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ICD-10-PCS 2027 procedure code

0RPA34ZRemoval of Internal Fixation Device from Thoracolumbar Vertebral Joint, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Int Fix from T-lum 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 0RPA34Z

0RPA34Z is the ICD-10-PCS code for a removal procedure on the thoracolumbar vertebral joint using a percutaneous approach with internal fixation device. 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 0RP034Z (occipital-cervical joint), 0RP134Z (cervical vertebral joint), 0RP434Z (cervicothoracic vertebral joint), 0RP634Z (thoracic vertebral joint), 0RPC34Z (right temporomandibular joint), 0RPD34Z (left temporomandibular joint) and 18 more.

The same procedure with a different approach is coded 0RPA04Z (open), 0RPA44Z (percutaneous endoscopic) and 0RPAX4Z (external).

With a different device, use 0RPA30Z (drainage device), 0RPA33Z (infusion device), 0RPA37Z (autologous tissue substitute), 0RPA38Z (spacer), 0RPA3AZ (interbody fusion device), 0RPA3JZ (synthetic substitute) 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
AThoracolumbar Vertebral Joint

Includes: Thoracolumbar 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
4Internal Fixation Device
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.

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

  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 0RPA34Z

Is 0RPA34Z a valid ICD-10-PCS code for 2027?

Yes. 0RPA34Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RPA34Z an O.R. procedure?

Yes. 0RPA34Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RPA34Z group to?

Depending on the principal diagnosis, 0RPA34Z can group to MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 0RPA34Z?

The CMS GEMs map 0RPA34Z to ICD-9-CM 80.19 (Other arthrotomy, other specified sites).