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ICD-10-PCS 2027 procedure code

0PU347ZSupplement Cervical Vertebra with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Supplement Cervcal Vertebra w Autol Sub, Perc Endo

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 0PU347Z

0PU347Z is the ICD-10-PCS code for a supplement procedure on the cervical vertebra using a percutaneous endoscopic approach with autologous tissue substitute. In ICD-10-PCS, supplement means putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part.

In plain terms, this corresponds to bone graft, other bones, the ICD-9-CM procedure title it maps to (78.09).

For a different body part, codes include 0PU047Z (sternum), 0PU147Z (ribs, 1 to 2), 0PU247Z (ribs, 3 or more), 0PU447Z (thoracic vertebra), 0PU547Z (right scapula), 0PU647Z (left scapula) and 20 more.

The same procedure with a different approach is coded 0PU307Z (open) and 0PU337Z (percutaneous).

With a different device, use 0PU34JZ (synthetic substitute) and 0PU34KZ (nonautologous tissue substitute).

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), DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), DRG 957 (Other O.R. Procedures for Multiple Significant Trauma with MCC), DRG 958 (Other O.R. Procedures for Multiple Significant Trauma with CC) and DRG 959 (Other O.R. Procedures for Multiple Significant Trauma without CC/MCC), under the surgical categories “Other Musculoskeletal System and Connective Tissue O.R. Procedures” 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
USupplement

Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part

The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part

Includes: Herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement

4. Body Part
3Cervical Vertebra

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

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
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.

ICD-9-CM equivalent

Converter →
  • 78.09Bone graft, 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 0PU347Z

Is 0PU347Z a valid ICD-10-PCS code for 2027?

Yes. 0PU347Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PU347Z an O.R. procedure?

Yes. 0PU347Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PU347Z group to?

Depending on the principal diagnosis, 0PU347Z can group to MS-DRG 515, MS-DRG 516, MS-DRG 517, MS-DRG 957, MS-DRG 958 and MS-DRG 959.

What is the ICD-9 procedure code for 0PU347Z?

The CMS GEMs map 0PU347Z to ICD-9-CM 78.09 (Bone graft, other bones).