ICD-10-PCS 2027 procedure code
00PU02ZRemoval of Monitoring Device from Spinal Canal, Open Approach
Short description: Removal of Monitor Dev from Spinal Canal, Open Approach
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 00PU02Z
00PU02Z is the ICD-10-PCS code for a removal procedure on the spinal canal using an open approach with monitoring device. In ICD-10-PCS, removal means taking out or off a device from a body part.
In plain terms, this corresponds to other operations on spinal cord and spinal canal structures, the ICD-9-CM procedure title it maps to (03.99).
For a different body part, codes include 00P002Z (brain), 00P602Z (cerebral ventricle), 00PE02Z (cranial nerve) and 00PV02Z (spinal cord).
The same procedure with a different approach is coded 00PU32Z (percutaneous), 00PU42Z (percutaneous endoscopic) and 00PUX2Z (external).
With a different device, use 00PU00Z (drainage device), 00PU03Z (infusion device), 00PU0JZ (synthetic substitute), 00PU0MZ (neurostimulator lead) and 00PU0YZ (other device).
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
- PRemoval
Taking out or off a device from a body part
If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL
Includes: Drainage tube removal, cardiac pacemaker removal
- 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
- 2Monitoring Device
Includes: Blood glucose monitoring system; Cardiac event recorder; Continuous Glucose Monitoring (CGM) device; Implantable glucose monitoring device; Loop recorder, implantable; Reveal (LINQ)(DX)(XT)
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
Different approach
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 01 · Diseases and Disorders of the Nervous System · Spinal Procedures
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Lymphoma and Leukemia with Major O.R. Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
- 826Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCCRW 4.7581
- 827Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CCRW 2.3896
- 828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCCRW 1.6955
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 03.99Other operations on spinal cord and spinal canal structuresapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 00PU02Z
Is 00PU02Z a valid ICD-10-PCS code for 2027?
- Yes. 00PU02Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 00PU02Z an O.R. procedure?
- Yes. 00PU02Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 00PU02Z group to?
- Depending on the principal diagnosis, 00PU02Z 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 00PU02Z?
- The CMS GEMs map 00PU02Z to ICD-9-CM 03.99 (Other operations on spinal cord and spinal canal structures).