ICD-10-PCS code structure

Section:
  0 = Medical and Surgical

Body System:
  C = Mouth and Throat

Root Operation:
  5 = Destruction

Body Part:

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See Terms used in Medical and Surgical

Select the appropriate procedure code based on the approach & device:

0C5W - Upper Tooth

• Open Approach

  Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

  • No Device
    • 0C5W0Z0 - Destruction of Upper Tooth, Single, Open Approach
    • 0C5W0Z1 - Destruction of Upper Tooth, Multiple, Open Approach
    • 0C5W0Z2 - Destruction of Upper Tooth, All, Open Approach

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• External Approach

  Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane

  • No Device
    • 0C5WXZ0 - Destruction of Upper Tooth, Single, External Approach
    • 0C5WXZ1 - Destruction of Upper Tooth, Multiple, External Approach
    • 0C5WXZ2 - Destruction of Upper Tooth, All, External Approach