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ICD-10-PCS 2027 procedure code

00RT07ZReplacement of Spinal Meninges with Autologous Tissue Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Spinal Meninges with Autol Sub, Open 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 00RT07Z

00RT07Z is the ICD-10-PCS code for a replacement procedure on the spinal meninges using an open approach with autologous tissue substitute. In ICD-10-PCS, replacement means putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part.

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 00R107Z (cerebral meninges), 00R207Z (dura mater), 00R607Z (cerebral ventricle), 00RF07Z (olfactory nerve), 00RG07Z (optic nerve), 00RH07Z (oculomotor nerve) and 9 more.

The same procedure with a different approach is coded 00RT47Z (percutaneous endoscopic).

With a different device, use 00RT0JZ (synthetic substitute) and 00RT0KZ (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 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 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
RReplacement

Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part

The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

Includes: Total hip replacement, bone graft, free skin graft

4. Body Part
TSpinal Meninges

Includes: Arachnoid mater, spinal; Denticulate (dentate) ligament; Dura mater, spinal; Filum terminale; Leptomeninges, spinal; Pia mater, spinal

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

Common questions about 00RT07Z

Is 00RT07Z a valid ICD-10-PCS code for 2027?

Yes. 00RT07Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 00RT07Z an O.R. procedure?

Yes. 00RT07Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 00RT07Z group to?

Depending on the principal diagnosis, 00RT07Z 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 00RT07Z?

The CMS GEMs map 00RT07Z to ICD-9-CM 03.59 (Other repair and plastic operations on spinal cord structures).