ICD-10-PCS Procedure Codes in Group 0Q5
- 0Q500Z3 Destruction of Lumbar Vertebra using Laser Interstitial Thermal Therapy, Open Approach ICD-10-PCS Procedure Code
- 0Q500ZZ Destruction of Lumbar Vertebra, Open Approach ICD-10-PCS Procedure Code
- 0Q503Z3 Destruction of Lumbar Vertebra using Laser Interstitial Thermal Therapy, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q503ZZ Destruction of Lumbar Vertebra, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q504Z3 Destruction of Lumbar Vertebra using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 0Q504ZZ Destruction of Lumbar Vertebra, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 0Q510Z3 Destruction of Sacrum using Laser Interstitial Thermal Therapy, Open Approach ICD-10-PCS Procedure Code
- 0Q510ZZ Destruction of Sacrum, Open Approach ICD-10-PCS Procedure Code
- 0Q513Z3 Destruction of Sacrum using Laser Interstitial Thermal Therapy, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q513ZZ Destruction of Sacrum, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q514Z3 Destruction of Sacrum using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 0Q514ZZ Destruction of Sacrum, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 0Q520ZZ Destruction of Right Pelvic Bone, Open Approach ICD-10-PCS Procedure Code
- 0Q523ZZ Destruction of Right Pelvic Bone, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q524ZZ Destruction of Right Pelvic Bone, Percutaneous Endoscopic ICD-10-PCS Procedure Code
- 0Q530ZZ Destruction of Left Pelvic Bone, Open Approach ICD-10-PCS Procedure Code
- 0Q533ZZ Destruction of Left Pelvic Bone, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q534ZZ Destruction of Left Pelvic Bone, Percutaneous Endoscopic ICD-10-PCS Procedure Code
- 0Q540ZZ Destruction of Right Acetabulum, Open Approach ICD-10-PCS Procedure Code
- 0Q543ZZ Destruction of Right Acetabulum, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q544ZZ Destruction of Right Acetabulum, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 0Q550ZZ Destruction of Left Acetabulum, Open Approach ICD-10-PCS Procedure Code
- 0Q553ZZ Destruction of Left Acetabulum, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q554ZZ Destruction of Left Acetabulum, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 0Q560ZZ Destruction of Right Upper Femur, Open Approach ICD-10-PCS Procedure Code
- 0Q563ZZ Destruction of Right Upper Femur, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q564ZZ Destruction of Right Upper Femur, Percutaneous Endoscopic ICD-10-PCS Procedure Code
- 0Q570ZZ Destruction of Left Upper Femur, Open Approach ICD-10-PCS Procedure Code
- 0Q573ZZ Destruction of Left Upper Femur, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q574ZZ Destruction of Left Upper Femur, Percutaneous Endoscopic ICD-10-PCS Procedure Code
- 0Q580ZZ Destruction of Right Femoral Shaft, Open Approach ICD-10-PCS Procedure Code
- 0Q583ZZ Destruction of Right Femoral Shaft, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q584ZZ Destruction of Right Femoral Shaft, Percutaneous Endoscopic ICD-10-PCS Procedure Code
- 0Q590ZZ Destruction of Left Femoral Shaft, Open Approach ICD-10-PCS Procedure Code
- 0Q593ZZ Destruction of Left Femoral Shaft, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q594ZZ Destruction of Left Femoral Shaft, Percutaneous Endoscopic ICD-10-PCS Procedure Code
- 0Q5B0ZZ Destruction of Right Lower Femur, Open Approach ICD-10-PCS Procedure Code
- 0Q5B3ZZ Destruction of Right Lower Femur, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q5B4ZZ Destruction of Right Lower Femur, Percutaneous Endoscopic ICD-10-PCS Procedure Code
- 0Q5C0ZZ Destruction of Left Lower Femur, Open Approach ICD-10-PCS Procedure Code
- 0Q5C3ZZ Destruction of Left Lower Femur, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q5C4ZZ Destruction of Left Lower Femur, Percutaneous Endoscopic ICD-10-PCS Procedure Code
- 0Q5D0ZZ Destruction of Right Patella, Open Approach ICD-10-PCS Procedure Code
- 0Q5D3ZZ Destruction of Right Patella, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q5D4ZZ Destruction of Right Patella, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 0Q5F0ZZ Destruction of Left Patella, Open Approach ICD-10-PCS Procedure Code
- 0Q5F3ZZ Destruction of Left Patella, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q5F4ZZ Destruction of Left Patella, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 0Q5G0ZZ Destruction of Right Tibia, Open Approach ICD-10-PCS Procedure Code
- 0Q5G3ZZ Destruction of Right Tibia, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q5G4ZZ Destruction of Right Tibia, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 0Q5H0ZZ Destruction of Left Tibia, Open Approach ICD-10-PCS Procedure Code
- 0Q5H3ZZ Destruction of Left Tibia, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q5H4ZZ Destruction of Left Tibia, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 0Q5J0ZZ Destruction of Right Fibula, Open Approach ICD-10-PCS Procedure Code
- 0Q5J3ZZ Destruction of Right Fibula, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q5J4ZZ Destruction of Right Fibula, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 0Q5K0ZZ Destruction of Left Fibula, Open Approach ICD-10-PCS Procedure Code
- 0Q5K3ZZ Destruction of Left Fibula, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q5K4ZZ Destruction of Left Fibula, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 0Q5L0ZZ Destruction of Right Tarsal, Open Approach ICD-10-PCS Procedure Code
- 0Q5L3ZZ Destruction of Right Tarsal, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q5L4ZZ Destruction of Right Tarsal, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 0Q5M0ZZ Destruction of Left Tarsal, Open Approach ICD-10-PCS Procedure Code
- 0Q5M3ZZ Destruction of Left Tarsal, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q5M4ZZ Destruction of Left Tarsal, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 0Q5N0ZZ Destruction of Right Metatarsal, Open Approach ICD-10-PCS Procedure Code
- 0Q5N3ZZ Destruction of Right Metatarsal, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q5N4ZZ Destruction of Right Metatarsal, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 0Q5P0ZZ Destruction of Left Metatarsal, Open Approach ICD-10-PCS Procedure Code
- 0Q5P3ZZ Destruction of Left Metatarsal, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q5P4ZZ Destruction of Left Metatarsal, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
- 0Q5Q0ZZ Destruction of Right Toe Phalanx, Open Approach ICD-10-PCS Procedure Code
- 0Q5Q3ZZ Destruction of Right Toe Phalanx, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q5Q4ZZ Destruction of Right Toe Phalanx, Percutaneous Endoscopic ICD-10-PCS Procedure Code
- 0Q5R0ZZ Destruction of Left Toe Phalanx, Open Approach ICD-10-PCS Procedure Code
- 0Q5R3ZZ Destruction of Left Toe Phalanx, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q5R4ZZ Destruction of Left Toe Phalanx, Percutaneous Endoscopic ICD-10-PCS Procedure Code
- 0Q5S0ZZ Destruction of Coccyx, Open Approach ICD-10-PCS Procedure Code
- 0Q5S3ZZ Destruction of Coccyx, Percutaneous Approach ICD-10-PCS Procedure Code
- 0Q5S4ZZ Destruction of Coccyx, Percutaneous Endoscopic Approach ICD-10-PCS Procedure Code
ICD-10-PCS Procedure Codes - 0 Group
ICD-10-PCS Procedure Codes
The ICD-10 Procedure Coding System (ICD-10-PCS) is a system of medical classification used for procedural codes. The National Center for Health Statistics (NCHS) received permission from the World Health Organization (WHO), the body responsible for publishing the International Classification of Diseases to create the ICD-10-PCS as a successor to Volume 3 of ICD-9-CM and a clinical modification of the original ICD-10. The final draft was completed in 2000, but the system still has not been implemented, as the WHO has not yet set any anticipated implementation date at which to phase out ICD-9-CM.
The new procedure coding system uses 7 alpha or numeric digits while the ICD-9-CM coding system uses 3 or 4 numeric digits.The current system, International Classification of Diseases, 9th Edition, Clinical Modification (ICD-9-CM), does not provide the necessary detail on either patients' medical conditions or on procedures performed on hospitalized patients. ICD-9-CM is 30 years old, has outdated and obsolete terminology, uses outdated codes that produce inaccurate and limited data, and is inconsistent with current medical practice. It cannot accurately describe the diagnoses and inpatient procedures of care delivered in the 21st century.
Diagnostic Information is Not Included in Procedure Description
When procedures are performed for specific diseases or disorders, the disease or disorder is not contained in the procedure code. There are no codes for procedures exclusive to aneurysms, cleft lip, strictures, neoplasms, hernias, etc. The diagnosis codes, not the procedure codes, specify the disease or disorder.
Not Otherwise Specified (NOS) Options are Restricted
ICD-9-CM often provides a "not otherwise specified" code option. Certain NOS options made available in ICD-10-PCS are restricted to the uses laid out in the ICD-10-PCS draft guidelines. A minimal level of specificity is required for each component of the procedure.
Limited Use of Not Elsewhere Classified (NEC) Option
ICD-9-CM often provides a "not elsewhere classified" code option, but because all significant components of a procedure are specified in ICD-10-PCS, there is generally no need for an NEC code option. However, limited NEC options are incorporated into ICD-10-PCS where necessary. For example, new devices are frequently developed, and therefore it is necessary to provide an "Other Device" option for use until the new device can be explicitly added to the coding system. Additional NEC options are discussed later, in the sections of the system where they occur.
Level of Specificity
All procedures currently performed can be specified in ICD-10-PCS. The frequency with which a procedure is performed was not a consideration in the development of the system. Rather, a unique code is available for variations of a procedure that can be performed.
ICD-10-PCS has a seven character alphanumeric code structure. Each character contains up to 34 possible values. Each value represents a specific option for the general character definition (e.g., stomach is one of the values for the body part character). The ten digits 0-9 and the 24 letters A-H,J-N and P-Z may be used in each character. The letters O and I are not used in order to avoid confusion with the digits 0 and 1.
The second through seventh characters mean the same thing within each section, but may mean different things in other sec-tions.
In all sections, the third character specifies the general type of procedure per-formed (e.g., resection, transfusion, fluoroscopy), while the other characters give additional information such as the body part and approach. In ICD-10-PCS, the term "procedure" refers to the complete specification of the seven characters.
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