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ICD-10-PCS 2027 procedure code

0RPA3AZRemoval of Interbody Fusion Device from Thoracolumbar Vertebral Joint, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Intbd Fus Dev 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 0RPA3AZ

0RPA3AZ is the ICD-10-PCS code for a removal procedure on the thoracolumbar vertebral joint using a percutaneous approach with interbody fusion 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 0RP03AZ (occipital-cervical joint), 0RP13AZ (cervical vertebral joint), 0RP43AZ (cervicothoracic vertebral joint) and 0RP63AZ (thoracic vertebral joint).

The same procedure with a different approach is coded 0RPA0AZ (open) and 0RPA4AZ (percutaneous endoscopic).

With a different device, use 0RPA30Z (drainage device), 0RPA33Z (infusion device), 0RPA34Z (internal fixation device), 0RPA37Z (autologous tissue substitute), 0RPA38Z (spacer), 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
AInterbody Fusion 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 0RPA3AZ

Is 0RPA3AZ a valid ICD-10-PCS code for 2027?

Yes. 0RPA3AZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RPA3AZ an O.R. procedure?

Yes. 0RPA3AZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RPA3AZ group to?

Depending on the principal diagnosis, 0RPA3AZ can group to MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 0RPA3AZ?

The CMS GEMs map 0RPA3AZ to ICD-9-CM 80.19 (Other arthrotomy, other specified sites).