ICD-10-PCS 2027 procedure code
0RQ40ZZRepair Cervicothoracic Vertebral Joint, Open 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 0RQ40ZZ
0RQ40ZZ is the ICD-10-PCS code for a repair procedure on the cervicothoracic vertebral joint using an open approach. In ICD-10-PCS, repair means restoring, to the extent possible, a body part to its normal anatomic structure and function.
In plain terms, this corresponds to other repair of joint, the ICD-9-CM procedure title it maps to (81.96).
For a different body part, codes include 0RQ00ZZ (occipital-cervical joint), 0RQ10ZZ (cervical vertebral joint), 0RQ30ZZ (cervical vertebral disc), 0RQ50ZZ (cervicothoracic vertebral disc), 0RQ60ZZ (thoracic vertebral joint), 0RQ90ZZ (thoracic vertebral disc) and 22 more.
The same procedure with a different approach is coded 0RQ43ZZ (percutaneous), 0RQ44ZZ (percutaneous endoscopic) and 0RQ4XZZ (external).
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
- QRepair
Restoring, to the extent possible, a body part to its normal anatomic structure and function
Used only when the method to accomplish the repair is not one of the other root operations
Includes: Colostomy takedown, suture of laceration
- 4. Body Part
- 4Cervicothoracic Vertebral Joint
Includes: Cervicothoracic facet joint
- 5. Approach
- 0Open
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
- 6. Device
- ZNo Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RQ00ZZOccipital-cervical Joint
- 0RQ10ZZCervical Vertebral Joint
- 0RQ30ZZCervical Vertebral Disc
- 0RQ50ZZCervicothoracic Vertebral Disc
- 0RQ60ZZThoracic Vertebral Joint
- 0RQ90ZZThoracic Vertebral Disc
- 0RQA0ZZThoracolumbar Vertebral Joint
- 0RQB0ZZThoracolumbar Vertebral Disc
- 0RQC0ZZTemporomandibular Joint, Right
- 0RQD0ZZTemporomandibular Joint, Left
- 0RQE0ZZSternoclavicular Joint, Right
- 0RQF0ZZSternoclavicular 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 →- 81.96Other repair of jointapproximate
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 0RQ40ZZ
Is 0RQ40ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0RQ40ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RQ40ZZ an O.R. procedure?
- Yes. 0RQ40ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RQ40ZZ group to?
- Depending on the principal diagnosis, 0RQ40ZZ can group to MS-DRG 515, MS-DRG 516 and MS-DRG 517.
What is the ICD-9 procedure code for 0RQ40ZZ?
- The CMS GEMs map 0RQ40ZZ to ICD-9-CM 81.96 (Other repair of joint).