0RH00DZInsertion of Facet Replacement Spinal Stabilization Device into Occipital-cervical Joint, Open Approach

0RH00DZ is the ICD-10-PCS code for a insertion procedure on the occipital-cervical joint using an open approach with spinal stabilization device, facet replacement. In ICD-10-PCS, insertion means putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part.

In plain terms, this corresponds to insertion of other spinal devices and insertion or replacement of facet replacement device(s), the ICD-9-CM procedure titles it maps to (84.59 and 84.84).

For a different body part, codes include 0RH10DZ (cervical vertebral joint), 0RH40DZ (cervicothoracic vertebral joint), 0RH60DZ (thoracic vertebral joint) and 0RHA0DZ (thoracolumbar vertebral joint).

The same procedure with a different approach is coded 0RH03DZ (percutaneous) and 0RH04DZ (percutaneous endoscopic).

With a different device, use 0RH003Z (infusion device), 0RH004Z (internal fixation device), 0RH008Z (spacer), 0RH00BZ (spinal stabilization device, interspinous process) and 0RH00CZ (spinal stabilization device, pedicle-based).

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 907 (Other O.R. Procedures for Injuries with MCC) and DRG 908 (Other O.R. Procedures for Injuries with CC), under the surgical categories “Spinal Procedures”, “Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator”, “Other O.R. Procedures for Injuries” and 1 more.

It has been valid since ICD-10-PCS took effect on October 1, 2015.