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ICD-10-PCS 2027 procedure code

0RH04DZInsertion of Facet Replacement Spinal Stabilization Device into Occipital-cervical Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Insert of Facet Stabl Dev 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 0RH04DZ

0RH04DZ is the ICD-10-PCS code for a insertion procedure on the occipital-cervical joint using a percutaneous endoscopic 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 0RH14DZ (cervical vertebral joint), 0RH44DZ (cervicothoracic vertebral joint), 0RH64DZ (thoracic vertebral joint) and 0RHA4DZ (thoracolumbar vertebral joint).

The same procedure with a different approach is coded 0RH00DZ (open) and 0RH03DZ (percutaneous).

With a different device, use 0RH043Z (infusion device), 0RH044Z (internal fixation device), 0RH048Z (spacer), 0RH04BZ (spinal stabilization device, interspinous process) and 0RH04CZ (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.

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
DSpinal Stabilization Device, Facet Replacement
7. Qualifier
ZNo Qualifier

Other versions of this procedure

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 →
  • 84.59Insertion of other spinal devicesapproximate
  • 84.84Insertion or replacement of facet replacement device(s)approximate

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 0RH04DZ

Is 0RH04DZ a valid ICD-10-PCS code for 2027?

Yes. 0RH04DZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RH04DZ an O.R. procedure?

Yes. 0RH04DZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RH04DZ group to?

Depending on the principal diagnosis, 0RH04DZ can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 518, MS-DRG 907 and MS-DRG 908.

What is the ICD-9 procedure code for 0RH04DZ?

The CMS GEMs map 0RH04DZ to ICD-9-CM 84.59 (Insertion of other spinal devices) and 84.84 (Insertion or replacement of facet replacement device(s)).