0R500ZZDestruction of Occipital-cervical Joint, Open Approach

0R500ZZ is the ICD-10-PCS code for a destruction procedure on the occipital-cervical joint 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 other local excision or destruction of lesion of joint, unspecified site and other local excision or destruction of lesion of joint, other specified sites, the ICD-9-CM procedure titles it maps to (80.80 and 80.89).

For a different body part, codes include 0R510ZZ (cervical vertebral joint), 0R530ZZ (cervical vertebral disc), 0R540ZZ (cervicothoracic vertebral joint), 0R550ZZ (cervicothoracic vertebral disc), 0R560ZZ (thoracic vertebral joint), 0R590ZZ (thoracic vertebral disc) and 22 more.

The same procedure with a different approach is coded 0R503ZZ (percutaneous) and 0R504ZZ (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.