ICD-10-PCS 2027 procedure code
0RP448ZRemoval of Spacer from Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach
Short description: Removal of Spacer from 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 0RP448Z
0RP448Z is the ICD-10-PCS code for a removal procedure on the cervicothoracic vertebral joint using a percutaneous endoscopic approach with spacer. In ICD-10-PCS, removal means taking out or off a device from a body part.
In plain terms, this corresponds to removal of (cement) spacer, the ICD-9-CM procedure title it maps to (84.57).
For a different body part, codes include 0RP048Z (occipital-cervical joint), 0RP148Z (cervical vertebral joint), 0RP648Z (thoracic vertebral joint), 0RPA48Z (thoracolumbar vertebral joint), 0RPC48Z (right temporomandibular joint), 0RPD48Z (left temporomandibular joint) and 18 more.
The same procedure with a different approach is coded 0RP408Z (open) and 0RP438Z (percutaneous).
With a different device, use 0RP440Z (drainage device), 0RP443Z (infusion device), 0RP444Z (internal fixation device), 0RP447Z (autologous tissue substitute), 0RP44AZ (interbody fusion device), 0RP44JZ (synthetic substitute) and 1 more.
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
- PRemoval
Taking out or off a device from a body part
If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL
Includes: Drainage tube removal, cardiac pacemaker removal
- 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
- 0RP048ZOccipital-cervical Joint
- 0RP148ZCervical Vertebral Joint
- 0RP648ZThoracic Vertebral Joint
- 0RPA48ZThoracolumbar Vertebral Joint
- 0RPC48ZTemporomandibular Joint, Right
- 0RPD48ZTemporomandibular Joint, Left
- 0RPE48ZSternoclavicular Joint, Right
- 0RPF48ZSternoclavicular Joint, Left
- 0RPG48ZAcromioclavicular Joint, Right
- 0RPH48ZAcromioclavicular Joint, Left
- 0RPJ48ZShoulder Joint, Right
- 0RPK48ZShoulder Joint, Left
Different approach
ICD-9-CM equivalent
Converter →- 84.57Removal 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 0RP448Z
Is 0RP448Z a valid ICD-10-PCS code for 2027?
- Yes. 0RP448Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
What is the ICD-9 procedure code for 0RP448Z?
- The CMS GEMs map 0RP448Z to ICD-9-CM 84.57 (Removal of (cement) spacer).