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ICD-10-PCS 2027 procedure code

0RH44CZInsertion of Pedicle-Based Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Insert of Pedcl Stabl Dev 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 0RH44CZ

0RH44CZ is the ICD-10-PCS code for a insertion procedure on the cervicothoracic vertebral joint using a percutaneous endoscopic 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 0RH04CZ (occipital-cervical joint), 0RH14CZ (cervical vertebral joint), 0RH64CZ (thoracic vertebral joint) and 0RHA4CZ (thoracolumbar vertebral joint).

The same procedure with a different approach is coded 0RH40CZ (open) and 0RH43CZ (percutaneous).

With a different device, use 0RH443Z (infusion device), 0RH444Z (internal fixation device), 0RH448Z (spacer), 0RH44BZ (spinal stabilization device, interspinous process) and 0RH44DZ (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.

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
CSpinal Stabilization Device, Pedicle-Based
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 →
  • 84.82Insertion or replacement of pedicle-based dynamic stabilization 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 0RH44CZ

Is 0RH44CZ a valid ICD-10-PCS code for 2027?

Yes. 0RH44CZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RH44CZ an O.R. procedure?

Yes. 0RH44CZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RH44CZ group to?

Depending on the principal diagnosis, 0RH44CZ 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 0RH44CZ?

The CMS GEMs map 0RH44CZ to ICD-9-CM 84.82 (Insertion or replacement of pedicle-based dynamic stabilization device(s)).