ICD-10-PCS 2027 procedure code
0R503ZZDestruction of Occipital-cervical Joint, Percutaneous Approach
Short description: Destruction of Occipital-cervical Joint, Perc Approach
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 0R503ZZ
0R503ZZ is the ICD-10-PCS code for a destruction procedure on the occipital-cervical joint using a percutaneous 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 0R513ZZ (cervical vertebral joint), 0R533ZZ (cervical vertebral disc), 0R543ZZ (cervicothoracic vertebral joint), 0R553ZZ (cervicothoracic vertebral disc), 0R563ZZ (thoracic vertebral joint), 0R593ZZ (thoracic vertebral disc) and 22 more.
The same procedure with a different approach is coded 0R500ZZ (open) 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.
What each character means
- 1. Section
- 0Medical and Surgical
- 2. Body System
- RUpper Joints
- 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
- 0Occipital-cervical Joint
- 5. Approach
- 3Percutaneous
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure
- 6. Device
- ZNo Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0R513ZZCervical Vertebral Joint
- 0R533ZZCervical Vertebral Disc
- 0R543ZZCervicothoracic Vertebral Joint
- 0R553ZZCervicothoracic Vertebral Disc
- 0R563ZZThoracic Vertebral Joint
- 0R593ZZThoracic Vertebral Disc
- 0R5A3ZZThoracolumbar Vertebral Joint
- 0R5B3ZZThoracolumbar Vertebral Disc
- 0R5C3ZZTemporomandibular Joint, Right
- 0R5D3ZZTemporomandibular Joint, Left
- 0R5E3ZZSternoclavicular Joint, Right
- 0R5F3ZZSternoclavicular Joint, Left
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 · Local Excision and Removal of Internal Fixation Devices Except Hip and Femur
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 80.80Other local excision or destruction of lesion of joint, unspecified siteapproximate
- 80.89Other local excision or destruction of lesion of joint, other specified sitesapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0R503ZZ
Is 0R503ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0R503ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0R503ZZ an O.R. procedure?
- Yes. 0R503ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0R503ZZ group to?
- Depending on the principal diagnosis, 0R503ZZ 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 0R503ZZ?
- The CMS GEMs map 0R503ZZ to ICD-9-CM 80.80 (Other local excision or destruction of lesion of joint, unspecified site) and 80.89 (Other local excision or destruction of lesion of joint, other specified sites).