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ICD-10-PCS 2027 procedure code

0MMD4ZZReattachment of Lower Spine Bursa and Ligament, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Reattachment of Lw Spine Bursa/Lig, 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 0MMD4ZZ

0MMD4ZZ is the ICD-10-PCS code for a reattachment procedure on the lower spine bursa and ligament using a percutaneous endoscopic approach. In ICD-10-PCS, reattachment means putting back in or on all or a portion of a separated body part to its normal location or other suitable location.

In plain terms, this corresponds to other repair of joint, the ICD-9-CM procedure title it maps to (81.96).

For a different body part, codes include 0MM04ZZ (head and neck bursa and ligament), 0MM14ZZ (right shoulder bursa and ligament), 0MM24ZZ (left shoulder bursa and ligament), 0MM34ZZ (right elbow bursa and ligament), 0MM44ZZ (left elbow bursa and ligament), 0MM54ZZ (right wrist bursa and ligament) and 21 more.

The same procedure with a different approach is coded 0MMD0ZZ (open).

It is an operating-room procedure in the MS-DRG logic for DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC) and DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), under the surgical category “Other Musculoskeletal System and Connective Tissue 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
MBursae and Ligaments
3. Operation
MReattachment

Putting back in or on all or a portion of a separated body part to its normal location or other suitable location

Vascular circulation and nervous pathways may or may not be reestablished

Includes: Reattachment of hand, reattachment of avulsed kidney

4. Body Part
DLower Spine Bursa and Ligament

Includes: Iliolumbar ligament; Interspinous ligament, lumbar; Intertransverse ligament, lumbar; Ligamentum flavum, lumbar; Sacrococcygeal ligament; Sacroiliac ligament; Sacrospinous ligament; Sacrotuberous ligament; Supraspinous ligament

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

Different approach

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 →
  • 81.96Other repair of jointapproximate

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)
  • FY2018 (effective 10/1/2017): Title revised — was “Reattachment of Left Trunk Bursa and Ligament, Percutaneous Endoscopic Approach”

Common questions about 0MMD4ZZ

Is 0MMD4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0MMD4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0MMD4ZZ an O.R. procedure?

Yes. 0MMD4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0MMD4ZZ group to?

Depending on the principal diagnosis, 0MMD4ZZ can group to MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 0MMD4ZZ?

The CMS GEMs map 0MMD4ZZ to ICD-9-CM 81.96 (Other repair of joint).