ICD-10-PCS 2027 procedure code
0RH448ZInsertion of Spacer into Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach
Short description: Insertion of Spacer into C-thor 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 0RH448Z
0RH448Z is the ICD-10-PCS code for a insertion procedure on the cervicothoracic vertebral 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 0RH048Z (occipital-cervical joint), 0RH148Z (cervical 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 0RH408Z (open) and 0RH438Z (percutaneous).
With a different device, use 0RH443Z (infusion device), 0RH444Z (internal fixation device), 0RH44BZ (spinal stabilization device, interspinous process), 0RH44CZ (spinal stabilization device, pedicle-based) and 0RH44DZ (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
- 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
Different body part
- 0RH048ZOccipital-cervical Joint
- 0RH148ZCervical Vertebral Joint
- 0RH648ZThoracic Vertebral Joint
- 0RHA48ZThoracolumbar Vertebral Joint
- 0RHC48ZTemporomandibular Joint, Right
- 0RHD48ZTemporomandibular Joint, Left
- 0RHE48ZSternoclavicular Joint, Right
- 0RHF48ZSternoclavicular Joint, Left
- 0RHG48ZAcromioclavicular Joint, Right
- 0RHH48ZAcromioclavicular Joint, Left
- 0RHJ48ZShoulder Joint, Right
- 0RHK48ZShoulder 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 0RH448Z
Is 0RH448Z a valid ICD-10-PCS code for 2027?
- Yes. 0RH448Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
What is the ICD-9 procedure code for 0RH448Z?
- The CMS GEMs map 0RH448Z to ICD-9-CM 84.56 (Insertion or replacement of (cement) spacer).