0RH40CZInsertion of Pedicle-Based Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Open Approach

0RH40CZ is the ICD-10-PCS code for a insertion procedure on the cervicothoracic vertebral joint using an open approach with spinal stabilization device, pedicle-based. 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 pedicle-based dynamic stabilization device(s), the ICD-9-CM procedure title it maps to (84.82).

For a different body part, codes include 0RH00CZ (occipital-cervical joint), 0RH10CZ (cervical vertebral joint), 0RH60CZ (thoracic vertebral joint) and 0RHA0CZ (thoracolumbar vertebral joint).

The same procedure with a different approach is coded 0RH43CZ (percutaneous) and 0RH44CZ (percutaneous endoscopic).

With a different device, use 0RH403Z (infusion device), 0RH404Z (internal fixation device), 0RH408Z (spacer), 0RH40BZ (spinal stabilization device, interspinous process) and 0RH40DZ (spinal stabilization device, facet replacement).

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.