ICD-10-PCS 2027 procedure code
0RR50JZReplacement of Cervicothoracic Vertebral Disc with Synthetic Substitute, Open Approach
Short description: Replacement of C-thor Disc with Synth 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 0RR50JZ
0RR50JZ is the ICD-10-PCS code for a replacement procedure on the cervicothoracic vertebral disc using an open approach with synthetic 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 insertion of total spinal disc prosthesis, cervical, the ICD-9-CM procedure title it maps to (84.62).
For a different body part, codes include 0RR00JZ (occipital-cervical joint), 0RR10JZ (cervical vertebral joint), 0RR30JZ (cervical vertebral disc), 0RR40JZ (cervicothoracic vertebral joint), 0RR60JZ (thoracic vertebral joint), 0RR90JZ (thoracic vertebral disc) and 22 more.
With a different device, use 0RR507Z (autologous tissue substitute) and 0RR50KZ (nonautologous tissue substitute).
It is an operating-room procedure in the MS-DRG logic for DRG 028 (Spinal Procedures with MCC), DRG 029 (Spinal Procedures with CC or Spinal Neurostimulators), DRG 030 (Spinal Procedures without CC/MCC), DRG 518 (Back and Neck Procedures Except Spinal Fusion with MCC or Disc Device or Neurostimulator), DRG 907 (Other O.R. Procedures for Injuries with MCC) and DRG 908 (Other O.R. Procedures for Injuries with CC), under the surgical categories “Spinal Procedures”, “Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator”, “Other O.R. Procedures for Injuries” and 1 more.
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
- 5Cervicothoracic Vertebral Disc
- 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
- JSynthetic Substitute
Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RR00JZOccipital-cervical Joint
- 0RR10JZCervical Vertebral Joint
- 0RR30JZCervical Vertebral Disc
- 0RR40JZCervicothoracic Vertebral Joint
- 0RR60JZThoracic Vertebral Joint
- 0RR90JZThoracic Vertebral Disc
- 0RRA0JZThoracolumbar Vertebral Joint
- 0RRB0JZThoracolumbar Vertebral Disc
- 0RRC0JZTemporomandibular Joint, Right
- 0RRD0JZTemporomandibular Joint, Left
- 0RRE0JZSternoclavicular Joint, Right
- 0RRF0JZSternoclavicular Joint, Left
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 01 · Diseases and Disorders of the Nervous System · Spinal Procedures
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 84.62Insertion of total spinal disc prosthesis, cervicalapproximate
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 0RR50JZ
Is 0RR50JZ a valid ICD-10-PCS code for 2027?
- Yes. 0RR50JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RR50JZ an O.R. procedure?
- Yes. 0RR50JZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RR50JZ group to?
- Depending on the principal diagnosis, 0RR50JZ can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 518, MS-DRG 907 and MS-DRG 908.
What is the ICD-9 procedure code for 0RR50JZ?
- The CMS GEMs map 0RR50JZ to ICD-9-CM 84.62 (Insertion of total spinal disc prosthesis, cervical).