ICD-10-PCS 0P5 Medical and Surgical: Upper Bones Destruction
The ICD-10-PCS root operation Destruction (code 0P5) refers to the intentional termination of the function of a body part, typically by methods that ablate or eliminate tissue. In the Medical and Surgical section, this operation specifically targets the Upper Bones body system.
This root operation is applied when diseased or problematic bone tissue requires destruction without removal. Examples in the ICD-10-PCS system include the destruction of the Sternum via various approaches such as Open (0P500ZZ), Percutaneous (0P503ZZ), and Percutaneous Endoscopic (0P504ZZ). Similarly, ribs (1 to 2 or 3 or more), vertebrae (cervical and thoracic), and upper extremity bones like the Scapula, Clavicle, Humeral Head and Shaft, and bones of the Radius, Ulna, Carpal, Metacarpal, and Phalanges are frequently targeted using open, percutaneous, and percutaneous endoscopic techniques. Certain codes also specify the use of advanced methods such as Laser Interstitial Thermal Therapy for vertebral destruction (e.g., 0P530Z3).
Accurate coding of these procedures ensures precise documentation of the method and anatomical site involved in upper bone destruction, guiding clinical management and billing.
List of ICD-10-PCS codes used to specify 0P5 - Destruction (physical eradication of all or a portion of a body part by the direct use of energy, force or a destructive agent). There are a total of 88 procedure codes in this section.
0P5 - Upper Bones, Destruction
0P500ZZ - Destruction of Sternum, Open Approach
0P503ZZ - Destruction of Sternum, Percutaneous Approach
0P504ZZ - Destruction of Sternum, Percutaneous Endoscopic Approach
0P510ZZ - Destruction of 1 to 2 Ribs, Open Approach
0P513ZZ - Destruction of 1 to 2 Ribs, Percutaneous Approach
0P514ZZ - Destruction of 1 to 2 Ribs, Percutaneous Endoscopic Approach
0P520ZZ - Destruction of 3 or More Ribs, Open Approach
0P523ZZ - Destruction of 3 or More Ribs, Percutaneous Approach
0P524ZZ - Destruction of 3 or More Ribs, Percutaneous Endoscopic Approach
0P530Z3 - Destruction of Cervical Vertebra using Laser Interstitial Thermal Therapy, Open Approach
0P530ZZ - Destruction of Cervical Vertebra, Open Approach
0P533Z3 - Destruction of Cervical Vertebra using Laser Interstitial Thermal Therapy, Percutaneous Approach
0P533ZZ - Destruction of Cervical Vertebra, Percutaneous Approach
0P534Z3 - Destruction of Cervical Vertebra using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
0P534ZZ - Destruction of Cervical Vertebra, Percutaneous Endoscopic Approach
0P540Z3 - Destruction of Thoracic Vertebra using Laser Interstitial Thermal Therapy, Open Approach
0P540ZZ - Destruction of Thoracic Vertebra, Open Approach
0P543Z3 - Destruction of Thoracic Vertebra using Laser Interstitial Thermal Therapy, Percutaneous Approach
0P543ZZ - Destruction of Thoracic Vertebra, Percutaneous Approach
0P544Z3 - Destruction of Thoracic Vertebra using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
0P544ZZ - Destruction of Thoracic Vertebra, Percutaneous Endoscopic Approach
0P550ZZ - Destruction of Right Scapula, Open Approach
0P553ZZ - Destruction of Right Scapula, Percutaneous Approach
0P554ZZ - Destruction of Right Scapula, Percutaneous Endoscopic Approach
0P560ZZ - Destruction of Left Scapula, Open Approach
0P563ZZ - Destruction of Left Scapula, Percutaneous Approach
0P564ZZ - Destruction of Left Scapula, Percutaneous Endoscopic Approach
0P570ZZ - Destruction of Right Glenoid Cavity, Open Approach
0P573ZZ - Destruction of Right Glenoid Cavity, Percutaneous Approach
0P574ZZ - Destruction of Right Glenoid Cavity, Percutaneous Endoscopic Approach
0P580ZZ - Destruction of Left Glenoid Cavity, Open Approach
0P583ZZ - Destruction of Left Glenoid Cavity, Percutaneous Approach
0P584ZZ - Destruction of Left Glenoid Cavity, Percutaneous Endoscopic Approach
0P590ZZ - Destruction of Right Clavicle, Open Approach
0P593ZZ - Destruction of Right Clavicle, Percutaneous Approach
0P594ZZ - Destruction of Right Clavicle, Percutaneous Endoscopic Approach
0P5B0ZZ - Destruction of Left Clavicle, Open Approach
0P5B3ZZ - Destruction of Left Clavicle, Percutaneous Approach
0P5B4ZZ - Destruction of Left Clavicle, Percutaneous Endoscopic Approach
0P5C0ZZ - Destruction of Right Humeral Head, Open Approach
0P5C3ZZ - Destruction of Right Humeral Head, Percutaneous Approach
0P5C4ZZ - Destruction of Right Humeral Head, Percutaneous Endoscopic Approach
0P5D0ZZ - Destruction of Left Humeral Head, Open Approach
0P5D3ZZ - Destruction of Left Humeral Head, Percutaneous Approach
0P5D4ZZ - Destruction of Left Humeral Head, Percutaneous Endoscopic Approach
0P5F0ZZ - Destruction of Right Humeral Shaft, Open Approach
0P5F3ZZ - Destruction of Right Humeral Shaft, Percutaneous Approach
0P5F4ZZ - Destruction of Right Humeral Shaft, Percutaneous Endoscopic Approach
0P5G0ZZ - Destruction of Left Humeral Shaft, Open Approach
0P5G3ZZ - Destruction of Left Humeral Shaft, Percutaneous Approach
0P5G4ZZ - Destruction of Left Humeral Shaft, Percutaneous Endoscopic Approach
0P5H0ZZ - Destruction of Right Radius, Open Approach
0P5H3ZZ - Destruction of Right Radius, Percutaneous Approach
0P5H4ZZ - Destruction of Right Radius, Percutaneous Endoscopic Approach
0P5J0ZZ - Destruction of Left Radius, Open Approach
0P5J3ZZ - Destruction of Left Radius, Percutaneous Approach
0P5J4ZZ - Destruction of Left Radius, Percutaneous Endoscopic Approach
0P5K0ZZ - Destruction of Right Ulna, Open Approach
0P5K3ZZ - Destruction of Right Ulna, Percutaneous Approach
0P5K4ZZ - Destruction of Right Ulna, Percutaneous Endoscopic Approach
0P5L0ZZ - Destruction of Left Ulna, Open Approach
0P5L3ZZ - Destruction of Left Ulna, Percutaneous Approach
0P5L4ZZ - Destruction of Left Ulna, Percutaneous Endoscopic Approach
0P5M0ZZ - Destruction of Right Carpal, Open Approach
0P5M3ZZ - Destruction of Right Carpal, Percutaneous Approach
0P5M4ZZ - Destruction of Right Carpal, Percutaneous Endoscopic Approach
0P5N0ZZ - Destruction of Left Carpal, Open Approach
0P5N3ZZ - Destruction of Left Carpal, Percutaneous Approach
0P5N4ZZ - Destruction of Left Carpal, Percutaneous Endoscopic Approach
0P5P0ZZ - Destruction of Right Metacarpal, Open Approach
0P5P3ZZ - Destruction of Right Metacarpal, Percutaneous Approach
0P5P4ZZ - Destruction of Right Metacarpal, Percutaneous Endoscopic Approach
0P5Q0ZZ - Destruction of Left Metacarpal, Open Approach
0P5Q3ZZ - Destruction of Left Metacarpal, Percutaneous Approach
0P5Q4ZZ - Destruction of Left Metacarpal, Percutaneous Endoscopic Approach
0P5R0ZZ - Destruction of Right Thumb Phalanx, Open Approach
0P5R3ZZ - Destruction of Right Thumb Phalanx, Percutaneous Approach
0P5R4ZZ - Destruction of Right Thumb Phalanx, Percutaneous Endoscopic Approach
0P5S0ZZ - Destruction of Left Thumb Phalanx, Open Approach
0P5S3ZZ - Destruction of Left Thumb Phalanx, Percutaneous Approach
0P5S4ZZ - Destruction of Left Thumb Phalanx, Percutaneous Endoscopic Approach
0P5T0ZZ - Destruction of Right Finger Phalanx, Open Approach
0P5T3ZZ - Destruction of Right Finger Phalanx, Percutaneous Approach
0P5T4ZZ - Destruction of Right Finger Phalanx, Percutaneous Endoscopic Approach
0P5V0ZZ - Destruction of Left Finger Phalanx, Open Approach
0P5V3ZZ - Destruction of Left Finger Phalanx, Percutaneous Approach
0P5V4ZZ - Destruction of Left Finger Phalanx, Percutaneous Endoscopic Approach