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ICD-10-PCS 2027 procedure code

0P540ZZDestruction of Thoracic Vertebra, 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 0P540ZZ

0P540ZZ is the ICD-10-PCS code for a destruction procedure on the thoracic vertebra using an open approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

In plain terms, this corresponds to local excision of lesion or tissue of bone, other bones, the ICD-9-CM procedure title it maps to (77.69).

For a different body part, codes include 0P500ZZ (sternum), 0P510ZZ (ribs, 1 to 2), 0P520ZZ (ribs, 3 or more), 0P530ZZ (cervical vertebra), 0P550ZZ (right scapula), 0P560ZZ (left scapula) and 20 more.

The same procedure with a different approach is coded 0P543ZZ (percutaneous) and 0P544ZZ (percutaneous endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 495 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC), DRG 496 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC), DRG 497 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Local Excision and Removal of Internal Fixation Devices Except Hip and Femur”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

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
PUpper Bones
3. Operation
5Destruction

Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

None of the body part is physically taken out

Includes: Fulguration of rectal polyp, cautery of skin lesion

4. Body Part
4Thoracic Vertebra

Includes: Spinous process; Transverse process; Vertebral arch; Vertebral body; Vertebral foramen; Vertebral lamina; Vertebral pedicle

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.

ICD-9-CM equivalent

Converter →
  • 77.69Local excision of lesion or tissue of bone, other bonesapproximate

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 0P540ZZ

Is 0P540ZZ a valid ICD-10-PCS code for 2027?

Yes. 0P540ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0P540ZZ an O.R. procedure?

Yes. 0P540ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0P540ZZ group to?

Depending on the principal diagnosis, 0P540ZZ can group to MS-DRG 495, MS-DRG 496, MS-DRG 497, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0P540ZZ?

The CMS GEMs map 0P540ZZ to ICD-9-CM 77.69 (Local excision of lesion or tissue of bone, other bones).