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ICD-10-PCS 2027 procedure code

0MRC4JZReplacement of Upper Spine Bursa and Ligament with Synthetic Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replace Up Spine Bursa/Lig w Synth Sub, Perc Endo

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 0MRC4JZ

0MRC4JZ is the ICD-10-PCS code for a replacement procedure on the upper spine bursa and ligament using a percutaneous endoscopic approach with synthetic 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 of joint, the ICD-9-CM procedure title it maps to (81.96).

For a different body part, codes include 0MR04JZ (head and neck bursa and ligament), 0MR14JZ (right shoulder bursa and ligament), 0MR24JZ (left shoulder bursa and ligament), 0MR34JZ (right elbow bursa and ligament), 0MR44JZ (left elbow bursa and ligament), 0MR54JZ (right wrist bursa and ligament) and 21 more.

The same procedure with a different approach is coded 0MRC0JZ (open).

With a different device, use 0MRC47Z (autologous tissue substitute) and 0MRC4KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 500 (Soft Tissue Procedures with MCC), DRG 501 (Soft Tissue Procedures with CC) and DRG 502 (Soft Tissue Procedures without CC/MCC), under the surgical category “Soft Tissue Procedures”.

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

What each character means

1. Section
0Medical and Surgical
2. Body System
MBursae and Ligaments
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
CUpper Spine Bursa and Ligament

Includes: Interspinous ligament, thoracic; Intertransverse ligament, thoracic; Ligamentum flavum, thoracic; 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
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

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.

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Soft Tissue Procedures

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

Common questions about 0MRC4JZ

Is 0MRC4JZ a valid ICD-10-PCS code for 2027?

Yes. 0MRC4JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0MRC4JZ an O.R. procedure?

Yes. 0MRC4JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0MRC4JZ group to?

Depending on the principal diagnosis, 0MRC4JZ can group to MS-DRG 500, MS-DRG 501 and MS-DRG 502.

What is the ICD-9 procedure code for 0MRC4JZ?

The CMS GEMs map 0MRC4JZ to ICD-9-CM 81.96 (Other repair of joint).