ICD-10-PCS 2027 procedure code
0RB40ZZExcision of Cervicothoracic Vertebral Joint, Open 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 0RB40ZZ
0RB40ZZ is the ICD-10-PCS code for a excision procedure on the cervicothoracic vertebral joint using an open approach. In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.
In plain terms, this corresponds to other exploration and decompression of spinal canal, Synovectomy, other specified sites and other excision of joint, other specified sites, the ICD-9-CM procedure titles it maps to (03.09, 80.79 and 80.99).
For a different body part, codes include 0RB00ZZ (occipital-cervical joint), 0RB10ZZ (cervical vertebral joint), 0RB30ZZ (cervical vertebral disc), 0RB50ZZ (cervicothoracic vertebral disc), 0RB60ZZ (thoracic vertebral joint), 0RB90ZZ (thoracic vertebral disc) and 22 more.
The same procedure with a different approach is coded 0RB43ZZ (percutaneous) and 0RB44ZZ (percutaneous endoscopic).
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 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
- BExcision
Cutting out or off, without replacement, a portion of a body part
The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Includes: Partial nephrectomy, liver biopsy
- 4. Body Part
- 4Cervicothoracic Vertebral Joint
Includes: Cervicothoracic facet joint
- 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
- ZNo Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RB00ZZOccipital-cervical Joint
- 0RB10ZZCervical Vertebral Joint
- 0RB30ZZCervical Vertebral Disc
- 0RB50ZZCervicothoracic Vertebral Disc
- 0RB60ZZThoracic Vertebral Joint
- 0RB90ZZThoracic Vertebral Disc
- 0RBA0ZZThoracolumbar Vertebral Joint
- 0RBB0ZZThoracolumbar Vertebral Disc
- 0RBC0ZZTemporomandibular Joint, Right
- 0RBD0ZZTemporomandibular Joint, Left
- 0RBE0ZZSternoclavicular Joint, Right
- 0RBF0ZZSternoclavicular Joint, Left
Different approach
Different qualifier
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 01 · Diseases and Disorders of the Nervous System · Spinal Procedures
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Lymphoma and Leukemia with Major O.R. Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
- 826Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCCRW 4.7581
- 827Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CCRW 2.3896
- 828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCCRW 1.6955
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 →- 03.09Other exploration and decompression of spinal canalapproximate
- 80.79Synovectomy, other specified sitesapproximate
- 80.99Other excision 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 0RB40ZZ
Is 0RB40ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0RB40ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RB40ZZ an O.R. procedure?
- Yes. 0RB40ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RB40ZZ group to?
- Depending on the principal diagnosis, 0RB40ZZ can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 518, MS-DRG 519 and MS-DRG 520.
What is the ICD-9 procedure code for 0RB40ZZ?
- The CMS GEMs map 0RB40ZZ to ICD-9-CM 03.09 (Other exploration and decompression of spinal canal), 80.79 (Synovectomy, other specified sites) and 80.99 (Other excision of joint, other specified sites).