ICD-10-PCS 2027 procedure code
0RH038ZInsertion of Spacer into Occipital-cervical Joint, Percutaneous Approach
Short description: Insertion of Spacer into Occip Jt, Perc 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 0RH038Z
0RH038Z is the ICD-10-PCS code for a insertion procedure on the occipital-cervical joint using a percutaneous approach with spacer. 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 or replacement of (cement) spacer, the ICD-9-CM procedure title it maps to (84.56).
For a different body part, codes include 0RH138Z (cervical vertebral joint), 0RH438Z (cervicothoracic vertebral joint), 0RH638Z (thoracic vertebral joint), 0RHA38Z (thoracolumbar vertebral joint), 0RHC38Z (right temporomandibular joint), 0RHD38Z (left temporomandibular joint) and 18 more.
The same procedure with a different approach is coded 0RH008Z (open) and 0RH048Z (percutaneous endoscopic).
With a different device, use 0RH033Z (infusion device), 0RH034Z (internal fixation device), 0RH03BZ (spinal stabilization device, interspinous process), 0RH03CZ (spinal stabilization device, pedicle-based) and 0RH03DZ (spinal stabilization device, facet replacement).
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
- HInsertion
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
Includes: Insertion of radioactive implant, insertion of central venous catheter
- 4. Body Part
- 0Occipital-cervical Joint
- 5. Approach
- 3Percutaneous
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure
- 6. Device
- 8Spacer
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RH138ZCervical Vertebral Joint
- 0RH438ZCervicothoracic Vertebral Joint
- 0RH638ZThoracic Vertebral Joint
- 0RHA38ZThoracolumbar Vertebral Joint
- 0RHC38ZTemporomandibular Joint, Right
- 0RHD38ZTemporomandibular Joint, Left
- 0RHE38ZSternoclavicular Joint, Right
- 0RHF38ZSternoclavicular Joint, Left
- 0RHG38ZAcromioclavicular Joint, Right
- 0RHH38ZAcromioclavicular Joint, Left
- 0RHJ38ZShoulder Joint, Right
- 0RHK38ZShoulder Joint, Left
Different approach
ICD-9-CM equivalent
Converter →- 84.56Insertion or replacement of (cement) spacerapproximate
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 0RH038Z
Is 0RH038Z a valid ICD-10-PCS code for 2027?
- Yes. 0RH038Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
What is the ICD-9 procedure code for 0RH038Z?
- The CMS GEMs map 0RH038Z to ICD-9-CM 84.56 (Insertion or replacement of (cement) spacer).