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ICD-10-PCS 2027 procedure code

0PS403ZReposition Thoracic Vertebra with Spinal Stabilization Device, Vertebral Body Tether, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Reposition Thor Vertebra w Spin Stab Dev, VBT, Open

Code last changed in FY2022 (effective October 1, 2021). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0PS403Z

0PS403Z is the ICD-10-PCS code for a reposition procedure on the thoracic vertebra using an open approach with spinal stabilization device, vertebral body tether. In ICD-10-PCS, reposition means moving to its normal location, or other suitable location, all or a portion of a body part.

The same procedure with a different approach is coded 0PS443Z (percutaneous endoscopic).

With a different device, use 0PS404Z (internal fixation device) and 0PS40ZZ (no 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 was added in FY2022, effective October 1, 2021.

What each character means

1. Section
0Medical and Surgical
2. Body System
PUpper Bones
3. Operation
SReposition

Moving to its normal location, or other suitable location, all or a portion of a body part

The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning correctly. The body part may or may not be cut out or off to be moved to the new location

Includes: Reposition of undescended testicle, fracture reduction

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
3Spinal Stabilization Device, Vertebral Body Tether
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

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
  • FY2022 (effective 10/1/2021): Added
  • No changes since FY2022.

Common questions about 0PS403Z

Is 0PS403Z a valid ICD-10-PCS code for 2027?

Yes. 0PS403Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PS403Z an O.R. procedure?

Yes. 0PS403Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PS403Z group to?

Depending on the principal diagnosis, 0PS403Z can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 518, MS-DRG 519 and MS-DRG 520.