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Inpatient Procedure Code

0Q5S4ZZ ICD-10-PCS Code: Destruction of Coccyx, Percutaneous Endoscopic Approach

Axis Breakdown

Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body SystemQ

Lower Bones

3
Root Operation5

Destruction

Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

4
Body PartS

Coccyx

5
Approach4

Percutaneous Endoscopic

6
DeviceZ

No Device

7
QualifierZ

No Qualifier

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 9 MS-DRGs:

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Related Codes

Same operation — other Body Part

Same table and root operation, differing only in the body part character.

0Q5J4ZZ — Destruction of Right Fibula, Percutaneous Endoscopic Approach, 0Q5K4ZZ — Destruction of Left Fibula, Percutaneous Endoscopic Approach, 0Q5L4ZZ — Destruction of Right Tarsal, Percutaneous Endoscopic Approach, 0Q5M4ZZ — Destruction of Left Tarsal, Percutaneous Endoscopic Approach, 0Q5N4ZZ — Destruction of Right Metatarsal, Percutaneous Endoscopic Approach, 0Q5P4ZZ — Destruction of Left Metatarsal, Percutaneous Endoscopic Approach, 0Q5Q4ZZ — Destruction of Right Toe Phalanx, Percutaneous Endoscopic Approach, 0Q5R4ZZ — Destruction of Left Toe Phalanx, Percutaneous Endoscopic Approach, +16 more

Same operation — other Approach

Same table and root operation, differing only in the approach character.

0Q5S0ZZ — Destruction of Coccyx, Open Approach, 0Q5S3ZZ — Destruction of Coccyx, Percutaneous Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Bone excision (Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.

0PTK0ZZ — Resection of Right Ulna, Open Approach, 0PTL0ZZ — Resection of Left Ulna, Open Approach, 0PTM0ZZ — Resection of Right Carpal, Open Approach, 0PTN0ZZ — Resection of Left Carpal, Open Approach, 0PTP0ZZ — Resection of Right Metacarpal, Open Approach, 0PTQ0ZZ — Resection of Left Metacarpal, Open Approach, 0PTR0ZZ — Resection of Right Thumb Phalanx, Open Approach, 0PTS0ZZ — Resection of Left Thumb Phalanx, Open Approach, 0PTT0ZZ — Resection of Right Finger Phalanx, Open Approach, 0PTV0ZZ — Resection of Left Finger Phalanx, Open Approach, 0QB00ZZ — Excision of Lumbar Vertebra, Open Approach, 0QB03ZZ — Excision of Lumbar Vertebra, Percutaneous Approach, 0QB04ZZ — Excision of Lumbar Vertebra, Percutaneous Endoscopic Approach, 0QB10ZZ — Excision of Sacrum, Open Approach, 0QB13ZZ — Excision of Sacrum, Percutaneous Approach, 0QB14ZZ — Excision of Sacrum, Percutaneous Endoscopic Approach, 0QB20ZZ — Excision of Right Pelvic Bone, Open Approach, 0QB23ZZ — Excision of Right Pelvic Bone, Percutaneous Approach, 0QB24ZZ — Excision of Right Pelvic Bone, Percutaneous Endoscopic Approach, 0QB30ZZ — Excision of Left Pelvic Bone, Open Approach, +512 more

Contextual Map

Every relationship of 0Q5S4ZZ in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

PCS table

MS-DRG participation (9)

Clinical classification (CCSR)

  • MST018 — Bone excision[CCSR category]: “Bone excision — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”

MDC crossing · diagnoses (40463)

Nearest codes

Change history

No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.