portion of a body part by the direct use of energy, force or a destructive agent, performed on the lower bones. Each code adds the body part, approach, device, and qualifier in characters four through seven, and links to its own reference page.
Related References
Source: CMS FY 2026 ICD-10-PCS order file and code tables, effective October 1, 2025 through September 30, 2026.
