0PHD45ZInsertion of External Fixation Device into Left Humeral Head, Percutaneous Endoscopic Approach

0PHD45Z is the ICD-10-PCS code for a insertion procedure on the left humeral head using a percutaneous endoscopic approach with external 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 application of external fixator device, humerus, the ICD-9-CM procedure title it maps to (78.12).

For a different body part, codes include 0PHC45Z (right humeral head), 0PHF45Z (right humeral shaft), 0PHG45Z (left humeral shaft), 0PHH45Z (right radius), 0PHJ45Z (left radius), 0PHK45Z (right ulna) and 9 more.

The same procedure with a different approach is coded 0PHD05Z (open) and 0PHD35Z (percutaneous).

With a different device, use 0PHD44Z (internal fixation device), 0PHD46Z (internal fixation device, intramedullary), 0PHD48Z (external fixation device, limb lengthening), 0PHD4BZ (external fixation device, monoplanar), 0PHD4CZ (external fixation device, ring) and 0PHD4DZ (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.