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ICD-10-PCS 2027 procedure code

00FU0ZZFragmentation in Spinal Canal, Open Approach

✓ Valid for 2027O.R. procedure

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 00FU0ZZ

00FU0ZZ is the ICD-10-PCS code for a fragmentation procedure on the spinal canal using an open approach. In ICD-10-PCS, fragmentation means breaking solid matter in a body part into pieces.

In plain terms, this corresponds to other repair and plastic operations on spinal cord structures, the ICD-9-CM procedure title it maps to (03.59).

For a different body part, codes include 00F30ZZ (epidural space, intracranial), 00F40ZZ (subdural space, intracranial), 00F50ZZ (subarachnoid space, intracranial) and 00F60ZZ (cerebral ventricle).

The same procedure with a different approach is coded 00FU3ZZ (percutaneous), 00FU4ZZ (percutaneous endoscopic) and 00FUXZZ (external).

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 518 (Back and Neck Procedures Except Spinal Fusion with MCC or Disc Device or Neurostimulator), DRG 519 (Back and Neck Procedures Except Spinal Fusion with CC) and DRG 520 (Back and Neck Procedures Except Spinal Fusion without CC/MCC), under the surgical categories “Spinal Procedures”, “Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator”, “Lymphoma and Leukemia with Major O.R. Procedures” and 3 more.

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
FFragmentation

Breaking solid matter in a body part into pieces

Physical force (e.g., manual, ultrasonic) applied directly or indirectly is used to break the solid matter into pieces. The solid matter may be an abnormal byproduct of a biological function or a foreign body. The pieces of solid matter are not taken out

Includes: Extracorporeal shockwave lithotripsy, transurethral lithotripsy

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
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.

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator

ICD-9-CM equivalent

Converter →
  • 03.59Other repair and plastic operations on spinal cord structuresapproximate

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 00FU0ZZ

Is 00FU0ZZ a valid ICD-10-PCS code for 2027?

Yes. 00FU0ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 00FU0ZZ an O.R. procedure?

Yes. 00FU0ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 00FU0ZZ group to?

Depending on the principal diagnosis, 00FU0ZZ can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 518, MS-DRG 519 and MS-DRG 520.

What is the ICD-9 procedure code for 00FU0ZZ?

The CMS GEMs map 00FU0ZZ to ICD-9-CM 03.59 (Other repair and plastic operations on spinal cord structures).