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ICD-10-PCS 2027 procedure code

0S540ZZDestruction of Lumbosacral Disc, Open Approach

✓ Valid for 2027O.R. procedure

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 0S540ZZ

0S540ZZ is the ICD-10-PCS code for a destruction procedure on the lumbosacral disc using an open approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

In plain terms, this corresponds to other destruction of intervertebral disc and other local excision or destruction of lesion of joint, unspecified site, the ICD-9-CM procedure titles it maps to (80.59 and 80.80).

For a different body part, codes include 0S500ZZ (lumbar vertebral joint), 0S520ZZ (lumbar vertebral disc), 0S530ZZ (lumbosacral joint), 0S550ZZ (sacrococcygeal joint), 0S560ZZ (coccygeal joint), 0S570ZZ (right sacroiliac joint) and 15 more.

The same procedure with a different approach is coded 0S543ZZ (percutaneous) and 0S544ZZ (percutaneous endoscopic).

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 519 (Back and Neck Procedures Except Spinal Fusion with CC) and DRG 520 (Back and Neck Procedures Except Spinal Fusion without CC/MCC), 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
SLower Joints
3. Operation
5Destruction

Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

None of the body part is physically taken out

Includes: Fulguration of rectal polyp, cautery of skin lesion

4. Body Part
4Lumbosacral 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
ZNo 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.

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator

ICD-9-CM equivalent

Converter →
  • 80.59Other destruction of intervertebral discapproximate
  • 80.80Other local excision or destruction of lesion of joint, unspecified siteapproximate

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 0S540ZZ

Is 0S540ZZ a valid ICD-10-PCS code for 2027?

Yes. 0S540ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0S540ZZ an O.R. procedure?

Yes. 0S540ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0S540ZZ group to?

Depending on the principal diagnosis, 0S540ZZ can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 518, MS-DRG 519 and MS-DRG 520.

What is the ICD-9 procedure code for 0S540ZZ?

The CMS GEMs map 0S540ZZ to ICD-9-CM 80.59 (Other destruction of intervertebral disc) and 80.80 (Other local excision or destruction of lesion of joint, unspecified site).