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ICD-10-PCS 2027 procedure code

0RR407ZReplacement of Cervicothoracic Vertebral Joint with Autologous Tissue Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of C-thor Jt with Autol Sub, 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 0RR407Z

0RR407Z is the ICD-10-PCS code for a replacement procedure on the cervicothoracic vertebral joint using an open approach with autologous tissue substitute. In ICD-10-PCS, replacement means putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part.

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 0RR007Z (occipital-cervical joint), 0RR107Z (cervical vertebral joint), 0RR307Z (cervical vertebral disc), 0RR507Z (cervicothoracic vertebral disc), 0RR607Z (thoracic vertebral joint), 0RR907Z (thoracic vertebral disc) and 22 more.

With a different device, use 0RR40JZ (synthetic substitute) and 0RR40KZ (nonautologous tissue substitute).

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
RReplacement

Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part

The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

Includes: Total hip replacement, bone graft, free skin graft

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
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

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 →
  • 81.96Other repair of jointapproximate

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 0RR407Z

Is 0RR407Z a valid ICD-10-PCS code for 2027?

Yes. 0RR407Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RR407Z an O.R. procedure?

Yes. 0RR407Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RR407Z group to?

Depending on the principal diagnosis, 0RR407Z can group to MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 0RR407Z?

The CMS GEMs map 0RR407Z to ICD-9-CM 81.96 (Other repair of joint).