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ICD-10-PCS 2027 procedure code

0RH048ZInsertion of Spacer into Occipital-cervical Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027

Short description: Insertion of Spacer into 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 0RH048Z

0RH048Z is the ICD-10-PCS code for a insertion procedure on the occipital-cervical joint using a percutaneous endoscopic 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 0RH148Z (cervical vertebral joint), 0RH448Z (cervicothoracic vertebral joint), 0RH648Z (thoracic vertebral joint), 0RHA48Z (thoracolumbar vertebral joint), 0RHC48Z (right temporomandibular joint), 0RHD48Z (left temporomandibular joint) and 18 more.

The same procedure with a different approach is coded 0RH008Z (open) and 0RH038Z (percutaneous).

With a different device, use 0RH043Z (infusion device), 0RH044Z (internal fixation device), 0RH04BZ (spinal stabilization device, interspinous process), 0RH04CZ (spinal stabilization device, pedicle-based) and 0RH04DZ (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
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
8Spacer
7. Qualifier
ZNo Qualifier

Other versions of this procedure

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

  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 0RH048Z

Is 0RH048Z a valid ICD-10-PCS code for 2027?

Yes. 0RH048Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0RH048Z?

The CMS GEMs map 0RH048Z to ICD-9-CM 84.56 (Insertion or replacement of (cement) spacer).