ICD-10-PCS 2027 procedure code
0RH438ZInsertion of Spacer into Cervicothoracic Vertebral Joint, Percutaneous Approach
Short description: Insertion of Spacer into C-thor 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 0RH438Z
0RH438Z is the ICD-10-PCS code for a insertion procedure on the cervicothoracic vertebral 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 0RH038Z (occipital-cervical joint), 0RH138Z (cervical 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 0RH408Z (open) and 0RH448Z (percutaneous endoscopic).
With a different device, use 0RH433Z (infusion device), 0RH434Z (internal fixation device), 0RH43BZ (spinal stabilization device, interspinous process), 0RH43CZ (spinal stabilization device, pedicle-based) and 0RH43DZ (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
- 4Cervicothoracic Vertebral Joint
Includes: Cervicothoracic facet 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
- 0RH038ZOccipital-cervical Joint
- 0RH138ZCervical 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 0RH438Z
Is 0RH438Z a valid ICD-10-PCS code for 2027?
- Yes. 0RH438Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
What is the ICD-9 procedure code for 0RH438Z?
- The CMS GEMs map 0RH438Z to ICD-9-CM 84.56 (Insertion or replacement of (cement) spacer).