ICD-10-PCS 2027 procedure code
0RC04ZZExtirpation of Matter from Occipital-cervical Joint, Percutaneous Endoscopic Approach
Short description: Extirpation of Matter from Occip 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 0RC04ZZ
0RC04ZZ is the ICD-10-PCS code for a extirpation procedure on the occipital-cervical joint using a percutaneous endoscopic approach. In ICD-10-PCS, extirpation means taking or cutting out solid matter from a body part.
In plain terms, this corresponds to other arthrotomy, other specified sites, the ICD-9-CM procedure title it maps to (80.19).
For a different body part, codes include 0RC14ZZ (cervical vertebral joint), 0RC34ZZ (cervical vertebral disc), 0RC44ZZ (cervicothoracic vertebral joint), 0RC54ZZ (cervicothoracic vertebral disc), 0RC64ZZ (thoracic vertebral joint), 0RC94ZZ (thoracic vertebral disc) and 22 more.
The same procedure with a different approach is coded 0RC00ZZ (open) and 0RC03ZZ (percutaneous).
It is an operating-room procedure in the MS-DRG logic for DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC) and DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), under the surgical category “Other Musculoskeletal System and Connective Tissue O.R. Procedures”.
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
- CExtirpation
Taking or cutting out solid matter from a body part
The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces
Includes: Thrombectomy, choledocholithotomy
- 4. Body Part
- 0Occipital-cervical 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 body part
- 0RC14ZZCervical Vertebral Joint
- 0RC34ZZCervical Vertebral Disc
- 0RC44ZZCervicothoracic Vertebral Joint
- 0RC54ZZCervicothoracic Vertebral Disc
- 0RC64ZZThoracic Vertebral Joint
- 0RC94ZZThoracic Vertebral Disc
- 0RCA4ZZThoracolumbar Vertebral Joint
- 0RCB4ZZThoracolumbar Vertebral Disc
- 0RCC4ZZTemporomandibular Joint, Right
- 0RCD4ZZTemporomandibular Joint, Left
- 0RCE4ZZSternoclavicular Joint, Right
- 0RCF4ZZSternoclavicular 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 · Other Musculoskeletal System and Connective Tissue O.R. Procedures
ICD-9-CM equivalent
Converter →- 80.19Other arthrotomy, 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 0RC04ZZ
Is 0RC04ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0RC04ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RC04ZZ an O.R. procedure?
- Yes. 0RC04ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RC04ZZ group to?
- Depending on the principal diagnosis, 0RC04ZZ can group to MS-DRG 515, MS-DRG 516 and MS-DRG 517.
What is the ICD-9 procedure code for 0RC04ZZ?
- The CMS GEMs map 0RC04ZZ to ICD-9-CM 80.19 (Other arthrotomy, other specified sites).