ICD-10-PCS 2027 procedure code
0R5B4ZZDestruction of Thoracolumbar Vertebral Disc, Percutaneous Endoscopic Approach
Short description: Destruction of T-lum Disc, Perc Endo 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 0R5B4ZZ
0R5B4ZZ is the ICD-10-PCS code for a destruction procedure on the thoracolumbar vertebral disc using a percutaneous endoscopic 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 intervertebral chemonucleolysis, the ICD-9-CM procedure title it maps to (80.52).
For a different body part, codes include 0R504ZZ (occipital-cervical joint), 0R514ZZ (cervical vertebral joint), 0R534ZZ (cervical vertebral disc), 0R544ZZ (cervicothoracic vertebral joint), 0R554ZZ (cervicothoracic vertebral disc), 0R564ZZ (thoracic vertebral joint) and 22 more.
The same procedure with a different approach is coded 0R5B0ZZ (open) and 0R5B3ZZ (percutaneous).
It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.
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
- BThoracolumbar Vertebral Disc
- 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
- ZNo Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0R504ZZOccipital-cervical Joint
- 0R514ZZCervical Vertebral Joint
- 0R534ZZCervical Vertebral Disc
- 0R544ZZCervicothoracic Vertebral Joint
- 0R554ZZCervicothoracic Vertebral Disc
- 0R564ZZThoracic Vertebral Joint
- 0R594ZZThoracic Vertebral Disc
- 0R5A4ZZThoracolumbar Vertebral Joint
- 0R5C4ZZTemporomandibular Joint, Right
- 0R5D4ZZTemporomandibular Joint, Left
- 0R5E4ZZSternoclavicular Joint, Right
- 0R5F4ZZSternoclavicular Joint, Left
Different approach
ICD-9-CM equivalent
Converter →- 80.52Intervertebral chemonucleolysisapproximate
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 0R5B4ZZ
Is 0R5B4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0R5B4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
What is the ICD-9 procedure code for 0R5B4ZZ?
- The CMS GEMs map 0R5B4ZZ to ICD-9-CM 80.52 (Intervertebral chemonucleolysis).