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ICD-10-PCS 2027 procedure code

001U074Bypass Spinal Canal to Pleural Cavity with Autologous Tissue Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Spinal Canal to Pleural Cav w Autol Sub, Open

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 001U074

001U074 is the ICD-10-PCS code for a bypass procedure on the spinal canal using an open approach with autologous tissue substitute (qualifier: pleural cavity). In ICD-10-PCS, bypass means altering the route of passage of the contents of a tubular body part.

In plain terms, this corresponds to other shunt of spinal theca, the ICD-9-CM procedure title it maps to (03.79).

For a different body part, codes include 0016074 (cerebral ventricle).

The same procedure with a different approach is coded 001U374 (percutaneous) and 001U474 (percutaneous endoscopic).

With a different device, use 001U0J4 (synthetic substitute) and 001U0K4 (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 028 (Spinal Procedures with MCC), DRG 029 (Spinal Procedures with CC or Spinal Neurostimulators), DRG 030 (Spinal Procedures without CC/MCC), DRG 820 (Lymphoma and Leukemia with Major O.R. Procedures with MCC), DRG 821 (Lymphoma and Leukemia with Major O.R. Procedures with CC) and DRG 822 (Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC), under the surgical categories “Spinal Procedures”, “Lymphoma and Leukemia with Major O.R. Procedures” and “Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures”.

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

What each character means

1. Section
0Medical and Surgical
2. Body System
0Central Nervous System and Cranial Nerves
3. Operation
1Bypass

Altering the route of passage of the contents of a tubular body part

Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device

Includes: Coronary artery bypass, colostomy formation

4. Body Part
USpinal Canal

Includes: Epidural space, spinal; Extradural space, spinal; Subarachnoid space, spinal; Subdural space, spinal; Vertebral canal

5. Approach
0Open

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

6. Device
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

7. Qualifier
4Pleural Cavity

Other versions of this procedure

Different body part

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 03.79Other shunt of spinal thecaapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 001U074

Is 001U074 a valid ICD-10-PCS code for 2027?

Yes. 001U074 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 001U074 an O.R. procedure?

Yes. 001U074 is an O.R. procedure in MS-DRG v44.0.

What DRG does 001U074 group to?

Depending on the principal diagnosis, 001U074 can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 820, MS-DRG 821 and MS-DRG 822.

What is the ICD-9 procedure code for 001U074?

The CMS GEMs map 001U074 to ICD-9-CM 03.79 (Other shunt of spinal theca).