ICD-10-PCS 2027 procedure code
0SH03DZInsertion of Facet Replacement Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Approach
Short description: Insertion of Facet Stabl Dev into 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 0SH03DZ
0SH03DZ is the ICD-10-PCS code for a insertion procedure on the lumbar vertebral joint using a percutaneous approach with spinal stabilization device, facet replacement. In ICD-10-PCS, insertion means putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part.
In plain terms, this corresponds to insertion of other spinal devices and insertion or replacement of facet replacement device(s), the ICD-9-CM procedure titles it maps to (84.59 and 84.84).
For a different body part, codes include 0SH33DZ (lumbosacral joint).
The same procedure with a different approach is coded 0SH00DZ (open) and 0SH04DZ (percutaneous endoscopic).
With a different device, use 0SH033Z (infusion device), 0SH034Z (internal fixation device), 0SH038Z (spacer), 0SH03BZ (spinal stabilization device, interspinous process) and 0SH03CZ (spinal stabilization device, pedicle-based).
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
- SLower Joints
- 3. Operation
- HInsertion
Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part
Includes: Insertion of radioactive implant, insertion of central venous catheter
- 4. Body Part
- 0Lumbar Vertebral Joint
Includes: Lumbar 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
- DSpinal Stabilization Device, Facet Replacement
- 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 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 →- 84.59Insertion of other spinal devicesapproximate
- 84.84Insertion or replacement of facet replacement device(s)approximate
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 0SH03DZ
Is 0SH03DZ a valid ICD-10-PCS code for 2027?
- Yes. 0SH03DZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SH03DZ an O.R. procedure?
- Yes. 0SH03DZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SH03DZ group to?
- Depending on the principal diagnosis, 0SH03DZ 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 0SH03DZ?
- The CMS GEMs map 0SH03DZ to ICD-9-CM 84.59 (Insertion of other spinal devices) and 84.84 (Insertion or replacement of facet replacement device(s)).