0R5 Destruction - Upper Joints ICD-10-PCS
The 0R5 code range contains 88 ICD-10-PCS codes for Destruction procedures on the upper joints. 87 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 0R5 Range 88 codes · 87 billable
- 0R5 Upper Joints, DestructionNon-billable header
- 0R500ZZ Destruction of Occipital-cervical Joint, Open Approach
- 0R503ZZ Destruction of Occipital-cervical Joint, Percutaneous Approach
- 0R504ZZ Destruction of Occipital-cervical Joint, Percutaneous Endoscopic Approach
- 0R510ZZ Destruction of Cervical Vertebral Joint, Open Approach
- 0R513ZZ Destruction of Cervical Vertebral Joint, Percutaneous Approach
- 0R514ZZ Destruction of Cervical Vertebral Joint, Percutaneous Endoscopic Approach
- 0R530ZZ Destruction of Cervical Vertebral Disc, Open Approach
- 0R533ZZ Destruction of Cervical Vertebral Disc, Percutaneous Approach
- 0R534ZZ Destruction of Cervical Vertebral Disc, Percutaneous Endoscopic Approach
- 0R540ZZ Destruction of Cervicothoracic Vertebral Joint, Open Approach
- 0R543ZZ Destruction of Cervicothoracic Vertebral Joint, Percutaneous Approach
- 0R544ZZ Destruction of Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach
- 0R550ZZ Destruction of Cervicothoracic Vertebral Disc, Open Approach
- 0R553ZZ Destruction of Cervicothoracic Vertebral Disc, Percutaneous Approach
- 0R554ZZ Destruction of Cervicothoracic Vertebral Disc, Percutaneous Endoscopic Approach
- 0R560ZZ Destruction of Thoracic Vertebral Joint, Open Approach
- 0R563ZZ Destruction of Thoracic Vertebral Joint, Percutaneous Approach
- 0R564ZZ Destruction of Thoracic Vertebral Joint, Percutaneous Endoscopic Approach
- 0R590ZZ Destruction of Thoracic Vertebral Disc, Open Approach
- 0R593ZZ Destruction of Thoracic Vertebral Disc, Percutaneous Approach
- 0R594ZZ Destruction of Thoracic Vertebral Disc, Percutaneous Endoscopic Approach
- 0R5A0ZZ Destruction of Thoracolumbar Vertebral Joint, Open Approach
- 0R5A3ZZ Destruction of Thoracolumbar Vertebral Joint, Percutaneous Approach
- 0R5A4ZZ Destruction of Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach
- 0R5B0ZZ Destruction of Thoracolumbar Vertebral Disc, Open Approach
- 0R5B3ZZ Destruction of Thoracolumbar Vertebral Disc, Percutaneous Approach
- 0R5B4ZZ Destruction of Thoracolumbar Vertebral Disc, Percutaneous Endoscopic Approach
- 0R5C0ZZ Destruction of Right Temporomandibular Joint, Open Approach
- 0R5C3ZZ Destruction of Right Temporomandibular Joint, Percutaneous Approach
- 0R5C4ZZ Destruction of Right Temporomandibular Joint, Percutaneous Endoscopic Approach
- 0R5D0ZZ Destruction of Left Temporomandibular Joint, Open Approach
- 0R5D3ZZ Destruction of Left Temporomandibular Joint, Percutaneous Approach
- 0R5D4ZZ Destruction of Left Temporomandibular Joint, Percutaneous Endoscopic Approach
- 0R5E0ZZ Destruction of Right Sternoclavicular Joint, Open Approach
- 0R5E3ZZ Destruction of Right Sternoclavicular Joint, Percutaneous Approach
- 0R5E4ZZ Destruction of Right Sternoclavicular Joint, Percutaneous Endoscopic Approach
- 0R5F0ZZ Destruction of Left Sternoclavicular Joint, Open Approach
- 0R5F3ZZ Destruction of Left Sternoclavicular Joint, Percutaneous Approach
- 0R5F4ZZ Destruction of Left Sternoclavicular Joint, Percutaneous Endoscopic Approach
- 0R5G0ZZ Destruction of Right Acromioclavicular Joint, Open Approach
- 0R5G3ZZ Destruction of Right Acromioclavicular Joint, Percutaneous Approach
- 0R5G4ZZ Destruction of Right Acromioclavicular Joint, Percutaneous Endoscopic Approach
- 0R5H0ZZ Destruction of Left Acromioclavicular Joint, Open Approach
- 0R5H3ZZ Destruction of Left Acromioclavicular Joint, Percutaneous Approach
- 0R5H4ZZ Destruction of Left Acromioclavicular Joint, Percutaneous Endoscopic Approach
- 0R5J0ZZ Destruction of Right Shoulder Joint, Open Approach
- 0R5J3ZZ Destruction of Right Shoulder Joint, Percutaneous Approach
- 0R5J4ZZ Destruction of Right Shoulder Joint, Percutaneous Endoscopic Approach
- 0R5K0ZZ Destruction of Left Shoulder Joint, Open Approach
- 0R5K3ZZ Destruction of Left Shoulder Joint, Percutaneous Approach
- 0R5K4ZZ Destruction of Left Shoulder Joint, Percutaneous Endoscopic Approach
- 0R5L0ZZ Destruction of Right Elbow Joint, Open Approach
- 0R5L3ZZ Destruction of Right Elbow Joint, Percutaneous Approach
- 0R5L4ZZ Destruction of Right Elbow Joint, Percutaneous Endoscopic Approach
- 0R5M0ZZ Destruction of Left Elbow Joint, Open Approach
- 0R5M3ZZ Destruction of Left Elbow Joint, Percutaneous Approach
- 0R5M4ZZ Destruction of Left Elbow Joint, Percutaneous Endoscopic Approach
- 0R5N0ZZ Destruction of Right Wrist Joint, Open Approach
- 0R5N3ZZ Destruction of Right Wrist Joint, Percutaneous Approach
- 0R5N4ZZ Destruction of Right Wrist Joint, Percutaneous Endoscopic Approach
- 0R5P0ZZ Destruction of Left Wrist Joint, Open Approach
- 0R5P3ZZ Destruction of Left Wrist Joint, Percutaneous Approach
- 0R5P4ZZ Destruction of Left Wrist Joint, Percutaneous Endoscopic Approach
- 0R5Q0ZZ Destruction of Right Carpal Joint, Open Approach
- 0R5Q3ZZ Destruction of Right Carpal Joint, Percutaneous Approach
- 0R5Q4ZZ Destruction of Right Carpal Joint, Percutaneous Endoscopic Approach
- 0R5R0ZZ Destruction of Left Carpal Joint, Open Approach
- 0R5R3ZZ Destruction of Left Carpal Joint, Percutaneous Approach
- 0R5R4ZZ Destruction of Left Carpal Joint, Percutaneous Endoscopic Approach
- 0R5S0ZZ Destruction of Right Carpometacarpal Joint, Open Approach
- 0R5S3ZZ Destruction of Right Carpometacarpal Joint, Percutaneous Approach
- 0R5S4ZZ Destruction of Right Carpometacarpal Joint, Percutaneous Endoscopic Approach
- 0R5T0ZZ Destruction of Left Carpometacarpal Joint, Open Approach
- 0R5T3ZZ Destruction of Left Carpometacarpal Joint, Percutaneous Approach
- 0R5T4ZZ Destruction of Left Carpometacarpal Joint, Percutaneous Endoscopic Approach
- 0R5U0ZZ Destruction of Right Metacarpophalangeal Joint, Open Approach
- 0R5U3ZZ Destruction of Right Metacarpophalangeal Joint, Percutaneous Approach
- 0R5U4ZZ Destruction of Right Metacarpophalangeal Joint, Percutaneous Endoscopic Approach
- 0R5V0ZZ Destruction of Left Metacarpophalangeal Joint, Open Approach
- 0R5V3ZZ Destruction of Left Metacarpophalangeal Joint, Percutaneous Approach
- 0R5V4ZZ Destruction of Left Metacarpophalangeal Joint, Percutaneous Endoscopic Approach
- 0R5W0ZZ Destruction of Right Finger Phalangeal Joint, Open Approach
- 0R5W3ZZ Destruction of Right Finger Phalangeal Joint, Percutaneous Approach
- 0R5W4ZZ Destruction of Right Finger Phalangeal Joint, Percutaneous Endoscopic Approach
- 0R5X0ZZ Destruction of Left Finger Phalangeal Joint, Open Approach
- 0R5X3ZZ Destruction of Left Finger Phalangeal Joint, Percutaneous Approach
- 0R5X4ZZ Destruction of Left Finger Phalangeal Joint, Percutaneous Endoscopic Approach
About the 0R5 Code Range
The ICD-10-PCS root operation Destruction (code 0R5) involves the deliberate termination of the function of a body part, in this case, specifically targeting upper joints. This operation permanently disables the joint’s function without removing it.
This Medical and Surgical section procedure encompasses a variety of upper joint sites such as the occipital-cervical joint, cervical vertebral joints and discs, and multiple joints of the upper extremity including the shoulder, elbow, and wrist. The destruction can be performed by different approaches: Open, Percutaneous, or Percutaneous Endoscopic. For example, code 0R500ZZ denotes open destruction of the occipital-cervical joint, while 0R533ZZ represents percutaneous destruction of a cervical vertebral disc. These codes illustrate how treatment is precisely documented based on the targeted joint and method of access. Accurate use of these codes is crucial for reflecting the nature and extent of joint destruction procedures in clinical practice.
Questions About This Page
How many billable codes are in the 0R5 range?
Of the 88 codes in this range, 87 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 0R5 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 upper joints. 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.
