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ICD-10-PCS 2027 procedure code

0RBA4ZZExcision of Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Excision of T-lum Jt, 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 0RBA4ZZ

0RBA4ZZ is the ICD-10-PCS code for a excision procedure on the thoracolumbar vertebral joint using a percutaneous endoscopic 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 0RB04ZZ (occipital-cervical joint), 0RB14ZZ (cervical vertebral joint), 0RB34ZZ (cervical vertebral disc), 0RB44ZZ (cervicothoracic vertebral joint), 0RB54ZZ (cervicothoracic vertebral disc), 0RB64ZZ (thoracic vertebral joint) and 22 more.

The same procedure with a different approach is coded 0RBA0ZZ (open) and 0RBA3ZZ (percutaneous).

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
AThoracolumbar Vertebral Joint

Includes: Thoracolumbar facet joint

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 qualifier

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 · Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator

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

  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 0RBA4ZZ

Is 0RBA4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0RBA4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RBA4ZZ an O.R. procedure?

Yes. 0RBA4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RBA4ZZ group to?

Depending on the principal diagnosis, 0RBA4ZZ 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 0RBA4ZZ?

The CMS GEMs map 0RBA4ZZ 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).