ICD-10-PCS 2027 procedure code
0RP44KZRemoval of Nonautologous Tissue Substitute from Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach
Short description: Removal of Nonaut Sub 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 0RP44KZ
0RP44KZ is the ICD-10-PCS code for a removal procedure on the cervicothoracic vertebral joint using a percutaneous endoscopic approach with nonautologous tissue substitute. In ICD-10-PCS, removal means taking out or off a device from a body part.
In plain terms, this corresponds to other arthrotomy, other specified sites, the ICD-9-CM procedure title it maps to (80.19).
For a different body part, codes include 0RP04KZ (occipital-cervical joint), 0RP14KZ (cervical vertebral joint), 0RP34KZ (cervical vertebral disc), 0RP54KZ (cervicothoracic vertebral disc), 0RP64KZ (thoracic vertebral joint), 0RP94KZ (thoracic vertebral disc) and 22 more.
The same procedure with a different approach is coded 0RP40KZ (open) and 0RP43KZ (percutaneous).
With a different device, use 0RP440Z (drainage device), 0RP443Z (infusion device), 0RP444Z (internal fixation device), 0RP447Z (autologous tissue substitute), 0RP448Z (spacer), 0RP44AZ (interbody fusion device) and 1 more.
It is an operating-room procedure in the MS-DRG logic for DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC) and DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), under the surgical category “Other Musculoskeletal System and Connective Tissue O.R. Procedures”.
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
- KNonautologous Tissue Substitute
Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RP04KZOccipital-cervical Joint
- 0RP14KZCervical Vertebral Joint
- 0RP34KZCervical Vertebral Disc
- 0RP54KZCervicothoracic Vertebral Disc
- 0RP64KZThoracic Vertebral Joint
- 0RP94KZThoracic Vertebral Disc
- 0RPA4KZThoracolumbar Vertebral Joint
- 0RPB4KZThoracolumbar Vertebral Disc
- 0RPC4KZTemporomandibular Joint, Right
- 0RPD4KZTemporomandibular Joint, Left
- 0RPE4KZSternoclavicular Joint, Right
- 0RPF4KZSternoclavicular Joint, Left
Different approach
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 · Other Musculoskeletal System and Connective Tissue O.R. Procedures
ICD-9-CM equivalent
Converter →- 80.19Other arthrotomy, other specified sitesapproximate
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 0RP44KZ
Is 0RP44KZ a valid ICD-10-PCS code for 2027?
- Yes. 0RP44KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RP44KZ an O.R. procedure?
- Yes. 0RP44KZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RP44KZ group to?
- Depending on the principal diagnosis, 0RP44KZ can group to MS-DRG 515, MS-DRG 516 and MS-DRG 517.
What is the ICD-9 procedure code for 0RP44KZ?
- The CMS GEMs map 0RP44KZ to ICD-9-CM 80.19 (Other arthrotomy, other specified sites).