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ICD-10-PCS 2027 procedure code

00CU4ZZExtirpation of Matter from Spinal Canal, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Extirpation of Matter from Spinal Canal, Perc Endo Approach

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 00CU4ZZ

00CU4ZZ is the ICD-10-PCS code for a extirpation procedure on the spinal canal using a percutaneous endoscopic approach. In ICD-10-PCS, extirpation means taking or cutting out solid matter from a body part.

In plain terms, this corresponds to removal of foreign body from spinal canal, the ICD-9-CM procedure title it maps to (03.01).

For a different body part, codes include 00C04ZZ (brain), 00C14ZZ (cerebral meninges), 00C24ZZ (dura mater), 00C34ZZ (epidural space, intracranial), 00C44ZZ (subdural space, intracranial), 00C54ZZ (subarachnoid space, intracranial) and 24 more.

The same procedure with a different approach is coded 00CU0ZZ (open) and 00CU3ZZ (percutaneous).

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 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 “Spinal Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

It was added in FY2018, effective October 1, 2017.

What each character means

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

Taking or cutting out solid matter from a body part

The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces

Includes: Thrombectomy, choledocholithotomy

4. Body Part
USpinal Canal

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

5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

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 →
  • 03.01Removal of foreign body from spinal canalapproximate

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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 00CU4ZZ

Is 00CU4ZZ a valid ICD-10-PCS code for 2027?

Yes. 00CU4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 00CU4ZZ an O.R. procedure?

Yes. 00CU4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 00CU4ZZ group to?

Depending on the principal diagnosis, 00CU4ZZ can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 00CU4ZZ?

The CMS GEMs map 00CU4ZZ to ICD-9-CM 03.01 (Removal of foreign body from spinal canal).