0PHD04ZInsertion of Internal Fixation Device into Left Humeral Head, Open Approach

0PHD04Z is the ICD-10-PCS code for a insertion procedure on the left humeral head using an open approach with internal fixation device. In ICD-10-PCS, insertion means putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part.

In plain terms, this corresponds to internal fixation of bone without fracture reduction, humerus, the ICD-9-CM procedure title it maps to (78.52).

For a different body part, codes include 0PH004Z (sternum), 0PH104Z (ribs, 1 to 2), 0PH204Z (ribs, 3 or more), 0PH304Z (cervical vertebra), 0PH404Z (thoracic vertebra), 0PH504Z (right scapula) and 20 more.

The same procedure with a different approach is coded 0PHD34Z (percutaneous) and 0PHD44Z (percutaneous endoscopic).

With a different device, use 0PHD05Z (external fixation device), 0PHD06Z (internal fixation device, intramedullary), 0PHD08Z (external fixation device, limb lengthening), 0PHD0BZ (external fixation device, monoplanar), 0PHD0CZ (external fixation device, ring) and 0PHD0DZ (external fixation device, hybrid).

It is an operating-room procedure in the MS-DRG logic for DRG 492 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 493 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC), DRG 494 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Lower Extremity and Humerus Procedures Except Hip, Foot and Femur”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

It has been valid since ICD-10-PCS took effect on October 1, 2015.