ICD-10-PCS Tabular Index · Section 0 · FY 2026 0SH

0SH Insertion - Lower Joints ICD-10-PCS

The 0SH code range contains 253 ICD-10-PCS codes for Insertion procedures on the lower joints. 252 of the codes are billable and valid for inpatient claim submission in fiscal year 2026.

✓ Built from the official CMS FY 2026 datasetEffective Oct 1, 2025 – Sep 30, 2026
253
Procedure Codes
252
Billable Codes
0SH
Characters 1–3
0S
Parent Body System

Root Operation Definition

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.

ICD-10-PCS

Codes in the 0SH Range 253 codes · 252 billable

253 of 253 shown
  • 0SH Lower Joints, InsertionNon-billable header
  • 0SH003Z Insertion of Infusion Device into Lumbar Vertebral Joint, Open Approach
  • 0SH004Z Insertion of Internal Fixation Device into Lumbar Vertebral Joint, Open Approach
  • 0SH008Z Insertion of Spacer into Lumbar Vertebral Joint, Open Approach
  • 0SH00BZ Insertion of Interspinous Process Spinal Stabilization Device into Lumbar Vertebral Joint, Open Approach
  • 0SH00CZ Insertion of Pedicle-Based Spinal Stabilization Device into Lumbar Vertebral Joint, Open Approach
  • 0SH00DZ Insertion of Facet Replacement Spinal Stabilization Device into Lumbar Vertebral Joint, Open Approach
  • 0SH033Z Insertion of Infusion Device into Lumbar Vertebral Joint, Percutaneous Approach
  • 0SH034Z Insertion of Internal Fixation Device into Lumbar Vertebral Joint, Percutaneous Approach
  • 0SH038Z Insertion of Spacer into Lumbar Vertebral Joint, Percutaneous Approach
  • 0SH03BZ Insertion of Interspinous Process Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Approach
  • 0SH03CZ Insertion of Pedicle-Based Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Approach
  • 0SH03DZ Insertion of Facet Replacement Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Approach
  • 0SH043Z Insertion of Infusion Device into Lumbar Vertebral Joint, Percutaneous Endoscopic Approach
  • 0SH044Z Insertion of Internal Fixation Device into Lumbar Vertebral Joint, Percutaneous Endoscopic Approach
  • 0SH048Z Insertion of Spacer into Lumbar Vertebral Joint, Percutaneous Endoscopic Approach
  • 0SH04BZ Insertion of Interspinous Process Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Endoscopic Approach
  • 0SH04CZ Insertion of Pedicle-Based Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Endoscopic Approach
  • 0SH04DZ Insertion of Facet Replacement Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Endoscopic Approach
  • 0SH203Z Insertion of Infusion Device into Lumbar Vertebral Disc, Open Approach
  • 0SH208Z Insertion of Spacer into Lumbar Vertebral Disc, Open Approach
  • 0SH233Z Insertion of Infusion Device into Lumbar Vertebral Disc, Percutaneous Approach
  • 0SH238Z Insertion of Spacer into Lumbar Vertebral Disc, Percutaneous Approach
  • 0SH243Z Insertion of Infusion Device into Lumbar Vertebral Disc, Percutaneous Endoscopic Approach
  • 0SH248Z Insertion of Spacer into Lumbar Vertebral Disc, Percutaneous Endoscopic Approach
  • 0SH303Z Insertion of Infusion Device into Lumbosacral Joint, Open Approach
  • 0SH304Z Insertion of Internal Fixation Device into Lumbosacral Joint, Open Approach
  • 0SH308Z Insertion of Spacer into Lumbosacral Joint, Open Approach
  • 0SH30BZ Insertion of Interspinous Process Spinal Stabilization Device into Lumbosacral Joint, Open Approach
  • 0SH30CZ Insertion of Pedicle-Based Spinal Stabilization Device into Lumbosacral Joint, Open Approach
  • 0SH30DZ Insertion of Facet Replacement Spinal Stabilization Device into Lumbosacral Joint, Open Approach
  • 0SH333Z Insertion of Infusion Device into Lumbosacral Joint, Percutaneous Approach
  • 0SH334Z Insertion of Internal Fixation Device into Lumbosacral Joint, Percutaneous Approach
  • 0SH338Z Insertion of Spacer into Lumbosacral Joint, Percutaneous Approach
  • 0SH33BZ Insertion of Interspinous Process Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Approach
  • 0SH33CZ Insertion of Pedicle-Based Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Approach
  • 0SH33DZ Insertion of Facet Replacement Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Approach
  • 0SH343Z Insertion of Infusion Device into Lumbosacral Joint, Percutaneous Endoscopic Approach
  • 0SH344Z Insertion of Internal Fixation Device into Lumbosacral Joint, Percutaneous Endoscopic Approach
  • 0SH348Z Insertion of Spacer into Lumbosacral Joint, Percutaneous Endoscopic Approach
  • 0SH34BZ Insertion of Interspinous Process Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Endoscopic Approach
  • 0SH34CZ Insertion of Pedicle-Based Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Endoscopic Approach
  • 0SH34DZ Insertion of Facet Replacement Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Endoscopic Approach
  • 0SH403Z Insertion of Infusion Device into Lumbosacral Disc, Open Approach
  • 0SH408Z Insertion of Spacer into Lumbosacral Disc, Open Approach
  • 0SH433Z Insertion of Infusion Device into Lumbosacral Disc, Percutaneous Approach
  • 0SH438Z Insertion of Spacer into Lumbosacral Disc, Percutaneous Approach
  • 0SH443Z Insertion of Infusion Device into Lumbosacral Disc, Percutaneous Endoscopic Approach
  • 0SH448Z Insertion of Spacer into Lumbosacral Disc, Percutaneous Endoscopic Approach
  • 0SH503Z Insertion of Infusion Device into Sacrococcygeal Joint, Open Approach
  • 0SH504Z Insertion of Internal Fixation Device into Sacrococcygeal Joint, Open Approach
  • 0SH508Z Insertion of Spacer into Sacrococcygeal Joint, Open Approach
  • 0SH533Z Insertion of Infusion Device into Sacrococcygeal Joint, Percutaneous Approach
  • 0SH534Z Insertion of Internal Fixation Device into Sacrococcygeal Joint, Percutaneous Approach
  • 0SH538Z Insertion of Spacer into Sacrococcygeal Joint, Percutaneous Approach
  • 0SH543Z Insertion of Infusion Device into Sacrococcygeal Joint, Percutaneous Endoscopic Approach
  • 0SH544Z Insertion of Internal Fixation Device into Sacrococcygeal Joint, Percutaneous Endoscopic Approach
  • 0SH548Z Insertion of Spacer into Sacrococcygeal Joint, Percutaneous Endoscopic Approach
  • 0SH603Z Insertion of Infusion Device into Coccygeal Joint, Open Approach
  • 0SH604Z Insertion of Internal Fixation Device into Coccygeal Joint, Open Approach
  • 0SH608Z Insertion of Spacer into Coccygeal Joint, Open Approach
  • 0SH633Z Insertion of Infusion Device into Coccygeal Joint, Percutaneous Approach
  • 0SH634Z Insertion of Internal Fixation Device into Coccygeal Joint, Percutaneous Approach
  • 0SH638Z Insertion of Spacer into Coccygeal Joint, Percutaneous Approach
  • 0SH643Z Insertion of Infusion Device into Coccygeal Joint, Percutaneous Endoscopic Approach
  • 0SH644Z Insertion of Internal Fixation Device into Coccygeal Joint, Percutaneous Endoscopic Approach
  • 0SH648Z Insertion of Spacer into Coccygeal Joint, Percutaneous Endoscopic Approach
  • 0SH703Z Insertion of Infusion Device into Right Sacroiliac Joint, Open Approach
  • 0SH704Z Insertion of Internal Fixation Device into Right Sacroiliac Joint, Open Approach
  • 0SH708Z Insertion of Spacer into Right Sacroiliac Joint, Open Approach
  • 0SH733Z Insertion of Infusion Device into Right Sacroiliac Joint, Percutaneous Approach
  • 0SH734Z Insertion of Internal Fixation Device into Right Sacroiliac Joint, Percutaneous Approach
  • 0SH738Z Insertion of Spacer into Right Sacroiliac Joint, Percutaneous Approach
  • 0SH743Z Insertion of Infusion Device into Right Sacroiliac Joint, Percutaneous Endoscopic Approach
  • 0SH744Z Insertion of Internal Fixation Device into Right Sacroiliac Joint, Percutaneous Endoscopic Approach
  • 0SH748Z Insertion of Spacer into Right Sacroiliac Joint, Percutaneous Endoscopic Approach
  • 0SH803Z Insertion of Infusion Device into Left Sacroiliac Joint, Open Approach
  • 0SH804Z Insertion of Internal Fixation Device into Left Sacroiliac Joint, Open Approach
  • 0SH808Z Insertion of Spacer into Left Sacroiliac Joint, Open Approach
  • 0SH833Z Insertion of Infusion Device into Left Sacroiliac Joint, Percutaneous Approach
  • 0SH834Z Insertion of Internal Fixation Device into Left Sacroiliac Joint, Percutaneous Approach
  • 0SH838Z Insertion of Spacer into Left Sacroiliac Joint, Percutaneous Approach
  • 0SH843Z Insertion of Infusion Device into Left Sacroiliac Joint, Percutaneous Endoscopic Approach
  • 0SH844Z Insertion of Internal Fixation Device into Left Sacroiliac Joint, Percutaneous Endoscopic Approach
  • 0SH848Z Insertion of Spacer into Left Sacroiliac Joint, Percutaneous Endoscopic Approach
  • 0SH903Z Insertion of Infusion Device into Right Hip Joint, Open Approach
  • 0SH904Z Insertion of Internal Fixation Device into Right Hip Joint, Open Approach
  • 0SH905Z Insertion of External Fixation Device into Right Hip Joint, Open Approach
  • 0SH908Z Insertion of Spacer into Right Hip Joint, Open Approach
  • 0SH933Z Insertion of Infusion Device into Right Hip Joint, Percutaneous Approach
  • 0SH934Z Insertion of Internal Fixation Device into Right Hip Joint, Percutaneous Approach
  • 0SH935Z Insertion of External Fixation Device into Right Hip Joint, Percutaneous Approach
  • 0SH938Z Insertion of Spacer into Right Hip Joint, Percutaneous Approach
  • 0SH943Z Insertion of Infusion Device into Right Hip Joint, Percutaneous Endoscopic Approach
  • 0SH944Z Insertion of Internal Fixation Device into Right Hip Joint, Percutaneous Endoscopic Approach
  • 0SH945Z Insertion of External Fixation Device into Right Hip Joint, Percutaneous Endoscopic Approach
  • 0SH948Z Insertion of Spacer into Right Hip Joint, Percutaneous Endoscopic Approach
  • 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
  • 0SHB45Z Insertion of External Fixation Device into Left Hip Joint, Percutaneous Endoscopic Approach
  • 0SHB48Z Insertion of Spacer into Left Hip Joint, Percutaneous Endoscopic Approach
  • 0SHC03Z Insertion of Infusion Device into Right Knee Joint, Open Approach
  • 0SHC04Z Insertion of Internal Fixation Device into Right Knee Joint, Open Approach
  • 0SHC05Z Insertion of External Fixation Device into Right Knee Joint, Open Approach
  • 0SHC08Z Insertion of Spacer into Right Knee Joint, Open Approach
  • 0SHC33Z Insertion of Infusion Device into Right Knee Joint, Percutaneous Approach
  • 0SHC34Z Insertion of Internal Fixation Device into Right Knee Joint, Percutaneous Approach
  • 0SHC35Z Insertion of External Fixation Device into Right Knee Joint, Percutaneous Approach
  • 0SHC38Z Insertion of Spacer into Right Knee Joint, Percutaneous Approach
  • 0SHC43Z Insertion of Infusion Device into Right Knee Joint, Percutaneous Endoscopic Approach
  • 0SHC44Z Insertion of Internal Fixation Device into Right Knee Joint, Percutaneous Endoscopic Approach
  • 0SHC45Z Insertion of External Fixation Device into Right Knee Joint, Percutaneous Endoscopic Approach
  • 0SHC48Z Insertion of Spacer into Right Knee Joint, Percutaneous Endoscopic Approach
  • 0SHD03Z Insertion of Infusion Device into Left Knee Joint, Open Approach
  • 0SHD04Z Insertion of Internal Fixation Device into Left Knee Joint, Open Approach
  • 0SHD05Z Insertion of External Fixation Device into Left Knee Joint, Open Approach
  • 0SHD08Z Insertion of Spacer into Left Knee Joint, Open Approach
  • 0SHD33Z Insertion of Infusion Device into Left Knee Joint, Percutaneous Approach
  • 0SHD34Z Insertion of Internal Fixation Device into Left Knee Joint, Percutaneous Approach
  • 0SHD35Z Insertion of External Fixation Device into Left Knee Joint, Percutaneous Approach
  • 0SHD38Z Insertion of Spacer into Left Knee Joint, Percutaneous Approach
  • 0SHD43Z Insertion of Infusion Device into Left Knee Joint, Percutaneous Endoscopic Approach
  • 0SHD44Z Insertion of Internal Fixation Device into Left Knee Joint, Percutaneous Endoscopic Approach
  • 0SHD45Z Insertion of External Fixation Device into Left Knee Joint, Percutaneous Endoscopic Approach
  • 0SHD48Z Insertion of Spacer into Left Knee Joint, Percutaneous Endoscopic Approach
  • 0SHF03Z Insertion of Infusion Device into Right Ankle Joint, Open Approach
  • 0SHF04Z Insertion of Internal Fixation Device into Right Ankle Joint, Open Approach
  • 0SHF05Z Insertion of External Fixation Device into Right Ankle Joint, Open Approach
  • 0SHF08Z Insertion of Spacer into Right Ankle Joint, Open Approach
  • 0SHF33Z Insertion of Infusion Device into Right Ankle Joint, Percutaneous Approach
  • 0SHF34Z Insertion of Internal Fixation Device into Right Ankle Joint, Percutaneous Approach
  • 0SHF35Z Insertion of External Fixation Device into Right Ankle Joint, Percutaneous Approach
  • 0SHF38Z Insertion of Spacer into Right Ankle Joint, Percutaneous Approach
  • 0SHF43Z Insertion of Infusion Device into Right Ankle Joint, Percutaneous Endoscopic Approach
  • 0SHF44Z Insertion of Internal Fixation Device into Right Ankle Joint, Percutaneous Endoscopic Approach
  • 0SHF45Z Insertion of External Fixation Device into Right Ankle Joint, Percutaneous Endoscopic Approach
  • 0SHF48Z Insertion of Spacer into Right Ankle Joint, Percutaneous Endoscopic Approach
  • 0SHG03Z Insertion of Infusion Device into Left Ankle Joint, Open Approach
  • 0SHG04Z Insertion of Internal Fixation Device into Left Ankle Joint, Open Approach
  • 0SHG05Z Insertion of External Fixation Device into Left Ankle Joint, Open Approach
  • 0SHG08Z Insertion of Spacer into Left Ankle Joint, Open Approach
  • 0SHG33Z Insertion of Infusion Device into Left Ankle Joint, Percutaneous Approach
  • 0SHG34Z Insertion of Internal Fixation Device into Left Ankle Joint, Percutaneous Approach
  • 0SHG35Z Insertion of External Fixation Device into Left Ankle Joint, Percutaneous Approach
  • 0SHG38Z Insertion of Spacer into Left Ankle Joint, Percutaneous Approach
  • 0SHG43Z Insertion of Infusion Device into Left Ankle Joint, Percutaneous Endoscopic Approach
  • 0SHG44Z Insertion of Internal Fixation Device into Left Ankle Joint, Percutaneous Endoscopic Approach
  • 0SHG45Z Insertion of External Fixation Device into Left Ankle Joint, Percutaneous Endoscopic Approach
  • 0SHG48Z Insertion of Spacer into Left Ankle Joint, Percutaneous Endoscopic Approach
  • 0SHH03Z Insertion of Infusion Device into Right Tarsal Joint, Open Approach
  • 0SHH04Z Insertion of Internal Fixation Device into Right Tarsal Joint, Open Approach
  • 0SHH05Z Insertion of External Fixation Device into Right Tarsal Joint, Open Approach
  • 0SHH08Z Insertion of Spacer into Right Tarsal Joint, Open Approach
  • 0SHH33Z Insertion of Infusion Device into Right Tarsal Joint, Percutaneous Approach
  • 0SHH34Z Insertion of Internal Fixation Device into Right Tarsal Joint, Percutaneous Approach
  • 0SHH35Z Insertion of External Fixation Device into Right Tarsal Joint, Percutaneous Approach
  • 0SHH38Z Insertion of Spacer into Right Tarsal Joint, Percutaneous Approach
  • 0SHH43Z Insertion of Infusion Device into Right Tarsal Joint, Percutaneous Endoscopic Approach
  • 0SHH44Z Insertion of Internal Fixation Device into Right Tarsal Joint, Percutaneous Endoscopic Approach
  • 0SHH45Z Insertion of External Fixation Device into Right Tarsal Joint, Percutaneous Endoscopic Approach
  • 0SHH48Z Insertion of Spacer into Right Tarsal Joint, Percutaneous Endoscopic Approach
  • 0SHJ03Z Insertion of Infusion Device into Left Tarsal Joint, Open Approach
  • 0SHJ04Z Insertion of Internal Fixation Device into Left Tarsal Joint, Open Approach
  • 0SHJ05Z Insertion of External Fixation Device into Left Tarsal Joint, Open Approach
  • 0SHJ08Z Insertion of Spacer into Left Tarsal Joint, Open Approach
  • 0SHJ33Z Insertion of Infusion Device into Left Tarsal Joint, Percutaneous Approach
  • 0SHJ34Z Insertion of Internal Fixation Device into Left Tarsal Joint, Percutaneous Approach
  • 0SHJ35Z Insertion of External Fixation Device into Left Tarsal Joint, Percutaneous Approach
  • 0SHJ38Z Insertion of Spacer into Left Tarsal Joint, Percutaneous Approach
  • 0SHJ43Z Insertion of Infusion Device into Left Tarsal Joint, Percutaneous Endoscopic Approach
  • 0SHJ44Z Insertion of Internal Fixation Device into Left Tarsal Joint, Percutaneous Endoscopic Approach
  • 0SHJ45Z Insertion of External Fixation Device into Left Tarsal Joint, Percutaneous Endoscopic Approach
  • 0SHJ48Z Insertion of Spacer into Left Tarsal Joint, Percutaneous Endoscopic Approach
  • 0SHK03Z Insertion of Infusion Device into Right Tarsometatarsal Joint, Open Approach
  • 0SHK04Z Insertion of Internal Fixation Device into Right Tarsometatarsal Joint, Open Approach
  • 0SHK05Z Insertion of External Fixation Device into Right Tarsometatarsal Joint, Open Approach
  • 0SHK08Z Insertion of Spacer into Right Tarsometatarsal Joint, Open Approach
  • 0SHK33Z Insertion of Infusion Device into Right Tarsometatarsal Joint, Percutaneous Approach
  • 0SHK34Z Insertion of Internal Fixation Device into Right Tarsometatarsal Joint, Percutaneous Approach
  • 0SHK35Z Insertion of External Fixation Device into Right Tarsometatarsal Joint, Percutaneous Approach
  • 0SHK38Z Insertion of Spacer into Right Tarsometatarsal Joint, Percutaneous Approach
  • 0SHK43Z Insertion of Infusion Device into Right Tarsometatarsal Joint, Percutaneous Endoscopic Approach
  • 0SHK44Z Insertion of Internal Fixation Device into Right Tarsometatarsal Joint, Percutaneous Endoscopic Approach
  • 0SHK45Z Insertion of External Fixation Device into Right Tarsometatarsal Joint, Percutaneous Endoscopic Approach
  • 0SHK48Z Insertion of Spacer into Right Tarsometatarsal Joint, Percutaneous Endoscopic Approach
  • 0SHL03Z Insertion of Infusion Device into Left Tarsometatarsal Joint, Open Approach
  • 0SHL04Z Insertion of Internal Fixation Device into Left Tarsometatarsal Joint, Open Approach
  • 0SHL05Z Insertion of External Fixation Device into Left Tarsometatarsal Joint, Open Approach
  • 0SHL08Z Insertion of Spacer into Left Tarsometatarsal Joint, Open Approach
  • 0SHL33Z Insertion of Infusion Device into Left Tarsometatarsal Joint, Percutaneous Approach
  • 0SHL34Z Insertion of Internal Fixation Device into Left Tarsometatarsal Joint, Percutaneous Approach
  • 0SHL35Z Insertion of External Fixation Device into Left Tarsometatarsal Joint, Percutaneous Approach
  • 0SHL38Z Insertion of Spacer into Left Tarsometatarsal Joint, Percutaneous Approach
  • 0SHL43Z Insertion of Infusion Device into Left Tarsometatarsal Joint, Percutaneous Endoscopic Approach
  • 0SHL44Z Insertion of Internal Fixation Device into Left Tarsometatarsal Joint, Percutaneous Endoscopic Approach
  • 0SHL45Z Insertion of External Fixation Device into Left Tarsometatarsal Joint, Percutaneous Endoscopic Approach
  • 0SHL48Z Insertion of Spacer into Left Tarsometatarsal Joint, Percutaneous Endoscopic Approach
  • 0SHM03Z Insertion of Infusion Device into Right Metatarsal-Phalangeal Joint, Open Approach
  • 0SHM04Z Insertion of Internal Fixation Device into Right Metatarsal-Phalangeal Joint, Open Approach
  • 0SHM05Z Insertion of External Fixation Device into Right Metatarsal-Phalangeal Joint, Open Approach
  • 0SHM08Z Insertion of Spacer into Right Metatarsal-Phalangeal Joint, Open Approach
  • 0SHM33Z Insertion of Infusion Device into Right Metatarsal-Phalangeal Joint, Percutaneous Approach
  • 0SHM34Z Insertion of Internal Fixation Device into Right Metatarsal-Phalangeal Joint, Percutaneous Approach
  • 0SHM35Z Insertion of External Fixation Device into Right Metatarsal-Phalangeal Joint, Percutaneous Approach
  • 0SHM38Z Insertion of Spacer into Right Metatarsal-Phalangeal Joint, Percutaneous Approach
  • 0SHM43Z Insertion of Infusion Device into Right Metatarsal-Phalangeal Joint, Percutaneous Endoscopic Approach
  • 0SHM44Z Insertion of Internal Fixation Device into Right Metatarsal-Phalangeal Joint, Percutaneous Endoscopic Approach
  • 0SHM45Z Insertion of External Fixation Device into Right Metatarsal-Phalangeal Joint, Percutaneous Endoscopic Approach
  • 0SHM48Z Insertion of Spacer into Right Metatarsal-Phalangeal Joint, Percutaneous Endoscopic Approach
  • 0SHN03Z Insertion of Infusion Device into Left Metatarsal-Phalangeal Joint, Open Approach
  • 0SHN04Z Insertion of Internal Fixation Device into Left Metatarsal-Phalangeal Joint, Open Approach
  • 0SHN05Z Insertion of External Fixation Device into Left Metatarsal-Phalangeal Joint, Open Approach
  • 0SHN08Z Insertion of Spacer into Left Metatarsal-Phalangeal Joint, Open Approach
  • 0SHN33Z Insertion of Infusion Device into Left Metatarsal-Phalangeal Joint, Percutaneous Approach
  • 0SHN34Z Insertion of Internal Fixation Device into Left Metatarsal-Phalangeal Joint, Percutaneous Approach
  • 0SHN35Z Insertion of External Fixation Device into Left Metatarsal-Phalangeal Joint, Percutaneous Approach
  • 0SHN38Z Insertion of Spacer into Left Metatarsal-Phalangeal Joint, Percutaneous Approach
  • 0SHN43Z Insertion of Infusion Device into Left Metatarsal-Phalangeal Joint, Percutaneous Endoscopic Approach
  • 0SHN44Z Insertion of Internal Fixation Device into Left Metatarsal-Phalangeal Joint, Percutaneous Endoscopic Approach
  • 0SHN45Z Insertion of External Fixation Device into Left Metatarsal-Phalangeal Joint, Percutaneous Endoscopic Approach
  • 0SHN48Z Insertion of Spacer into Left Metatarsal-Phalangeal Joint, Percutaneous Endoscopic Approach
  • 0SHP03Z Insertion of Infusion Device into Right Toe Phalangeal Joint, Open Approach
  • 0SHP04Z Insertion of Internal Fixation Device into Right Toe Phalangeal Joint, Open Approach
  • 0SHP05Z Insertion of External Fixation Device into Right Toe Phalangeal Joint, Open Approach
  • 0SHP08Z Insertion of Spacer into Right Toe Phalangeal Joint, Open Approach
  • 0SHP33Z Insertion of Infusion Device into Right Toe Phalangeal Joint, Percutaneous Approach
  • 0SHP34Z Insertion of Internal Fixation Device into Right Toe Phalangeal Joint, Percutaneous Approach
  • 0SHP35Z Insertion of External Fixation Device into Right Toe Phalangeal Joint, Percutaneous Approach
  • 0SHP38Z Insertion of Spacer into Right Toe Phalangeal Joint, Percutaneous Approach
  • 0SHP43Z Insertion of Infusion Device into Right Toe Phalangeal Joint, Percutaneous Endoscopic Approach
  • 0SHP44Z Insertion of Internal Fixation Device into Right Toe Phalangeal Joint, Percutaneous Endoscopic Approach
  • 0SHP45Z Insertion of External Fixation Device into Right Toe Phalangeal Joint, Percutaneous Endoscopic Approach
  • 0SHP48Z Insertion of Spacer into Right Toe Phalangeal Joint, Percutaneous Endoscopic Approach
  • 0SHQ03Z Insertion of Infusion Device into Left Toe Phalangeal Joint, Open Approach
  • 0SHQ04Z Insertion of Internal Fixation Device into Left Toe Phalangeal Joint, Open Approach
  • 0SHQ05Z Insertion of External Fixation Device into Left Toe Phalangeal Joint, Open Approach
  • 0SHQ08Z Insertion of Spacer into Left Toe Phalangeal Joint, Open Approach
  • 0SHQ33Z Insertion of Infusion Device into Left Toe Phalangeal Joint, Percutaneous Approach
  • 0SHQ34Z Insertion of Internal Fixation Device into Left Toe Phalangeal Joint, Percutaneous Approach
  • 0SHQ35Z Insertion of External Fixation Device into Left Toe Phalangeal Joint, Percutaneous Approach
  • 0SHQ38Z Insertion of Spacer into Left Toe Phalangeal Joint, Percutaneous Approach
  • 0SHQ43Z Insertion of Infusion Device into Left Toe Phalangeal Joint, Percutaneous Endoscopic Approach
  • 0SHQ44Z Insertion of Internal Fixation Device into Left Toe Phalangeal Joint, Percutaneous Endoscopic Approach
  • 0SHQ45Z Insertion of External Fixation Device into Left Toe Phalangeal Joint, Percutaneous Endoscopic Approach
  • 0SHQ48Z Insertion of Spacer into Left Toe Phalangeal Joint, Percutaneous Endoscopic Approach

About the 0SH Code Range

The ICD-10-PCS root operation Insertion (code 0SH) involves putting in a device that monitors, assists, performs, or prevents a physiological function. This is specifically for the Medical and Surgical section targeting Lower Joints.

This Insertion operation includes a wide range of procedures involving various joint devices inserted via several approaches: Open, Percutaneous, and Percutaneous Endoscopic Approach. Examples include inserting an Infusion Device (e.g., lumbar vertebral joint, code 0SH003Z), an Internal Fixation Device (e.g., lumbosacral joint, code 0SH304Z), or a Spacer (e.g., right hip joint, code 0SH908Z). Other devices such as Interspinous Process Spinal Stabilization Devices, Pedicle-Based Spinal Stabilization Devices, and Facet Replacement Spinal Stabilization Devices are also inserted using these codes to support joint stability and function.

These insertion procedures cover multiple anatomical sites within the lower joint system, including lumbar vertebral discs, hips, knees, ankles, and several smaller joints of the foot. Proper coding of these lower joint insertion ICD-10-PCS entries ensures accurate documentation of the specific device type, joint involved, and surgical approach utilized.

Questions About This Page

How many billable codes are in the 0SH range?

Of the 253 codes in this range, 252 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 0SH range classify?

The range classifies Insertion procedures, 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, performed on the lower 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

All ICD-10-PCS SectionsAll of Medical and Surgical (0)All of Body System 0SICD-10-PCS Code LookupICD-10-CM Codes ListMS-DRG ReferenceMedicare Code Edits

Source: CMS FY 2026 ICD-10-PCS order file and code tables, effective October 1, 2025 through September 30, 2026.